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 D

Explanation

“Delirium has an abrupt onset.” Delirium is a serious change in mental abilities that results in confused thinking and a lack of awareness of someone’s surroundings.
The disorder usually comes on fast — within hours or a few days.

Choice A is wrong because delirium does affect a client’s perception of her environment.
Choice B is wrong because delirium does not have a slow progression, but rather an abrupt onset.
Choice C is wrong because delirium can affect a client’s sleep cycle.

A. Write down the complete prescription. B. Read back the prescription to the provider. C. Document the prescription as a telephone prescription in the medical record. D. Ensure that the provider signs the prescription.

Correct Answer is A

Explanation

When receiving a new prescription over the telephone from a client’s provider, the nurse should first write down the complete prescription to ensure that all the details are accurately recorded.
Choice B is wrong because reading back the prescription to the provider should be done after writing down the complete prescription.
Choice C is wrong because documenting the prescription as a telephone prescription in the medical record should be done after writing down the complete prescription and reading it back to the provider.
Choice D is wrong because ensuring that the provider signs the prescription should be done after writing down the complete prescription, reading it back to the provider, and documenting it in the medical record.

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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?

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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?