A home health care nurse is assessing a patient with type 1 diabetes who has been controlled for 6 months. The nurse is surprised and concerned about a blood glucose reading of 52 mg/dL. What action by this patient most likely caused this episode of hypoglycemia?

Administering an insufficient dose of insulin this morning

Using large amounts of sugar substitute in her tea this morning

Taking a new form of birth control pill this morning

A 2-hour long exercise class at the spa this morning

Answer and Explanation

The Correct Answer is D

A. An insufficient dose of insulin would likely cause hyperglycemia, not hypoglycemia.
B. Sugar substitutes do not affect blood glucose levels significantly and would not lead to hypoglycemia.
C. Birth control pills generally do not cause hypoglycemia.
D. Prolonged exercise increases insulin sensitivity and glucose uptake, which can lead to hypoglycemia if insulin or food intake is not adjusted accordingly. The 2-hour exercise session is the most likely cause of the hypoglycemic episode.

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Correct Answer is D

Explanation

A. Glucose levels are not directly affected by hyperthyroidism and are typically within the normal range unless the client has diabetes or another condition.
B. Triiodothyronine (T3) levels are elevated in hyperthyroidism due to excessive thyroid hormone production.
C. Thyroxine (T4) levels are also elevated in hyperthyroidism.
D. Thyroid stimulating hormone (TSH) is suppressed in hyperthyroidism because the thyroid gland produces excessive hormones, causing a negative feedback loop that reduces TSH levels.

A. Temperature, 98° F; pulse, 84 beats/min; respirations, 18 breaths/min and shallow B. Temperature, 99° F; pulse, 62 beats/min; respirations, 16 breaths/min and shallow C. Temperature, 97.4° F; pulse, 110 beats/min; respirations, 26 breaths/min and deep D. Temperature, 98.6° F; pulse, 76 beats/min; respirations, 16 breaths/min and deep

Correct Answer is C

Explanation

A. Normal pulse and respiratory rates do not indicate the expected tachycardia or Kussmaul respirations in DKA.
B. This option shows a slower heart rate, which is not typical of DKA where tachycardia is expected.
C. In diabetic ketoacidosis (DKA), clients typically exhibit tachycardia due to dehydration and deep, rapid Kussmaul respirations as the body attempts to correct the acidosis.
D. The vital signs in this option do not reflect the expected findings of DKA, such as tachycardia and deep respirations.

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A home health care nurse is assessing a patient with type 1 diabetes who has been controlled for 6 months. The nurse is surprised and concerned about a blood glucose reading of 52 mg/dL. What action by this patient most likely caused this episode of hypoglycemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who has hyperthyroidism (Graves' disease). Which of the following serum laboratory findings should the nurse expect to be below the expected reference range?

Correct Answer is D

Explanation

A patient has been admitted to the hospital with the diagnosis of DKA. What vital signs should a nurse anticipate that the patient will exhibit?

Correct Answer is C

Explanation

A nurse is reviewing the laboratory report of a client who has hyperparathyroidism. The nurse should expect which of the following findings?

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