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1. An agitated, confused female client arrives in the emergency
department. Her history includes type 1 diabetes
mellitus, hypertension, and angina pectoris. Assessment reveals pallor,
diaphoresis, headache, and intense hunger. A stat blood glucose sample
measures 42 mg/dl, and the client is treated for an acute hypoglycemic
reaction. After recovery, the nurse teaches the client to treat
hypoglycemia by ingesting:
A. 2 to 5 g of a simple carbohydrate.
B. 10 to 15 g of a simple carbohydrate.
C. 18 to 20 g of a simple carbohydrate.
D. 25 to 30 g of a simple carbohydrate.
2. A female adult client with a history of chronic hyperparathyroidism
admits to being noncompliant. Based on initial assessment findings, the
nurse formulates the nursing diagnosis of Risk for injury. To complete
the nursing diagnosis statement for this client, which “related-toâ€Â
phrase should the nurse add?
A. Related to bone demineralization resulting in pathologic fractures
B. Related to exhaustion secondary to an accele metabolic rate
C. Related to edema and dry skin secondary to fluid infiltration into the
interstitial spaces
D. Related to tetany secondary to a decreased serum calcium level
3. Nurse Joey is assigned to care for a postoperative male client who
has diabetes mellitus. During the assessment interview, the client
reports that he’s impotent and says he’s concerned about its effect on
his marriage. In planning this client’s care, the most appropriate
intervention would be to
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