A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia.

Which of the following assessment findings supports this suspicion?

Cool, clammy skin.

Acetone breath.

Kussmaul respirations.

Increased urine output.

Answer and Explanation

The Correct Answer is A

This statement indicates an understanding of the teaching because cool, clammy skin is a common symptom of hypoglycemia.
Choice B is incorrect because acetone breath is a symptom of hyperglycemia (high blood sugar), not hypoglycemia (low blood sugar).
Choice C is incorrect because Kussmaul respirations (deep and labored breathing) are a symptom of hyperglycemia, not hypoglycemia.
Choice D is incorrect because increased urine output is a symptom of hyperglycemia, not hypoglycemia.

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Correct Answer is C

Explanation

When administering packed RBCs, the tubing should be primed with 0.9% sodium chloride.
Transfusing each unit of blood over 5 hours (choice A) is not recommended as it may increase the risk of bacterial growth.
Packed RBCs should be transfused over 2 to 3 hours.
Changing the IV tubing after each unit of blood is transfused (choice B) is not necessary.
Administering the blood through a 22-gauge intravenous catheter (choice D) may not be appropriate as a larger gauge catheter is typically used for blood transfusions.

A. Administer phenytoin IV bolus to the client. B. Administer diazepam intravenously to the client. C. Provide the client oxygen at 6 L/min using a nasal cannula. D. Turn the client to the lateral position during seizure activity.

Correct Answer is B

Explanation

The priority intervention for a nurse planning care for a client who has status epilepticus is to administer diazepam intravenously to the client.
Diazepam is a benzodiazepine medication that can help stop seizure activity and is often used as a first-line treatment for status epilepticus.
Choice A is incorrect because while phenytoin can be used to treat seizures, it is not typically used as a first-line treatment for status epilepticus.
Choice C is incorrect because while providing oxygen can be an important intervention for clients experiencing seizures, it is not the priority intervention.
Choice D is incorrect because while turning the client to the lateral position during seizure activity can help prevent aspiration, it is not the priority intervention.

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A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia. Which of the following assessment findings supports this suspicion?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer 2 units of packed RBCs to a client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is planning care for a client who has status epilepticus. Which of the following interventions is the nurse's priority to include?

Correct Answer is B

Explanation

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A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia.

Which of the following assessment findings supports this suspicion?