Answer to Question 1
Correct Answer: 4
Rationale 1: Inflammation of the glomerulus does not lead to polyuria.
Rationale 2: Excessive fluid intake does not lead to polyuria.
Rationale 3: Lack of albumin does not lead to polyuria.
Rationale 4: Osmotic diuresis leads to polyuria, which is the passage of large amounts of urine as a result of increased osmotic pressure that can result from hyperglycemia.
Global Rationale: Osmotic diuresis leads to polyuria, which is the passage of large amounts of urine as a result of increased osmotic pressure that can result from hyperglycemia. Polyuria is not related to inflammation of the glomerulus, excessive fluid intake, or lack of albumin.
Answer to Question 2
Correct Answer: 4
Rationale 1: A serum blood glucose test would not provide the immediate information needed to correct the hypoglycemia.
Rationale 2: A glucose tolerance test measures glucose levels after 2 hours; it would not provide the immediate information needed to correct the hypoglycemia.
Rationale 3: Serum electrolytes will not provide the level of blood sugar needed to intervene with hypoglycemia.
Rationale 4: Obtaining a finger-stick blood sugar takes 15 seconds and provides an opportunity for rapid nursing intervention, if needed.
Global Rationale: Obtaining a finger-stick blood sugar takes 15 seconds and provides an opportunity for rapid nursing intervention, if needed. A serum blood glucose test would not provide the immediate information needed to correct the hypoglycemia. A glucose tolerance test measures glucose levels after 2 hours; it would not provide the immediate information needed to correct the hypoglycemia. Serum electrolytes will not provide the level of blood sugar needed to intervene with hypoglycemia.