A nurse is caring for a client who is diabetic and reports a headache, restlessness, fatigue, and hunger. The nurse should identify that the client is likely experiencing which of the following conditions?

Hyperglycemia

Neuropathy

Hypoglycemia

Hypokalemia

Answer and Explanation

The Correct Answer is C

A. Hyperglycemia typically presents with symptoms such as polyuria, polydipsia, and blurred vision, rather than these symptoms.

B. Neuropathy involves symptoms like numbness and tingling, not headache, restlessness, fatigue, and hunger.

C. Hypoglycemia presents with symptoms including headache, restlessness, fatigue, and hunger.

D. Hypokalemia presents with symptoms like muscle weakness and cramping, not the symptoms described.

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Correct Answer is []

Explanation

Condition:

A. Transfusion-associated circulatory overload (TACO)

Rationale: The client’s symptoms—dyspnea, restlessness, crackles in the lungs, jugular vein distension, and elevated blood pressure—are consistent with TACO, a condition resulting from excessive fluid volume during a blood transfusion.

Actions to Take:

C. Administer furosemide

Rationale: Furosemide is a diuretic that helps reduce fluid overload, which is a key issue in TACO.

B. Administer diphenhydramine

Rationale: Although not the primary treatment for TACO, diphenhydramine can help manage symptoms if there is a mild allergic reaction contributing to the situation.

Parameters to Monitor:

A. Intake and output

Rationale: Monitoring intake and output helps assess fluid balance and effectiveness of treatment for TACO.

D. Weight

Rationale: Weight monitoring helps assess fluid overload and effectiveness of diuretic therapy

A. Do not have a microwave oven in the home. B. Request to be scanned with a handheld metal detector when in the airport. C. Count your pulse for 1 min each morning. D. Do not wear tight clothing over the insertion area. E. Resume activities that can cause jolting, such as horseback riding, after 4 weeks.

Correct Answer is ["C","D"]

Explanation

A. Modern pacemakers are designed to withstand interference from microwave ovens, so it is not necessary to avoid having them in the home.
B. Airport security staff should be informed about the pacemaker, but handheld metal detectors should be avoided because prolonged exposure can interfere with pacemaker function. Instead, the client should request a manual search.
C. Monitoring the pulse daily helps to ensure the pacemaker is functioning properly and to detect any irregularities early.
D. Wearing tight clothing over the insertion area can cause discomfort and may interfere with the function of the pacemaker.
E. Activities that involve jolting or the risk of impact to the pacemaker should be avoided until cleared by a healthcare provider, and this period may extend beyond 4 weeks.

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A nurse is caring for a client who is diabetic and reports a headache, restlessness, fatigue, and hunger. The nurse should identify that the client is likely experiencing which of the following conditions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is []

Explanation

A nurse is teaching a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? (Select all that apply)

Correct Answer is ["C","D"]

Explanation

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