A nurse is assessing a client who has type 1 diabetes mellitus and has a blood glucose level of 550 mg/dL. Which of the following should the nurse assess the client for if diabetic ketoacidosis (DKA) is suspected?

Dizziness

Nervousness

Mental status changes

Cool, clammy skin

Answer and Explanation

The Correct Answer is C

Choice A reason: Dizziness can be a symptom of DKA due to dehydration; however, it is not as specific as mental status changes.

Choice B reason: Nervousness is not a specific symptom of DKA and can be related to high blood glucose levels rather than DKA itself.

Choice C reason: Mental status changes such as confusion or altered consciousness are significant indicators of DKA and require immediate medical atention.

Choice D reason: Cool, clammy skin is not typically associated with DKA; instead, DKA can present with dry skin and mouth due to dehydration.

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Correct Answer is ["0.5"]

Explanation

Step 1: The total amount of digoxin required per dose is 125 mcg. We need to convert this to mg because the available tablets are in mg. We know that 1 mg = 1000 mcg, so 125 mcg = 125 ÷ 1000 mg = 0.125 mg.

Step 2: Each tablet contains 0.25 mg of digoxin.

Step 3: To find out how many tablets are needed, we divide the total amount required by the amount in each tablet. So, (0.125 mg ÷ 0.25 mg/tablet).

Step 4: The result is 0.5 tablets.

So, the nurse should administer 0.5 tablets per dose. This is already rounded to the nearest tenth.

A. "You will need to start the collection time with your first urine specimen of the day." B. "You will need to collect all of your urine for the next 12 hours." C. "You will need to avoid rigorous exercise during the test." D. "You will need to store the urine container in a dark location."

Correct Answer is C

Explanation

The correct answer is choice C: "You will need to avoid rigorous exercise during the test."

Rationale:

Choice A: The collection time for a 24-hour urine creatinine clearance test typically starts at a specific time, not necessarily with the first urine of the day.
Choice B: A creatinine clearance test requires a 24-hour urine collection, not just 12 hours.
Choice C: Avoiding rigorous exercise is important during the test as it can affect creatinine levels and impact the accuracy of the results.
Choice D: Storing the urine container in a dark location is not necessary for a creatinine clearance test.

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A nurse is assessing a client who has type 1 diabetes mellitus and has a blood glucose level of 550 mg/dL. Which of the following should the nurse assess the client for if diabetic ketoacidosis (DKA) is suspected?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

A nurse is providing teaching to a client about completing a creatinine clearance test. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

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