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 A

Explanation

Insulin lispro is a fast-acting insulin that starts to work about 15 minutes after injection, peaks in about 1 hour, and keeps working for 2 to 4 hours1.
Therefore, it should be injected 15 minutes before a meal2.
Choice B is incorrect because polyuria (frequent urination) is a symptom of high blood sugar levels, not a direct result of insulin lispro injection.
Choice C is incorrect because checking the expiration date should be done before administering any medication, not after.
Choice D is incorrect because insulin lispro should be administered using a clean syringe and proper hygiene practices should be followed to prevent infection.

A. 1. B. 2. C. 3. D. 4.

Correct Answer is B

Explanation

The nurse should administer 2 tablets of lorazepam 1 mg to give a total dose of 2 mg.
This is calculated by dividing the desired dose (2 mg) by the available dose (1 mg/tablet) to get the number of tablets needed: 2 mg / (1 mg/tablet) = 2 tablets.
Choice A, 1 tablet, is not the correct answer because it would only provide a total dose of 1 mg.
Choice C, 3 tablets, is not the correct answer because it would provide a total dose of 3 mg.
Choice D, 4 tablets, is not the correct answer because it would provide a total dose of 4 mg.

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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 insulin lispro to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

A nurse is preparing to administer lorazepam 2 mg PO. Available in lorazepam 1 mg tablets. How many tablets should the nurse administer?

Correct Answer is B

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?