A nurse is teaching a client who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?

"I will feel shaky."

"My appetite will be decreased."

"I will be more thirsty than usual."

"My skin will be warm and moist."

Answer and Explanation

The Correct Answer is A

A. Shakiness is a classic symptom of hypoglycemia due to adrenaline release as the body responds to low glucose levels.
B. Decreased appetite is not typical of hypoglycemia; in fact, hunger may increase as the body signals the need for energy.
C. Increased thirst is a symptom of hyperglycemia, not hypoglycemia.
D. Skin is typically cool and clammy during hypoglycemia, not warm and moist.

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Correct Answer is B

Explanation

A. Giving carbohydrates at 3:00 AM might prevent hypoglycemia temporarily but does not address the underlying issue.
B. Having a snack at bedtime helps prevent nighttime hypoglycemia, which can lead to rebound hyperglycemia, known as the Somogyi effect.
C. Increasing the insulin dose could exacerbate nocturnal hypoglycemia, worsening the Somogyi effect.
D. Doing nothing is inappropriate as the low 2:00 AM glucose level is a sign of the Somogyi effect.

A. Darbepoetin alfa B. Lactulose C. Sevelamer D. Sodium polystyrene

Correct Answer is D

Explanation

A. Darbepoetin alfa is used to treat anemia, particularly in chronic kidney disease, but does not address hyperkalemia.
B. Lactulose is used to reduce ammonia levels in hepatic encephalopathy, not to lower potassium levels.
C. Sevelamer is a phosphate binder and does not affect potassium levels.
D. Sodium polystyrene (Kayexalate) is used to treat hyperkalemia by promoting potassium excretion through the gastrointestinal tract.

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A nurse is teaching a client who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The health care provider suspects the Somogyi effect in a 66-yr-old patient whose 2:00 AM blood glucose is 66 mg/dL. Which action will the nurse teach the patient to take?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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