A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test.

Which of the following findings should indicate to the nurse that the client has hyperglycemia?

Thirst.

Confusion.

Shakiness.

Cool skin.

Answer and Explanation

The Correct Answer is A

Thirst is a common symptom of hyperglycemia, or high blood sugar, in clients with diabetes mellitus.
Choice B is wrong because confusion can be a symptom of both hyperglycemia and hypoglycemia (low blood sugar).
Choice C is wrong because shakiness is more commonly associated with hypoglycemia.
Choice D is wrong because cool skin is not a common symptom of hyperglycemia.

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Correct Answer is C

Explanation

“This test will provide information about the function of your liver.” An alanine aminotransferase (ALT) test measures the level of ALT in the blood, which is an enzyme found primarily in the liver.

Elevated levels of ALT can indicate liver damage or disease.

Choice A, “This test will indicate if you are at risk for developing blood clots,” is not correct as an ALT test does not provide information about blood clot risk.

Choice B, “This test will determine if your heart is performing properly,” is not correct as an ALT test does not provide information about heart function.

Choice D, “This test is used to check how your kidneys are working,” is not correct as an ALT test does not provide information about kidney function.

A. Tape the catheter to the lower abdomen. B. Attach the drainage bag to the side rails of the bed. C. Empty the drainage bag when it is three-quarters full. D. Keep the drainage bag below the level of the bladder.

Correct Answer is D

Explanation

This is important to prevent urine from flowing back into the bladder, which can cause infection 1.

Choice A is incorrect because the catheter should be secured to the outer side of the thigh, not taped to the lower abdomen 2.
Choice B is incorrect because attaching the drainage bag to the side rails of the bed can cause it to be above the level of the bladder.
Choice C is incorrect because it is important to empty the drainage bag regularly, not just when it is three-quarters full.

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A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should indicate to the nurse that the client has hyperglycemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test.

Which of the following findings should indicate to the nurse that the client has hyperglycemia?