A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus.

Which of the following statements by the client indicates an understanding of the teaching?

Might experience blurry vision at times.

Appetite will be decreased.

Breath may have a fruity odor.

Will be less thirsty than usual.

Answer and Explanation

Correct Answer : A,C

A client who has an understanding of the manifestations of hyperglycemia would know that their breath may have a fruity odor.

This is due to the presence of ketones, which are produced when the body breaks down fat for energy instead of using glucose.

Choice A is also correct.

Blurry vision can be a symptom of hyperglycemia.

High blood sugar levels can cause the lens of the eye to swell, leading to changes in vision.

Choice B is incorrect because hyperglycemia can cause an increase in appetite, not a decrease.

Choice D is incorrect because hyperglycemia can cause an increase in thirst, not a decrease.

This is due to the body’s attempt to flush out excess glucose through increased urination, which can lead to dehydration and increased thirst.

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Correct Answer is D

Explanation

“Inject the medication into the abdomen above the level of the iliac crest.” When administering heparin subcutaneously, it is appropriate to inject the medication into the abdomen above the level of the iliac crest 1.
Choice A is not correct because a 1-inch needle may be too long for subcutaneous injection.
A shorter needle, such as a 3/8 to 5/8 inch needle, is typically used for subcutaneous injections.
Choice B is not correct because a 22-gauge needle may be too large for subcutaneous injection.
A smaller gauge needle, such as a 25- or 27-gauge needle, is typically used for subcutaneous injections.
Choice C is not correct because massaging the injection site after administering heparin can increase the risk of bruising and should be avoided.

A. Grapefruit. B. Spinach. C. Broccoli. D. Carrots.

Correct Answer is A

Explanation

The nurse should instruct the patient to avoid taking verapamil with grapefruit.
Studies have demonstrated an interaction between verapamil and grapefruit juice, which is likely due to an inhibition of intestinal metabolism resulting in increased oral bioavailability1.
This means that grapefruit can interfere with the enzymes that break down verapamil in your digestive system, potentially leading to dangerous health problems2.
Choices B, C, and D are incorrect because there is no known interaction between verapamil and spinach, broccoli, or carrots.

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A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is an appropriate action by the nurse?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a patient who has hypertension and a new prescription for verapamil. The nurse should instruct the patient to avoid taking this medication with which of the following foods?

Correct Answer is A

Explanation

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A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus.

Which of the following statements by the client indicates an understanding of the teaching?