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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The Braden scale measures six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear.
“The higher the score, the higher the pressure injury risk”: This statement is incorrect.
The lower the score on the Braden scale, the higher the risk for pressure injury.
“Each element has a range from one to five points”: This statement is incorrect.
Each element has a range from one to four points, except for friction/shear which has a range from one to three points.
“The client’s age is part of the measurement”: This statement is incorrect. Age is not one of the elements measured by the Braden scale.
Correct Answer is C
Explanation
This statement indicates that the nurse should use a photograph as a client identifier when administering medication.
Using a photograph can help to ensure that the medication is being given to the correct client.
Choice A is wrong because room numbers can change and may not accurately identify the client.
Choice B is wrong because age alone is not sufficient to identify a client.
Choice D is wrong because bed numbers can change and may not accurately identify the client.
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