A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.).

Polydipsia.

Polyuria.

Blurred vision.

Moist, clammy skin.

Tachycardia.

Answer and Explanation

Correct Answer : D,E

Choice A rationale:
Polydipsia, or excessive thirst, is a symptom of hyperglycemia, not hypoglycemia.
Choice B rationale:
Polyuria, or frequent urination, is also a symptom of hyperglycemia, not hypoglycemia.
Choice C rationale:
Blurred vision can be a symptom of both hyperglycemia and hypoglycemia, but it’s more commonly associated with hyperglycemia.
Choice D rationale:
Moist, clammy skin is a symptom of hypoglycemia.
Choice E rationale:
Tachycardia, or a fast heartbeat, is a symptom of hypoglycemia.

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Correct Answer is A

Explanation

Choice A rationale:
Varicose veins with ulcerations and lower extremity edema indicate poor blood flow, hence impaired tissue perfusion is the priority.
Choice B rationale:
While activity tolerance might be affected, it’s not the immediate concern.
Choice C rationale:
Impaired skin integrity is a concern due to ulcerations, but it’s secondary to impaired perfusion.
Choice D rationale:
Body image might be affected, but it’s not a physiological priority.

A. Place the client back in bed. B. Place the client on his side. C. Hold the client's arms and legs from moving. D. Insert a tongue blade in the client's mouth.

Correct Answer is B

Explanation

Choice A rationale:
Placing the client back in bed during a seizure could potentially cause injury. The priority is to protect the client from harm during the seizure.
Choice B rationale:
Placing the client on his side, specifically the recovery position, helps keep the airway clear and prevents aspiration.
Choice C rationale:
Holding the client’s arms and legs from moving could cause injury. It’s important to let the seizure take its course while protecting the client from harm.
Choice D rationale:
Inserting a tongue blade or any other object in the client’s mouth during a seizure is not recommended. It could cause injury to the client or the nurse.

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A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.).

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is teaching about risk factors for developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include?.

A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns on the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention.

A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as indications that the client has an infection? (Select all that apply.)

A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?.

A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions?

A nurse is caring for a middle adult female client who reports that her menstrual periods have become irregular and she has been having hot flashes. The nurse should expect the client to have which of the following manifestations associated with early menopause?.

A nurse is teaching an older adult client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?

A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes mellitus. When mixing the two types of insulin, which of the following actions should the nurse take first?