Patient Data

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 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."

Answer and Explanation

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.

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Correct Answer is ["121"]

Explanation

To calculate the dosage of gentamicin for a client who weighs 160 pounds, first convert the weight to kilograms, knowing that 1 kilogram equals 2.2 pounds. The client's weight in kilograms is approximately 72.73 kg (160 ÷ 2.2).

The prescription is for 5 mg/kg/day, so the total daily dosage is 363.65 mg (72.73 kg × 5 mg). Since the medication is to be divided into doses every 8 hours, divide the total daily dosage by 3, because there are three 8-hour intervals in 24 hours.

Therefore, each dose should be approximately 121.22 mg. 121 mg rounded off to the nearest whole number.

A. Report the complaint of eye pain to the surgeon. B. Administer an antiemetic to prevent vomiting. C. Apply bilateral eye shields to reduce photosensitivity. D. Begin postoperative prophylactic antibiotics.

Correct Answer is A

Explanation

A. Acute pain deep within the eye following laser trabeculoplasty surgery may indicate a serious complication such as increased intraocular pressure or infection. It is crucial to report this symptom to the surgeon immediately for further evaluation and management.

B. Administering an antiemetic is not directly related to addressing the acute eye pain.

C. Applying bilateral eye shields can help with photosensitivity but does not address the underlying cause of the acute pain.

D. Beginning postoperative prophylactic antibiotics may be necessary but does not address the immediate concern of the acute pain reported by the client.

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Patient Data 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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An client who weighs 160 pounds receives a prescription for gentamicin 5 mg/kg/day intravenously in divided doses every 8 hours. How many mg should the nurse administer with each dose? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

Correct Answer is ["121"]

Explanation

Following laser trabeculoplasty surgery for open-angle glaucoma, the client reports acute pain deep within the eye. Which action should the nurse take?

Correct Answer is A

Explanation

After removing a client's dressing that is saturated with sanguineous drainage, where should the nurse place the dressing?

A client with a history of inflammatory bowel disease develops severe ulcerative colitis and is admitted to the intensive care unit after surgery for a fistula repair. Which intervention is most important for the nurse to include in the plan of care?

The nurse is caring for a client with a fractured femur. Following removal of traction and the application of a full-leg cast, which action should the nurse prioritize?

A client receives a prescription for 1 L of lactated Ringer's IV to be infused over 12 hours. The IV administration set delivers 15 gtt/mL. How many gtt/min should the nurse regulate the infusion? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

A young adult is brought to the emergency department after taking a handful of drugs. The client is unresponsive, so an endotracheal tube (ETT) is inserted. How should the nurse determine if the ETT is correctly placed? Select all that apply.

Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse?

Patient Data

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.