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A resident with diabetes has been thirsty, drinking more fluids, and urinating a lot. The nurse aide should report this to the charge nurse immediately because it

From CNA Exam Texas Practice Test

Answer choices

  1. A means the resident has been eating candy.
  2. B is a sign the resident's blood sugar could be high.
  3. C means the resident may have a urinary tract infection.
  4. D is a sign the resident's blood sugar is too low.

Correct answer: B. is a sign the resident's blood sugar could be high.

Clinical Rationale

Increased thirst, fluid intake, and frequent urination in a resident with diabetes indicate the resident's blood sugar could be high.

These symptoms are classic indicators of hyperglycemia, a condition where blood sugar levels are elevated beyond the normal range. In diabetes management, early recognition of such signs is crucial to prevent complications and ensure appropriate intervention.

A) It means the resident has been eating candy.

The presence of diabetes-related symptoms like increased thirst, fluid intake, and frequent urination does not automatically imply candy consumption. While sugary foods can affect blood sugar levels, these symptoms are more indicative of underlying diabetes management issues rather than a specific dietary choice.

B) It is a sign the resident's blood sugar could be high.

Correct. In diabetes, the body may not be able to regulate blood sugar levels effectively, leading to hyperglycemia. The combination of increased thirst, fluid intake, and frequent urination points towards elevated blood glucose levels, necessitating immediate attention to prevent potential complications.

C) It means the resident may have a urinary tract infection.

While urinary symptoms like increased frequency can be associated with urinary tract infections, in a resident with diabetes, these symptoms are more likely related to fluctuations in blood sugar levels rather than solely indicative of a urinary tract infection.

D) It is a sign the resident's blood sugar is too low.

The symptoms described—increased thirst, drinking more fluids, and urinating frequently—are more commonly associated with high blood sugar levels (hyperglycemia) rather than low blood sugar (hypoglycemia). Low blood sugar typically presents with different symptoms such as dizziness, sweating, and confusion.

Conclusion

Recognizing the signs of high blood sugar in a resident with diabetes, such as increased thirst, fluid intake, and frequent urination, is essential for prompt intervention and management. Reporting these symptoms promptly to the charge nurse allows for timely assessment and appropriate action to address potential hyperglycemia and prevent related complications.

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