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 D
Explanation
Choice A rationale
Strabismus, or crossed eyes, is a condition that typically requires treatment and is not normal in newborns. It involves a lack of coordination between the muscles that control eye movement, causing the eyes to point in different directions.
Choice B rationale
While it’s important to report concerns to the primary care provider, this statement does not directly address the mother’s concern about her newborn’s crossed eyes.
Choice C rationale
Taking the baby to the nursery for further examination may be necessary in some cases, but it does not provide the mother with immediate reassurance or information about her newborn’s condition.
Choice D rationale
Newborns often lack the muscle control necessary to regulate eye movement, which can cause their eyes to cross. This is a normal part of development and typically resolves on its own within the first few months of life.
Correct Answer is A
Explanation
Choice A rationale
Vitamin K is used to reverse the effects of warfarin. Warfarin is an anticoagulant that works by inhibiting the synthesis of vitamin K-dependent clotting factors. When the INR is too high, indicating a high risk of bleeding, vitamin K can be administered to increase the production of clotting factors and reduce the risk.
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