Which sign is the nurse most likely to assess in a child with hypoglycemia?
a. Urine positive for ketones and serum glucose greater than 300 mg/dL
b. Normal sensorium and serum glucose greater than 160 mg/dL
c. Irritability and serum glucose less than 70 mg/dL
d. Increased urination and serum glucose less than 120 mg/dL
C
Irritability and serum glucose less than 70 mg/dL are neuroglycopenic manifestations of hypoglycemia. Serum glucose greater than 300 mg/dL and urine positive for ketones are indicative of diabetic ketoacidosis. Normal sensorium and serum glucose greater than 160 mg/dL are associated with hyperglycemia. Increased urination is an indicator of hyperglycemia. A serum glucose level less than 120 mg/dL is within normal limits.
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Which client is at greatest risk for hypokalemia?
A. 65-year-old with diabetes mellitus B. 55-year-old with Addison's disease C. 45- year-old with Cushing's disease D. 35-year-old with diabetes insipidus
The nurse is preparing a new mother for discharge when the woman shares that she is "worried about going back to work and its effects on my infant." The most therapeutic response by the nurse is:
1. "Do you want to go back to work?" 2. "Just be sure you have an excellent baby sitter." 3. "There is no proof that working will harm your baby." 4. "Can your husband share in the child care responsibilities?"
When educating the patient about the IUPC, the nurse should include the following:
A. Can't get out of bed B. Does not accurately measure contraction strength C. Measures the FHR more accurately
The nurse manager wants to create an empowered workplace for the staff. Which activity would be most helpful in accomplishing this?
1. Keeping bad news about an upcoming layoff from staff members to avoid upsetting them 2. Avoiding giving negative feedback to employees so that they do not become discouraged 3. Providing a loosely structured orientation process so that nurses can develop innovative behaviors 4. Teaching a class on the neurobiological reactions that lead to burnout and reinforcing healthy coping skills