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A young adult has been experiencing some extreme fatigue, changes in vision, and unexpected weight loss, leading the health care provider to suspect hyperglycemia. Which clinical manifestations correlate with a diagnosis of diabetes? Select all that apply. A. Frequent thirst B. Excess urination C. Ravenous hunger D. Fruity mouth odor E. Sweat smelling like honey correct answers A, B, C In which situation would an increase of glucagon be expected? A. High anxiety B. Hyperglycemia C. NPO before surgery D. Fever correct answers C Diabetics are hospitalized for a number of reasons. What is the most common complication of diabetes requiring hospitalization? A. Diabetic ketoacidosis B. Foot problems C. Hypertensive crisis D. Macrovascular disease correct answers B Which clients with diabetes mellitus would the nurse anticipate to have persistent elevation of blood glucose levels? Select all that apply. A. A client with COPD taking steroids B. A client with high anxiety C. A client with HTN D. A client with hx of gastric bypass E. A client with a newly diagnosed leg fracture correct answers A, B, E An adolescent male with type 1 diabetes is exasperated by his regimen of blood sugar monitoring and insulin administration, and has told his mother that he wants to scale both back. Which response by his mother is most accurate? A. "You need to be vigilant now if you want to be free of diabetes when you grow up" B. "Even though it's hard to do, you need to continue so you don't go blind or need a kidney transplant down the road" C. "Even though you might save some time and energy by doing this, remember the high blood sugars cause a lot of pain and will cause you to gain weight" D. "I know it's not fun, but you're even more susceptible to complications when you're young if you don't stay on top of your diabetes" correct answers B Which clinical manifestations following thyroidectomy would alert the nurse that the client is going into a life-threatening thyroid storm? Select all that apply. A. Telemetry showing HR of 184 B. Unable to close eyelids completely together C. Extremely agitated D. Temperature of 104.2 E. Bruising on knees and feet correct answers A, C, D


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