A nurse is caring for a client who has pre-gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia?

Dizziness

Increased urination

Sweating

Double vision

Answer and Explanation

The Correct Answer is B

Increased urination, or polyuria, is a common clinical finding in clients with hyperglycemia. High levels of glucose in the blood can cause the kidneys to work harder to filter out the excess glucose, resulting in increased urine output.

Option A, dizziness, is a nonspecific symptom and can occur for a variety of reasons, including hypoglycemia, hyperglycemia, or dehydration.

Option C, sweating, is also a nonspecific symptom and can occur for a variety of reasons, including hypoglycemia, hyperglycemia, or anxiety.

Option D, double vision, is a symptom that can occur in severe cases of hyperglycemia or diabetic ketoacidosis. However, it is not a common or early symptom of hyperglycemia.

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Correct Answer is A

Explanation

Gestational diabetes mellitus (GDM) is a condition in which a pregnant woman develops high blood sugar levels during pregnancy. Complications of GDM can include macrosomia (a larger-than-average baby), polyhydramnios (an excessive amount of amniotic fluid), and preterm labor. One of the ways to monitor for these complications is through regular fundal height measurements. A fundal height measurement that is significantly larger than expected can indicate macrosomia or polyhydramnios, which can lead to complications during delivery.

Option B is incorrect because a fasting blood glucose of 90 mg/dL is within the normal range for a non-pregnant individual, and it is lower than the target range for a pregnant woman with GDM.

Option C is also incorrect because a fetal movement count of 12 in 1 hour is within the normal range.

Option D is incorrect because non-pitting pedal edema is a common finding in pregnancy and is not typically a cause for concern.

A. "I won't apply perfumed lotion to my abdomen before the test." B. "I can't have anything to eat after midnight." C. "I need to take a stool softener the night before the test." D. "I will drink water before the test until my bladder feels full."

Correct Answer is D

Explanation

Abdominal ultrasounds are noninvasive imaging tests that use high-frequency sound waves to create images of the internal organs. When an abdominal ultrasound is performed, the client is typically asked to drink water before the test and to hold the urine to ensure that the bladder is full. This full bladder helps to create a clear image of the uterus and the developing fetus.

Option A is incorrect because applying perfumed lotion to the abdomen can interfere with the ultrasound waves and may affect the quality of the images.

Option B is also incorrect because having an empty stomach is not necessary for an abdominal ultrasound.

Option C is also incorrect because a stool softener is not necessary for an abdominal ultrasound.

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A nurse is caring for a client who has pre-gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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