A guest who is diabetic attended a bridal affair. The guest started to tremble and started to feel dizzy. Luckily a nurse is present. The best action for the nurse to take is to:

Correct Answer: D

Rationale: The best action for the nurse to take in this situation is to give the guest a glass of orange juice (Choice D). The guest is most likely experiencing hypoglycemia (low blood sugar) due to diabetes. Orange juice contains natural sugars that can help raise the guest's blood sugar levels quickly. Since the guest is feeling dizzy and trembling, providing a source of fast-acting sugar like orange juice is crucial in addressing the low blood sugar and preventing the situation from worsening. It is important to follow up with a source of longer-lasting carbohydrates and protein after the guest's blood sugar levels have stabilized.

Correct Answer: D

Rationale: Nephrosis, also known as nephrotic syndrome, is characterized by the presence of massive proteinuria (excretion of more than 3.5 grams of protein in the urine per day), hypoalbuminemia (low levels of albumin in the blood), and edema (swelling due to fluid retention). These are the hallmark clinical manifestations of nephrosis. Proteinuria results from damage to the glomerular filtration barrier, leading to the loss of proteins, particularly albumin, in the urine. Hypoalbuminemia occurs due to the excessive loss of albumin in the urine, leading to reduced oncotic pressure in the bloodstream. Edema develops as a result of decreased oncotic pressure, which causes fluid to leak from the blood vessels into the tissues, especially in the lower extremities and around the eyes. Other common manifestations of nephrosis may include hyperlipidemia, lipid

Correct Answer: C

Rationale: When performing a physical assessment on a toddler, it is important for the nurse to use minimal physical contact initially. Toddlers are in a stage of development where they may be wary of strangers and new situations. By starting with minimal physical contact, such as by engaging the child in conversation or play first, the nurse can help establish trust with the toddler. This approach can help reduce the child's anxiety and resistance during the physical assessment, making the process smoother and more effective. It is essential to build rapport and establish a sense of safety and security before proceeding with the assessment to ensure the toddler's cooperation and comfort.

Correct Answer: C

Rationale: During adolescence, individuals with bulimia often have a profound lack of awareness that their eating pattern is abnormal. This lack of awareness can be attributed to various factors, such as societal pressures, distorted body image, and the normalization of disordered eating behaviors within their social circle. Adolescents with bulimia may not recognize their behaviors as problematic or may rationalize them as a means of coping with stress or controlling their weight. This lack of insight can make it challenging for them to seek help or receive proper treatment for their condition.

Correct Answer: D

Rationale: Anaphylactic shock is characterized by a severe, systemic hypersensitivity reaction that can occur in response to allergens such as certain drugs or latex. During anaphylactic shock, the body releases large amounts of histamine and other inflammatory substances, leading to widespread vasodilation (dilation of blood vessels) and increased capillary permeability. This results in a rapid drop in blood pressure, decreased perfusion to vital organs, and potential life-threatening symptoms such as difficulty breathing and cardiovascular collapse. Immediate treatment with epinephrine and supportive measures such as intravenous fluids is crucial in managing anaphylactic shock.