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

Furosemide is a loop diuretic that can cause loss of potassium from the body.
A potassium level of.2 mEq/L is considered low (hypokalemia) and can be a contraindication for receiving the medication.
Sodium 136 mEq/L is within the normal range and is not a contraindication for receiving furosemide.
B) Creatinine 0.8 mg/dL is within the normal range and is not a contraindication for receiving furosemide.
D) BUN 18 mg/dL is within the normal range and is not a contraindication for receiving furosemide.

A. Apply pressure to venipuncture sites for 10 min. B. Move the client to a negative pressure room. C. Instruct the client to avoid eating raw fruit. D. Use contact isolation while providing care.

Correct Answer is C

Explanation

Instruct the client to avoid eating raw fruit.
A low white blood cell count can be caused by cancer or cancer treatment and can increase the risk of infection.
One precaution that can be taken is to avoid all pre-cut fresh fruits and vegetables in delis, restaurants, and grocery stores.
Choice A Applying pressure to venipuncture sites for 10 min is not necessary for a low WBC count.
Choice B Moving the client to a negative pressure room is not necessary for a low WBC count.
Choice D Contact isolation while providing care is not necessary for a low WBC count.

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

Which of the following assessment findings supports this suspicion?