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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should include in the teaching that the client should use a soft-bristled toothbrush.
Heparin is an anticoagulant that decreases the clotting ability of the blood 1.
Using a soft-bristled toothbrush can help prevent bleeding of the gums while brushing teeth.
Choice B is incorrect because heparin should not be injected deep into the thigh muscle.
Instead, it should be given subcutaneously (under the skin) 2.
Choice C is incorrect because black and tarry stools are not an expected side effect of heparin.
Choice D is incorrect because easy bruising does not indicate that the medication is effective.
Instead, easy bruising may be a side effect of heparin and should be reported to the healthcare provider 1.
Correct Answer is C
Explanation
Taking too much levothyroxine can cause side effects such as an elevated pulse1.
Choice A is not the answer because a decreased temperature is not a side effect of taking too much levothyroxine.
Choice B is not the answer because hypotension is not a side effect of taking too much levothyroxine.
Choice D is not the answer because constipation is not a side effect of taking too much levothyroxine.
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