The nurse is assessing a client diagnosed with type 2 diabetes mellitus for symptoms associated with diabetic ketoacidosis. Which of the following will the nurse most likely assess in this client? (Select all that apply.)
1. Dehydration
2. Fruity breath odor
3. Hypertension
4. Bradycardia
5. Kussmaul breathing
6. Abdominal pain
1, 2, 5, 6
The client diagnosed with diabetic ketoacidosis will experience dehydration, fruity breath odor, Kussmaul respirations, and abdominal pain. The client will also have hypotension and not hypertension. The client's heart rate will be tachycardic and not bradycardic.
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The patient asks, "Why do I feel so bloated before my menstrual period begins? I am constipated, my breasts are tender, and I'm always hungry." How would the nurse best respond?
A) "This is the result of the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), hormones to start your period." B) "This is the result of estrogen release preparing your body to release an ovum." C) "These are the effects of progesterone, a hormone released to thicken your uterine lining." D) "This is the result of the secretory endometrium release preparing the body for pregnancy."
A client has been participating in weaning from the ventilator for several days. Which of the following should be done to assist this client to regain strength?
1. Provide full ventilatory support during the overnight hours. 2. Withdraw medications to enhance compliance with mechanical ventilation. 3. Conduct passive range of motion to all extremities. 4. Assist to a sitting position and dangle legs off the side of the bed.
Which of the following age groups requires the most sleep each day?
A) Elderly adults B) Adolescents C) Young adults D) Middle-aged adults
A nursing student has had a clinical placement in a busy emergency department and has found the experience exhausting and stressful. In contrast, many of the nurses in the department find the fast pace exhilarating and stimulating
What factor accounts for these very different experiences of job stress? A) Individuals who do not perceive stress are considered to be in denial. B) Job stress is highly subjective and depends on individual and situational factors. C) A lack of stress in a potentially stressful situation indicates a lack of understanding and caring. D) Some people experience stress often while other personalities are immune to all forms of stress.