Exhibits
For each assessment finding, click to specify if the finding is consistent with diabetes, pancreatitis, or hyperthyroidism. Each client finding may support more than one disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.
Change in weight
Blood glucose
Current T3 level
Polyuria
The Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"A,B"},"C":{"answers":"C"},"D":{"answers":"A,C"}}
Rationale:
- Change in weight: In uncontrolled diabetes due to the breakdown of fat and muscle when insulin is insufficient to utilize glucose effectively. Chronic pancreatitis can cause weight loss due to malabsorption of nutrients from pancreatic insufficiency and ongoing inflammation. Increased metabolic rate in hyperthyroidism causes the body to burn calories rapidly, often resulting in significant, unintentional weight loss.
- Blood glucose: A blood glucose level of 250 mg/dL is diagnostic of hyperglycemia and is strongly indicative of diabetes or poorly controlled blood glucose in a known diabetic. Inflammation of the pancreas can impair insulin production, leading to hyperglycemia, especially in chronic or severe pancreatitis.
- Current T3 level: A T3 level of 200 mg/dL is at the upper limit of normal. In the presence of other symptoms like weight loss and polyuria, it may support a diagnosis of hyperthyroidism or subclinical hyperthyroidism.
- Polyuria: High blood glucose levels exceed the renal threshold, leading to osmotic diuresis and frequent urination, a classic sign of diabetes. Increased metabolic activity and cardiac output in hyperthyroidism can lead to increased renal perfusion and mild diuresis, contributing to frequent urination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Plan to void every 6 hours.": Voiding every 6 hours may not be appropriate for clients with stress incontinence. A more individualized schedule based on the client's needs and fluid intake is better. Holding urine for too long could worsen symptoms.
B. "Squeeze your legs together when you feel the urge to void.": This is not effective in managing stress incontinence. Instead, strategies like pelvic muscle exercises (Kegel exercises) can help strengthen the muscles that control urination.
C. "Perform Kegel exercises three times daily.": Kegel exercises help strengthen the pelvic floor muscles, which can reduce stress incontinence by improving bladder control. This is an effective and recommended strategy for managing the condition.
D. "Drink 1 liter of fluids a day.": Restricting fluids can concentrate urine, irritating the bladder and worsening incontinence. It’s generally better to maintain adequate hydration, typically around 2 liters of fluids daily, unless otherwise directed by the healthcare provider.
Correct Answer is ["30"]
Explanation
Calculation:
- Determine the concentration of the available lidocaine solution in milligrams per milliliter (mg/mL).
Available concentration = Total medication (mg) / Total volume (mL)
= 400 mg / 100 mL
= 4 mg/mL.
- Convert the desired dose from milligrams per minute (mg/min) to milligrams per hour (mg/hr).
1 hr = 60 min
Desired dose in mg/hr = 2 mg/min × 60 min/hr
= 120 mg/hr.
- Calculate the IV pump rate in milliliters per hour (mL/hr).
IV pump rate (mL/hr) = Desired dose (mg/hr) / Available concentration (mg/mL)
= 120 mg/hr / 4 mg/mL
= 30 mL/hr.
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