A client with diabetes is experiencing polyuria. The nurse ...

[MirandaLo]

A client with diabetes is experiencing polyuria. The nurse explains that polyuria is caused by:
 
  1. inflammation of the glomerulus.
  2. excessive fluid intake.
  3. lack of albumin.
  4. osmotic diuresis.

Question 2

A client is acutely confused, sweating, and complaining of a headache. The nurse suspects hypoglycemia. The nurse's next action is to obtain:
 
  1. a serum blood glucose.
  2. a glucose tolerance test.
  3. serum electrolytes.
  4. a capillary blood glucose level.

[Pswine]

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.

[MirandaLo]

Thank you!

[Pswine]

Always glad to help...