Patient Data
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 causes cool and clammy skin."
"Hyperglycemia causes an increased sensation of being hungry."
"Hyperglycemia causes a headache and flushed, dry skin."
"Hyperglycemia often presents as increased thirst and urination."
Correct Answer : D,E
A. "Hyperglycemia often results in weight loss.": Weight loss is more commonly associated with prolonged hyperglycemia, particularly in uncontrolled diabetes where the body starts breaking down fat and muscle for energy.
B. "Hyperglycemia causes cool and clammy skin.": Cool and clammy skin is more indicative of hypoglycemia (low blood sugar) rather than hyperglycemia.
C. "Hyperglycemia causes an increased sensation of being hungry.": Increased hunger is often associated with hypoglycemia or uncontrolled diabetes, where insulin is not effectively managing blood glucose levels.
D. "Hyperglycemia causes a headache and flushed, dry skin.": In cases of significant hyperglycemia, symptoms can include headache and flushed, dry skin due to dehydration. These symptoms arise from the body’s attempt to balance blood sugar levels and manage dehydration.
E. "Hyperglycemia often presents as increased thirst and urination.": Hyperglycemia typically leads to increased thirst (polydipsia) and increased urination (polyuria). This occurs because the body tries to get rid of excess glucose through the urine, leading to dehydration and increased thirst.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This statement does not directly address the mother's concern about the progression of CP.
B. Explaining that brain damage with CP is not progressive but has a variable course provides clear and accurate information, reassuring the mother that while the condition itself does not worsen, symptoms and functional abilities may change over time.
C. This option incorrectly suggests that the brain lesion will continue to develop, which is not accurate for CP.
D. This statement provides general information about CP but does not address the specific concern about progression of movement impairments.
Correct Answer is B
Explanation
A. While reassuring the client about visiting arrangements is supportive, it is not as critical for ensuring continuity of care.
B. Obtaining a detailed report from the transferring nurse is crucial to ensure all relevant information and the client’s wishes are communicated effectively.
C. Providing written information about end-of-life care is helpful but secondary to ensuring accurate communication of the client’s care preferences.
D. Marking the chart is important, but the immediate priority is ensuring the complete and accurate transfer of care information.
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