The nurse assesses a client for evidence of hypoglycemic reaction. The highest priority nursing intervention is to assess for:
a. nervousness and tremors.
b. polyuria and polydipsia.
c. dry skin.
d. extreme thirst.
ANS: A
Signs and symptoms of hypoglycemia include nervousness and tremors.
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A nurse is caring for a pregnant woman with diabetes mellitus. What assessment finding demonstrates that the patient has successfully met an important goal during pregnancy?
A. Blood glucose consistently < 130 mg/dL B. Electrolyte levels remaining within normal limits C. Fetal weight > 4,500 g at birth D. Pregnancy weight gain of no more than 20 lb
A pediatrician diagnoses gastroesophageal reflux (GER) in an infant. Which information will the nurse provide during the teaching session to the infant's parents? (Select all that apply.)
A. Causes the infant to refuse feedings because of discomfort B. Includes the return of gastric contents from the stomach C. Includes symptoms such as vomiting and regurgitation D. Results in an infant who is often fussy and irritable E. Usual treatment is a Nissen fundoplication
A patient's lunch consisted of the following fluids: 6 ounces of soup 8 ounces of milk 6 ounces of gelatin 4 ounces of pudding Calculate the patient's total fluid intake in ounces. Convert to mL and to L
__________ oz __________ mL, __________ L Fill in the blank(s) with correct word
Which should the nurse address first?
a. Pain b. Hunger c. Decreased self-esteem d. Absence of pulse