A nurse is caring for a client who has just been admitted to the medical-surgical unit from the emergency department.
The nurse is reviewing the client’s medical records.
Which of the following conditions is the client most likely experiencing, based on the client’s notes and actions to be taken?
Hyperglycemia
Anemia
Type 1 diabetes mellitus
Hypertension
The Correct Answer is D
Choice A rationale
Hyperglycemia, or high blood sugar, is a condition that is most commonly seen in individuals with diabetes. Symptoms can include frequent urination, increased thirst, and increased hunger. If left untreated, it can lead to serious complications such as diabetic ketoacidosis.
Choice B rationale
Anemia is a condition characterized by a decrease in the total amount of red blood cells or hemoglobin in the blood, or a lowered ability of the blood to carry oxygen. Symptoms can include fatigue, weakness, pale or yellowish skin, irregular heartbeats, shortness of breath, dizziness or lightheadedness, and chest pain.
Choice C rationale
Type 1 diabetes mellitus is a chronic condition in which the pancreas produces little or no insulin, a hormone needed to allow sugar (glucose) to enter cells to produce energy. The far more common type 2 diabetes occurs when the body becomes resistant to insulin or doesn’t make enough insulin.
Choice D rationale
Hypertension, or high blood pressure, is a common condition in which the long-term force of the blood against your artery walls is high enough that it may eventually cause health problems, such as heart disease. If the nurse is reviewing the client’s medical records and actions to be taken, it is likely that the client is experiencing hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A democratic leadership style, while effective in many situations, may not be the best approach during a code blue. This style often involves group decision-making, which can be time-consuming.
Choice B rationale
An authoritarian leadership style is often most effective during a code blue. This style involves clear, direct communication and quick decision-making, which are crucial in emergency situations.
Choice C rationale
A laissez-faire leadership style involves a hands-off approach, which is not appropriate during a code blue. Quick decision-making and direct leadership are needed in these situations.
Choice D rationale
While a transformational leadership style can be effective in motivating and inspiring staff, it may not be the best approach during a code blue. This style often involves big-picture thinking and long-term goals, which are not the focus during an emergency situation.
Correct Answer is B
Explanation
Choice A rationale
Hematuria, or blood in the urine, is not typically a symptom of postpartum endometritis.
Choice B rationale
Pelvic pain is a common symptom of postpartum endometritis. It is often one of the first symptoms to appear, along with lower abdominal pain and uterine tenderness.
Choice C rationale
While a moderate amount of dark red lochia with a bloody odor can be a normal part of the postpartum period, it is not specifically indicative of endometritis.
Choice D rationale
Localized area of breast tenderness is not typically a symptom of postpartum endometritis.
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