The nurse is caring for a client with type 1 diabetes mellitus who reports experiencing diaphoresis and shakiness in the early morning hours. The nurse should expect which change in the client's treatment plan?

Scheduling of an oral glusoce tolerance test (OGTT).

An insulin pump to better control the client's blood glucose.

The evening dose of NPH insulin will need to be decreased.

Glucose levels will be tested at bedtime, 0300, and upon awakening.

Answer and Explanation

The Correct Answer is C

A. An OGTT is not directly related to the symptoms of hypoglycemia experienced in the early morning.

B. An insulin pump is a possible treatment but is not the immediate change needed for managing hypoglycemia.

C. Diaphoresis and shakiness in the morning suggest possible nocturnal hypoglycemia, which may require a decrease in the evening dose of NPH insulin to prevent such episodes.

D. Testing glucose levels at multiple times can be part of managing diabetes but does not address the immediate need for adjustment in insulin dosing.

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Correct Answer is C

Explanation

A. Inserting a urinary catheter is a skill that typically requires a licensed nurse's expertise.

B. Titrating oxygen requires assessment and adjustment based on clinical findings, which is outside the UAP’s scope of practice.

C. Procuring platelet products from the blood bank is a non-clinical task that can be safely assigned to a UAP.

D. Monitoring an IV infusion rate involves clinical judgment and is typically performed by a licensed nurse.

A. Peripheral pallor of the skin. B. Restlessness. C. Increased respiratory rate. D. Increased temperature. E. Clenched fists. F. F Increased pulse rate.

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

Explanation

A. Peripheral pallor is not a typical pain indicator.

B. Restlessness can be a sign of discomfort or pain in infants.

C. Increased respiratory rate can indicate pain or distress.

D. Increased temperature is more indicative of infection than pain.

E. Clenched fists can be a sign of pain or discomfort in infants.

F. Increased pulse rate is a common physiological response to pain.

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The nurse is caring for a client with type 1 diabetes mellitus who reports experiencing diaphoresis and shakiness in the early morning hours. The nurse should expect which change in the client's treatment plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After receiving a change of shift report for clients on a medical surgical unit, which task should the nurse assign to an unlicensed assistive personnel (UAP)?

Correct Answer is C

Explanation

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

Explanation

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