The nurse assessing patients for diabetes looks for the classic signs, including which of the following? (Select all that apply.)
a. Polyuria
b. Polycythemia
c. Polydipsia
d. Polyphagia
e. Polyandrony
A, C, D
The classic signs of diabetes are polyuria, polydipsia, and polyphagia.
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A nurse stops at the scene of an accident and attempts to assist a client who is lying in an overturned vehicle
When the nurse crawls into the vehicle, the client starts screaming "in coming, in coming" and is violently thrashing and attempting to kick the nurse. Which is the best interpretation by the nurse? A) The client is diagnosed with post-traumatic stress disorder. B) The accident has triggered a flashback. C) The client could benefit from psychic numbing. D) The abuse of alcohol caused the accident.
A 52-year-old patient is scheduled to undergo ileal conduit surgery. The patient has several appropriate questions. What would be the most appropriate nursing diagnosis for this patient?
A) Self-care deficit related to the surgical procedure and creation of an ileal conduit B) Knowledge deficit about the surgical procedure and postoperative care C) Fear and anxiety related to the surgical procedure D) Risk of infection related to the surgical procedure
When monitoring the vital signs of a patient who has sustained a major burn injury, the nurse assesses a heart rate of 112. What should the nurse determine about this finding?
A. This heart rate is normal for the patient's post-burn injury condition. B. The patient is demonstrating manifestations consistent with the onset of an infection. C. The patient is demonstrating manifestations consistent with renal failure. D. The patient is demonstrating manifestations consistent with an electrolyte imbalance.
The nurse is caring for a patient with heart failure. Which assessment findings indicate the patient is currently experiencing class 2 heart failure?
1. Fatigue with physical activity 2. Palpitations with physical activity 3. No symptoms with physical activity 4. Dyspnea with physical activity 5. Angina at rest