What clinical manifestation occurs with hypoglycemia?
a. Lethargy
b. Confusion
c. Nausea and vomiting
d. Weakness and dizziness
ANS: D
Some of the clinical manifestations of hypoglycemia include weakness; dizziness; difficulty concentrating, speaking, focusing, and coordinating; sweating; and pallor. Lethargy, confusion, and nausea and vomiting are manifestations of hyperglycemia.
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The nurse providing health promotion to a group of young adult women would plan to offer which services as a priority? (Select all that apply.)
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The nurse knows that which of the following is not used to assess fall risk?
a. Glasgow Falls Scale b. Johns Hopkins Hospital Fall Assessment Tool c. Morse Fall Scale d. Hendrich II Fall Risk Model
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An appropriate initial nursing intervention to complete at this time would include which of the following? A) Prepare for a lumbar puncture. B) Test the leaking fluid with a Dextrostix. C) Document the abnormal find as the only intervention. D) Pack the patient's nose to prevent leakage.
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