A 16-year-old young woman is admitted to the critical care unit with severe hyperglycemia caused by new-onset type 1 diabetes mellitus. The patient is complaining of headache and blurred vision. The nurse knows that these are signs that may indicate
a. kidney stones.
b. diabetes insipidus.
c. hypoglycemia.
d. hyperglycemia.
D
Because severe hyperglycemia affects a variety of body systems, all systems are assessed. The patient may complain of blurred vision, headache, weakness, fatigue, drowsiness, anorexia, nausea, and abdominal pain.
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The nurse is caring for a client with a personality disorder. The client feels as if she is not accomplishing any of her goals. Which of the following is the most appropriate response by the nurse?
1. "Would you like to increase your therapy visits?" 2. "Let's look at the plan of care together." 3. "Who told you that you weren't accomplishing your goals?" 4. "I will discuss your feelings with the doctor."
The nurse caring for a preterm infant will record the intake and output. The nurse is aware that what is the optimum output for this infant?
a. 1 to 3 mL/kg/hr b. 4 to 6 mL/kg/hr c. 7 to 9 mL/kg/hr d. 10 to 14 mL/kg/hr
Because the effects of atropine are dose related, at what dose of atropine would the nurse expect to see a patient having difficulty speaking?
A) 0.5 mg B) 1.0 mg C) 2.0 mg D) 5.0 mg
Which medication should a nurse administer to provide immediate intervention for a psychotic patient whose aggressive behavior continues to escalate despite verbal intervention?
a. lithium (Eskalith) b. trazodone (Desyrel) c. olanzapine (Zyprexa) d. valproic acid (Depakene)