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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Rationale- When administering morphine intravenously, it is essential to have an opioid antagonist available to reverse the effects of opioids in case of an overdose or adverse reaction. Naloxone is the medication typically used for this purpose. It can quickly reverse the effects of morphine, making it an essential safety measure during opioid administration.

A Neostigmine is used to reverse the effects of certain muscle relaxants,

B Protamine is used to reverse the effects of heparin, and

D Flumazenil is used to reverse the effects of benzodiazepines, none of which are relevant in the context of morphine administration.

D-Flumazenil is an antidote for benzodiazepine

A. Respiratory rate 8/min B. sa02 94% C. Pain level of 6 on a scale from 0 to 10 D. Sleepy, but arousing when her name is called

Correct Answer is A

Explanation

Morphine sulfate, an opioid analgesic, can cause serious side effects including lifethreatening respiratory depression. A normal respiratory rate for adults is typically between 12 to 16 breaths per minute. A rate of 8 breaths per minute is considered abnormally low and can be indicative of respiratory depression, which is a serious risk associated with opioid medications like morphine sulfate. It's important for healthcare providers to monitor clients closely after administering opioids to manage any potential adverse effects promptly.

B-SaO2 is not a direct indicator of central respiratory depression

C-Pain relief is expected as it is an analgesic

D-Morphine can cause sedation which is okay after respiratory depression has been ruled out

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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