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?

Give 15 grams of simple carbs at 3:00am

Have a snack at bedtime.

Increase the insulin dose.

Do nothing, this is normal

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is ["A","B","E","F"]

Explanation

A. Tachycardia is a common response to hypoglycemia due to the body's release of adrenaline.
B. Diaphoresis is also associated with hypoglycemia and results from sympathetic nervous system activation.
C. Frequent urination is a symptom of hyperglycemia, not hypoglycemia.
D. Thirst also indicates hyperglycemia, not hypoglycemia.
E. Hunger is a common sign of hypoglycemia as the body signals the need for glucose.
F. Shakiness is a symptom of hypoglycemia due to adrenaline release.

A. 10% B. 8.5% C. 6.3% D. 7.8%

Correct Answer is C

Explanation

A. An HbA1c of 10% is significantly elevated and suggests poor glycemic control.
B. An HbA1c of 8.5% is above the recommended target for most diabetic patients, indicating less than optimal control.
C. An HbA1c of 6.3% falls within the target range for well-managed diabetes, generally below 7%. This value indicates effective glucose control.
D. An HbA1c of 7.8% is slightly elevated and may require adjustments in diabetes management.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)

Correct Answer is ["A","B","E","F"]

Explanation

A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels?

Correct Answer is C

Explanation

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