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 B

Explanation

A. Sitting beside the client's bed is supportive, but may not be feasible in a busy clinical setting where the nurse has other duties.

B. Allowing the client to hold the nurse's hand while completing the vital signs provides comfort and reassurance, demonstrating empathy and support during a critical time.

C. Telling the client to release the nurse's hand could be perceived as dismissive and may increase the client's anxiety.

D. Reassuring the client that the nurse will return after taking the vital signs is supportive but does not provide immediate comfort, which the client is seeking in this critical moment.

A. Reassure the client that the client's child will be allowed to visit. B. Obtain a detailed report from the nurse transferring the client. C. Provide the client written information about end-of-life care. D. Mark the chart with client's request for no heroic measures.

Correct Answer is B

Explanation

A. While reassuring the client about visiting arrangements is supportive, it is not as critical for ensuring continuity of care.

B. Obtaining a detailed report from the transferring nurse is crucial to ensure all relevant information and the client’s wishes are communicated effectively.

C. Providing written information about end-of-life care is helpful but secondary to ensuring accurate communication of the client’s care preferences.

D. Marking the chart is important, but the immediate priority is ensuring the complete and accurate transfer of care information.

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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

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Correct Answer is B

Explanation

Correct Answer is B

Explanation

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