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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Constipation is a common problem for clients who have recently given birth, and suppositories are a common treatment option for constipation. However, suppositories are not appropriate for all clients. Certain conditions can be a contraindication to the use of suppositories, and the nurse should be aware of these conditions.
The nurse should identify that a third-degree perineal laceration is a contraindication to the use of a suppository, as it may cause further trauma to the already injured area. In this case, alternative treatments such as stool softeners or oral laxatives may be more appropriate for the client.
Option A is incorrect because although abdominal distention can be a sign of constipation, it is not a contraindication to the use of a suppository.
Option C is also incorrect because vaginal candidiasis is not a contraindication to the use of a suppository. In fact, suppositories are sometimes used to treat vaginal candidiasis.
Option D is also incorrect because afterpains are not a contraindication to the use of a suppository.
Correct Answer is D
Explanation
All of the listed laboratory tests are important for prenatal care. However, at the 24-week appointment, the nurse should plan to conduct the 1-hour glucose tolerance test to screen for gestational diabetes.
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