A nurse is assessing a client who has type 1 diabetes mellitus and finds the client lying in bed, sweating. and reporting feeling anxious. Which of the following complications should the nurse suspect?
Hyperglycemia
Hypoglycemia
Ketoacidosis
Nephropathy
The Correct Answer is B
Rationale-The symptoms of sweating and feeling anxious in a client with type 1 diabetes mellitus are indicative of hypoglycemia. Hypoglycemia occurs when blood sugar levels fall too low, which can happen with the administration of insulin or other diabetes medications, missed meals, or increased exercise without adequate dietary adjustment. These symptoms are part of the body's natural response to low blood sugar, as it tries to signal the need for a source of energy. It is important for the nurse to recognize these signs promptly and respond with appropriate interventions, such as providing a fastacting carbohydrate, to prevent further complications associated with hypoglycemia.
A, C -Hyperglycemia and ketoacidosis presents with respiratory distress and a fruity odor. They occur due
D-Nephropathy presents with lack or reduced urine output. Injury occurs the renal tubules reduces renal ultrafiltration and reabsorption.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale- morphine is an opioid that is commonly used as an analgesics to manage post-operative pain. Morphine has a potential for resulting in respiratory distress . The nurse should do frequent monitoring of the respiratory rate.
A, B,C- They are important assessments but not directly related to morphine use
Correct Answer is A
Explanation
Increased blood levels of insulin leads to salicylism. Features of salicylism include tinnitus, hearing loss, respiratory alkalosis, metabolic acidosis, nausea and vomiting, headache, dizziness
B, C- Not features of salicylism
D- Can be present but not very specific
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