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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E","G"]
Explanation
Neurological: Restlessness and anxiety can both be symptoms of hypoxia due to the brain's sensitivity to changes in oxygen levels.
Respiratory: Low oxygen saturation directly indicates hypoxia, and an increased respiratory rate can be a compensatory response to low oxygen levels.
Cardiovascular: Elevated heart rate can be a compensatory mechanism for hypoxia, and delayed capillary refill may indicate poor perfusion related to low oxygen levels.
Correct Answer is C
Explanation
A. Decreasing expiratory pressure might not directly address the elevated PaCO2 and low pH.
B. Increasing tidal volume may help, but it’s more critical to address the ventilation rate first.
C. Increasing the rate of ventilation will help blow off more CO2, correcting the respiratory acidosis (elevated PaCO2 and low pH).
D. Decreasing expiratory flow time is less relevant than adjusting ventilation rates in this scenario.
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