A patient taking somatropin growth hormone needs to be educated on signs and symptoms of hyperglycemia. What will the nurse include in this teaching? SELECT ALL THAT APPLY
Excessive urination
Excessive thirst
Diaphoresis
Atrial fibrillation
Excessive hunger
Correct Answer : A,B,E
Choice A reason: Excessive urination is a sign of hyperglycemia because the body tries to flush out the excess glucose in the blood through the urine. This can also lead to dehydration and electrolyte imbalance.
Choice B reason: Excessive thirst is a sign of hyperglycemia because the body loses fluid and becomes dehydrated due to frequent urination. The thirst mechanism is activated to replenish the fluid loss.
Choice C reason: Diaphoresis is not a sign of hyperglycemia, but rather a sign of hypoglycemia (low blood sugar). Hypoglycemia can cause sweating, shakiness, anxiety, and confusion.
Choice D reason: Atrial fibrillation is not a sign of hyperglycemia, but rather a possible complication of hyperglycemia. Hyperglycemia can damage the blood vessels and the heart, increasing the risk of arrhythmias, such as atrial fibrillation.
Choice E reason: Excessive hunger is a sign of hyperglycemia because the body is unable to use the glucose in the blood for energy. The cells are starved of fuel, and the hunger signal is triggered to stimulate food intake..
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["25 gtt\/min"]
Explanation
To calculate the IV flow rate in drops per minute (gtt/min) for the administration of clindamycin, we can follow these steps:
First, we need to determine the total number of minutes for the infusion, which is given as 1 hour:
1 hour × 60 minutes/hour = 60 minutes
Next, we calculate the total number of drops needed for the infusion:
The total volume to be infused is 100 mL.
The drop factor is 15 gtt/mL.
100 mL × 15 gtt/mL = 1500 gtt
Calculate the IV flow rate in drops per minute:
1500 gtt ÷ 60 min = 25 gtt/min
Rounding to the nearest whole number, the nurse should set the IV flow rate to deliver 25 gtt/min.
Correct Answer is B
Explanation
Choice A reason: This is incorrect because 30 minutes is too long to wait for reassessing a client with chest pain. Nitroglycerin has a rapid onset of action and should relieve chest pain within 5 minutes. If not, the client may need another dose or emergency care.
Choice B reason: This is correct because 5 minutes is the appropriate time to reassess a client after administering nitroglycerin sublingual. The nurse should check the client's blood pressure, heart rate, and pain level. If the pain persists, the nurse should follow the protocol for giving another dose or calling for help.
Choice C reason: This is incorrect because 1 hour is too long to wait for reassessing a client with chest pain. Nitroglycerin has a short duration of action and may need to be repeated every 5 minutes for up to 3 doses. Waiting for an hour may put the client at risk of worsening cardiac ischemia or infarction.
Choice D reason: This is incorrect because 15 minutes is too long to wait for reassessing a client with chest pain. Nitroglycerin should have an effect within 5 minutes. If the pain is not relieved by then, the client may need another dose or emergency care.
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