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 C

Explanation

A. Tachypnea is not a primary sign of increased intracranial pressure but might be seen in other conditions.

B. Bilateral weakness of extremities can indicate severe brain injury but is not the most specific sign of increased intracranial pressure.

C. Decreased level of consciousness is a direct sign of increased intracranial pressure affecting brain function.

D. Hypotension is not a typical manifestation of increased intracranial pressure; increased ICP more commonly leads to hypertension.

A. pH 7.25, HCO₃- 19 mEq/L, PaCO₂ 30 mm Hg B. pH 7.30, HCO₃- 26 mEq/L, PaCO₂ 50 mm Hg C. pH 7.50, HCO₃- 20 mEq/L, PaCO₂ 32 mm Hg D. pH 7.55, HCO₃- 30 mEq/L, PaCO₂ 31 mm Hg

Correct Answer is A

Explanation

A. pH 7.25, HCO₃- 19 mEq/L, PaCO₂ 30 mm Hg indicates metabolic acidosis with partial respiratory compensation. This is a common finding in chronic kidney disease due to the kidneys' reduced ability to excrete hydrogen ions and reabsorb bicarbonate.

B. pH 7.30, HCO₃- 26 mEq/L, PaCO₂ 50 mm Hg suggests respiratory acidosis with a normal bicarbonate level, which is not typical for chronic kidney disease.

C. pH 7.50, HCO₃- 20 mEq/L, PaCO₂ 32 mm Hg indicates respiratory alkalosis, which is not characteristic of chronic kidney disease.

D. pH 7.55, HCO₃- 30 mEq/L, PaCO₂ 31 mm Hg indicates metabolic alkalosis, which is also not typical for chronic kidney disease.

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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

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