The nurse suspects the client with diabetes may be having a hypoglycemic reaction when what manifestation is assessed?

Diaphoresis.

Flushing of the face.

Fruity breath.

Unpredictable behaviors.

Answer and Explanation

The Correct Answer is A

Diaphoresis means excessive sweating, which is one of the symptoms of hypoglycemia. Hypoglycemia occurs when the blood sugar level is lower than the normal range, which can cause dizziness, confusion, weakness, hunger, and other signs.

Choice B is wrong because flushing of the face is not a symptom of hypoglycemia.

Flushing can be caused by other conditions, such as fever, allergic reactions, or rosacea.

Choice C is wrong because fruity breath is a symptom of hyperglycemia, not hypoglycemia.

Hyperglycemia means high blood sugar level, which can cause the body to produce ketones that give the breath a fruity odor.

Choice D is wrong because unpredictable behaviors are not a specific symptom of hypoglycemia.

However, hypoglycemia can cause confusion, irritability, or anxiety, which may affect the behavior of some people.

The normal range of blood sugar level for most people is between 70 and 130 mg/dL (3.9 and 7.2 mmol/L) before meals and less than 180 mg/dL (10 mmol/L) after meals.

However, this may vary depending on the individual and the type of diabetes.

It is important to monitor the blood sugar level regularly and treat hypoglycemia promptly by eating or drinking a simple sugar source.

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Correct Answer is C

Explanation

The nurse should advise the client to avoid aluminum salts because they can increase the risk of aluminum toxicity when taken with sucralfate. Sucralfate forms a protective coating over the ulcer and binds to aluminum in the stomach.

Choice A is wrong because Milk of Magnesia is a magnesium-based antacid that can cause diarrhea, but does not interact with sucralfate.

Choice B is wrong because Calcium carbonate is a calcium-based antacid that can cause constipation, but does not interact with sucralfate.

Choice D is wrong because Proton pump inhibitors are drugs that reduce the production of stomach acid and can help heal ulcers.

They do not interact with sucralfate.

A. A client being treated for a traumatic brain injury. B. A client with a history of ischemic heart disease. C. A pediatric client. D. A client with type 2 diabetes.

Correct Answer is A

Explanation

This is because phenothiazines are contraindicated in patients with suspected or established subcortical brain damage. Phenothiazines can cause central nervous system effects such as drowsiness, dizziness, and extrapyramidal symptoms that may worsen the condition of a client with a brain injury.

Choice B is wrong because phenothiazines are not contraindicated in clients with ischemic heart disease.

However, they should be used with caution as they can cause hypotension and cardiac arrhythmias.

Choice C is wrong because phenothiazines are not contraindicated in pediatric clients.

However, they should be used with caution as they can cause sedation, anticholinergic effects, and paradoxical excitement.

Choice D is wrong because phenothiazines are not contraindicated in clients with type 2 diabetes.

However, they should be used with caution as they can cause hyperglycemia and alter the effects of antidiabetic drugs.

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The nurse suspects the client with diabetes may be having a hypoglycemic reaction when what manifestation is assessed?

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Naxlex Comprehensive Predictor Exams

A client with a duodenal ulcer is receiving sucralfate for short-term treatment. What should the nurse advise the client to avoid?

Correct Answer is C

Explanation

For which client would the use of a phenothiazine most likely be contraindicated?

Correct Answer is A

Explanation

The nurse administers metoclopramide to the client with what condition?

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For which client would the use of a phenothiazine most likely be contraindicated?

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