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 B
Explanation
A. Initiating sequential pneumatic compression devices is not immediately relevant to managing acute stroke symptoms.
B. Raising the head of the bed to 30 degrees and keeping the head and neck in neutral alignment helps reduce intracranial pressure and facilitates venous drainage, which is crucial in managing potential stroke patients.
C. Elevating the dependent joints on the affected side is not immediately necessary and does not address the acute neurological symptoms.
D. While obtaining a focused history is important, it should follow after initial stabilization measures such as positioning and securing immediate diagnostic tests.
Correct Answer is C
Explanation
A. While some older adults may have physiologic or benign murmurs, murmurs are not considered universally normal and require further assessment to rule out pathology.
B. Absent heart sounds would be abnormal and could indicate severe underlying issues such as cardiac arrest or severe hypovolemia.
C. A normal heart auscultation in an older adult includes S1 and S2 heart sounds without extra or abnormal sounds. While some older adults may develop benign murmurs due to age-related changes in valve structure, the absence of abnormal or adventitious sounds (such as S3, S4, or pathological murmurs) is considered a normal finding.
D. Adventitious sounds (such as crackles or wheezes) are not normal in heart auscultation and would suggest potential pathologies.
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