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NEW QUESTION 33
A 27-year-old man was diagnosed with type I diabetes 3 months ago. Two weeks ago he complained of pain, redness, and tenderness in his right lower leg. He is admitted to the hospital with a slight elevation of temperature and vague complaints of "not feeling well." At 4:30 PM on the day of his admission, his blood glucose level is 50 mg; dinner will be served at 5:00 PM. The best nursing action would be to:

  • A. Monitor him closely until dinner arrives
  • B. Ask him to dissolve three pieces of hard candy in his mouth
  • C. Have him drink 4 oz of orange juice
  • D. Give him 3 tbsp of sugar dissolved in 4 oz of grape juice to drink

Answer: C

Explanation:
Section: Questions Set A
Explanation:
(A) The combination of sugar and juice will increase the blood sugar beyond the normal range. (B) Concentrated sweets are not absorbed as fast as juice; consequently, they elevate the blood sugar beyond the normal limit. (C) Four ounces of orange juice will act immediately to raise the blood sugar to a normal level and sustain it for 30 minutes until supper is served. (D) There is an increased potential for the client's blood sugar to decrease even further, resulting in diabetic coma.

 

NEW QUESTION 34
Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?

  • A. Diuretics
  • B. Antidysrhythmics
  • C. Positive inotropes
  • D. Vasodilators

Answer: C

Explanation:
(A) Positive inotropic agents should not be administered owing to their action of increasing myocardial contractility. Increased ventricular contractility would increase outflow tract obstruction in the client with hypertrophic cardiomyopathy. (B) Vasodilators are not typically prescribed but are not contraindicated. (C) Diuretics are used with caution to avoid causing hypovolemia. (D) Antidysrhythmics are typically needed to treat both atrial and ventricular dysrhythmias.

 

NEW QUESTION 35
The nurse working in a prenatal clinic needs to be alert to the cardinal signs and symptoms of PIH because:

  • A. Psychological counseling is indicated to reduce the emotional stress causing the blood pressure elevation
  • B. Immediate treatment of mild PIH includes the administration of a variety of medications
  • C. The client may not recognize the early symptoms of PIH
  • D. Self-discipline is required to control caloric intake throughout the pregnancy

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Mild PIH is not treated with medications. (B) Emotional stress is not the cause of blood pressure elevation in PIH. (C) Excessive caloric intake is not the cause of weight gain in PIH. (D) The client most frequently is not aware of the signs and symptoms in mild PIH.

 

NEW QUESTION 36
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