Exhibits
After the obstetrician leaves, the client appears confused and asks the nurse, "How will I know if I have high blood sugar?"
Which are the nurse's best responses? Select all that apply.
"Hyperglycemia often results in weight loss."
"Hyperglycemia often presents as increased thirst and urination."
"Hyperglycemia causes an increased sensation of being hungry."
"Hyperglycemia causes a headache and flushed, dry skin."
"Hyperglycemia causes cool and clammy skin."
Correct Answer : B,C,D
A. "Hyperglycemia often results in weight loss." While chronic uncontrolled hyperglycemia, particularly in Type 1 diabetes, can lead to weight loss due to the body breaking down fat and muscle for energy, this is less typical for the acute or early signs of hyperglycemia.
B. "Hyperglycemia often presents as increased thirst and urination." This is a classic symptom of hyperglycemia, polydipsia (increased thirst) and polyuria (increased urination), caused by the body attempting to eliminate excess glucose through urine.
C. "Hyperglycemia causes an increased sensation of being hungry." Hyperglycemia can cause an increased sensation of hunger (polyphagia), which occurs due to insulin resistance or the body’s inability to use glucose properly.
D. "Hyperglycemia causes a headache and flushed, dry skin." A common symptom of hyperglycemia is headache, and flushed, dry skin can occur due to dehydration from excessive urination.
E. "Hyperglycemia causes cool and clammy skin." Cool and clammy skin is more indicative of hypoglycemia (low blood sugar) rather than hyperglycemia. Hyperglycemia usually presents with warm, dry skin due to dehydration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Amiodarone: Amiodarone can cause pulmonary toxicity, but it is not a beta blocker and is less likely to cause acute bronchoconstriction. It should still be used cautiously in clients with lung disease, but it is not the priority to withhold based on current symptoms.
B. Propranolol: Propranolol is a non-selective beta blocker that can worsen bronchospasm in clients with COPD by blocking beta-2 receptors in the lungs. Given the client’s shortness of breath and COPD history, the nurse should consult the HCP before administering this drug.
C. Furosemide: Furosemide is a loop diuretic that helps reduce fluid overload and edema. It is appropriate in the presence of pitting edema and respiratory symptoms, as it may relieve symptoms related to right-sided heart failure commonly associated with advanced COPD.
D. Losartan: Losartan is an angiotensin receptor blocker (ARB) used to manage hypertension and reduce cardiac workload. It does not typically worsen pulmonary function and is not contraindicated in COPD patients presenting with shortness of breath or edema.
Correct Answer is A
Explanation
A. Yogurt or buttermilk: Cefdinir can disrupt the normal balance of bacteria in the gut. Yogurt or buttermilk, which contain probiotics, can help restore beneficial bacteria and reduce the risk of gastrointestinal complications such as antibiotic-associated diarrhea.
B. Avocados and cheese: While these are healthy foods, they do not specifically support gut health in the same way that probiotics do. Additionally, cheese may be high in fat and could potentially exacerbate gastrointestinal discomfort.
C. Fresh fruits: Fresh fruits provide important vitamins and fiber, but they do not specifically target the restoration of normal gut flora. Some fruits may also be difficult for a client with a postoperative wound infection to tolerate, especially if they are experiencing digestive issues.
D. Green leafy vegetables: While green leafy vegetables are nutritious, they do not have a direct role in supporting gut flora during antibiotic therapy. They are rich in vitamins and minerals, but the focus should be on probiotics like yogurt or buttermilk.
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