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 C, D, A, B

Explanation

C. Ask the client to lie on her back and with her knees flexed.

D. Position one hand around the top of the client's fundus and one hand just above the client's symphysis pubis.

A. Rotate the upper hand to massage the client's uterus while using slight downward pressure to compress the fundus.

B. Observe the client's perineum for the passage of clots and the amount of bleeding.

A. Pregnancy induced hypertension B. Retained placental fragments C. Oligohydramnios D. Meconium stained fluid

Correct Answer is B

Explanation

Retained placental fragments is a risk factor for postpartum hemorrhage. When placental fragments remain in the uterus, they prevent the uterus from contracting down and can cause significant bleeding. Pregnancy-induced hypertension, oligohydramnios, and meconium-stained fluid are not considered risk factors for postpartum hemorrhage.

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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 C, D, A, B

Explanation

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Correct Answer is B

Explanation

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