Which complication is suspected in a client whose blood sugar is less than 30 mg/dL?

Seizure

Anorexia

Anhidrosis

Bradycardia

Answer and Explanation

The Correct Answer is A

Choice A rationale: Hypoglycemia (blood sugar less than 30 mg/dL) can lead to seizures due to inadequate glucose supply to the brain.

Choice B rationale: Anorexia (loss of appetite) is not directly associated with low blood sugar but can be a symptom of other conditions.

Choice C rationale: Anhidrosis refers to the inability to sweat and is not typically associated with low blood sugar.

Choice D rationale: Bradycardia (slow heart rate) can be a symptom of severe hypoglycemia but is not the primary complication expected at this blood sugar level.

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Correct Answer is C

Explanation

Choice A rationale: HPV is a sexually transmitted infection but must not necessarily be reported to the public health department.

Choice B rationale: Genital herpes should not be reported to the public health department.

Choice C rationale: Gonorrhea is a reportable disease, meaning that health care providers must notify the public health department of any confirmed cases. This helps to prevent the spread of the infection and provide treatment and counseling to the affected individuals and their partners.

Choice D rationale: Infectious mononucleosis should not be reported to the public health department.

A. A 42-yr-old patient with secondary amenorrhea who says that her last menstrual cycle was 3 months ago B. A 19-yr-old patient with menorrhagia who has been using superabsorbent tampons and has fever with weakness C. A 22-yr-old patient with persistent red-brown vaginal drainage 3 days after having balloon thermotherapy D. A 35-yr-old patient with heavy spotting after having a progestin-containing IUD (Mirena) inserted a month ago

Correct Answer is B

Explanation

Choice A rationale: The 42-yr-old patient with secondary amenorrhea may have menopause, pregnancy, or a hormonal disorder. This is less urgent compared to the 19- year old patient.

Choice B rationale: This patient may have toxic shock syndrome, which is a life- threatening complication of tampon use that can cause organ failure and shock. The nurse should assess the patient's vital signs, remove the tampon, and initiate fluid resuscitation and antibiotic therapy.

Choice C rationale: This patient may have an infection or a complication of the balloon thermotherapy, which is a procedure to destroy the endometrial lining of the uterus and is not an emergency compared to the 19 year old.

Choice D rationale: This patient may have a displacement or perforation of the IUD, which is a contraceptive device that releases progestin into the uterus. However, this is not urgent compared to the 19 year old.

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Which complication is suspected in a client whose blood sugar is less than 30 mg/dL?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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