Nokea
A nurse is collecting data from a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following findings should the nurse report to the provider?
- A. Fasting blood glucose 110 mg/dL
- B. Fruity breath odor
- C. Blood pressure 132/82 mm Hg
- D. Numbness in the feet
Correct Answer: D
Rationale: Numbness in the feet suggests peripheral neuropathy, a complication of diabetes that requires prompt reporting to the provider for further evaluation.
You may also like to solve these questions
A nurse is reinforcing teaching with a client who has a new prescription for an albuterol inhaler. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will shake the inhaler before each use.
- B. I will use the inhaler every 2 hours.
- C. I will hold my breath for 5 seconds after inhaling.
- D. I will clean the inhaler with soap and water daily.
Correct Answer: A
Rationale: Shaking the inhaler before each use ensures the medication is properly mixed for effective delivery.
A nurse is collecting data from a client who is taking an oral contraceptive. Which of the following findings is a contraindication for the use of oral contraceptives?
- A. Headaches with aura
- B. History of mononucleosis 1 year ago.
- C. Irregular menstrual cycles
- D. Gastroesophageal reflux disease.
Correct Answer: A
Rationale: Headaches with aura is correct. Headaches with aura, a warning sign that can precede a migraine, are a contraindication for the use of oral contraceptives. This is because oral contraceptives increase the risk of stroke, especially in women who experience migraines with aura.
A nurse in an acute care facility is assisting with the development of an in-service about reducing environmental stressors to improve clients' sleep. Which of the following instructions should the nurse include?
- A. Turn on overhead lights briefly when checking IV lines.
- B. Open curtains between clients in semiprivate rooms.
- C. Wear shoes with rubber soles.
- D. Conduct change-of-shift report near the clients' rooms.
Correct Answer: C
Rationale: Wearing shoes with rubber soles is correct. Rubber-soled shoes reduce noise from footsteps, minimizing disturbances in client rooms and creating a quieter environment that promotes sleep.
A nurse is caring for a client who has a new diagnosis of heart failure. Which of the following findings should the nurse expect?
- A. Orthopnea
- B. Bradycardia
- C. Weight loss
- D. Hypotension
Correct Answer: A
Rationale: Orthopnea, difficulty breathing when lying flat, is common in heart failure due to fluid accumulation in the lungs.
A nurse is caring for a client who has a new diagnosis of glaucoma. Which of the following findings should the nurse expect?
- A. Blurred vision
- B. Weight loss
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Blurred vision is a common symptom of glaucoma due to increased intraocular pressure affecting the optic nerve.