The practical nurse (PN) is caring for a client newly diagnosed with diabetes mellitus (DM). Which finding is an early sign of hypoglycemia?
Polyuria.
Tremors.
Bradycardia.
Difficulty swallowing.
The Correct Answer is B
Hypoglycemia occurs when blood glucose levels drop below normal levels. It is commonly associated with diabetes mellitus and can result from various factors such as excessive insulin or oral hypoglycemic medication, delayed or missed meals, increased physical activity, or alcohol consumption.
Tremors, or shaking hands, are one of the early signs of hypoglycemia. They can occur due to the brain's response to low blood glucose levels. Other early signs of hypoglycemia may include sweating, palpitations, anxiety, hunger, and weakness.
A. Polyuria, or excessive urination, is not typically associated with hypoglycemia. It is more commonly seen in conditions such as hyperglycemia or diabetes insipidus.
C. Bradycardia, or a slow heart rate, is not a characteristic sign of hypoglycemia. It can occur in some cases of severe hypoglycemia, but it is not an early sign.
D. Difficulty swallowing is not directly related to hypoglycemia. It may be caused by other factors such as neurological or muscular conditions, esophageal disorders, or structural abnormalities in the throat or esophagus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The client finding that necessitates immediate attention by the practical nurse (PN) is a client who is having bright red drainage from the rectum following a colonoscopy with polyp removal. Bright red rectal bleeding can indicate active bleeding and immediate intervention is required to assess the severity of the bleeding, control the bleeding if possible, and prevent further complications.
A. The older client with a blood pressure of 100/70 after receiving meperidine for pain may require further assessment, but it does not indicate an immediate life-threatening condition.
B. Pink urine draining from the indwelling urinary catheter following a transurethral prostatectomy may be expected due to the surgical procedure, but it should still be monitored.
D. Brown-green bile draining from a T-tube after cholecystectomy for cholelithiasis is also an expected finding.
Correct Answer is B
Explanation
A. Asking the client about previous catheterizations is part of assessment, but it is not the priority when the catheter size and balloon volume may be inappropriate for the client. Safety and appropriateness must be confirmed first.
B. The #18 catheter with a 30 mL balloon is larger than typically recommended for a female client, especially one weighing 50 kg. The PN should consult the charge nurse before proceeding to ensure the correct catheter size and balloon volume are used to prevent urethral trauma.
C. Obtaining the syringe and sterile water is necessary for insertion but is not the first step if the catheter itself may be unsafe for the client. Ensuring correct equipment comes first.
D. Positioning the client and observing the urinary meatus is part of the procedure but should not be done before confirming that the catheter size and balloon volume are appropriate.
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