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 D

Explanation

The nurse should plan to insert a large-bore nasogastric tube for a client who has upper gastrointestinal bleeding due to a peptic ulcer.

This allows for gastric lavage and can help diagnose the source of bleeding.
Choice A is wrong because a 22-gauge IV line may be too small for rapid fluid resuscitation.
Choice B is wrong because ketorolac is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of gastrointestinal bleeding.
Choice C is wrong because nitroprusside is a vasodilator used to treat hypertensive emergencies and is not typically used for upper gastrointestinal bleeding.

A. Encourage the client to change positions slowly. B. Perform range-of-motion exercises to the client's neck every 4 hours. C. Administer aspirin if the client reports a headache. D. Limit the client's fluid intake to 1,500 mL per day.

Correct Answer is A

Explanation

This can help prevent dizziness and loss of balance, which are common symptoms of Ménière’s disease.
Choice B is not correct because range-of-motion exercises to the client’s neck every 4 hours are not a standard intervention for Ménière’s disease.
Choice C is not correct because aspirin is not always the recommended medication for headaches associated with Ménière’s disease.
Choice D is not correct because limiting fluid intake is not a standard intervention for Ménière’s disease.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has upper gastrointestinal bleeding due to a peptic ulcer. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

A nurse is planning care for an older adult client who has Ménière's disease. Which of the following interventions should the nurse include in the plan?

Correct Answer is A

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?