The nurse is providing discharge education about signs and symptoms of hypoglycemia and hyperglycemia. For each sign/symptom, indicate whether it is manifestation of hypoglycemia or hyperglycemia. Select one option in each row.
Tremor
Lethargy
Seizures
Polydipsia
Abdominal pain
Sweating
Polyuria
Hunger
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"},"G":{"answers":"B"},"H":{"answers":"A"}}
Hypoglycemia
Tremor is a common symptom of hypoglycemia, as low blood sugar levels can lead to shaky hands and trembling.
Seizures can occur in severe cases of hypoglycemia when the brain is deprived of glucose, leading to abnormal electrical activity and convulsions.
Sweating, particularly cold and clammy skin, is a common symptom of hypoglycemia as the body responds to low blood sugar levels.
Hunger or sudden feelings of extreme hunger are common symptoms of hypoglycemia as the body seeks additional fuel to raise blood sugar levels.
Hyperglycemia
Lethargy, or extreme fatigue and drowsiness, is more commonly associated with hyperglycemia, as elevated blood sugar levels can affect energy levels and lead to feelings of sluggishness.
Polydipsia is a classic symptom of hyperglycemia, as high blood sugar levels can cause dehydration and trigger the body's thirst response.
Abdominal pain is more commonly associated with hyperglycemia, particularly in conditions like diabetic ketoacidosis (DKA), where abdominal discomfort can be a sign of metabolic disturbances.
Polyuria is a classic symptom of hyperglycemia, as high blood sugar levels can lead to increased urine production as the kidneys work to remove excess glucose from the bloodstream.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Good control of blood glucose levels and blood pressure is essential in reducing the risk of diabetic retinopathy and its progression. Research has shown that maintaining tight glycemic control and managing hypertension can significantly decrease the likelihood and severity of retinopathy in patients with diabetes.
A. Laser surgery is a treatment option for certain complications of diabetic retinopathy, such as retinal hemorrhage or retinal detachment. However, it's essential to emphasize that prevention through good glycemic control and regular eye exams is key to reducing the risk of these complications, rather than relying solely on surgical interventions after they occur.
B. Cataracts are more common in individuals with diabetes and can be surgically corrected but this statement does not directly address the concern about retinopathy. Cataracts and retinopathy are separate ocular complications of diabetes, each requiring different management strategies.
D. Diabetes remains one of the leading causes of blindness in the United States, primarily due to its association with diabetic retinopathy. While advancements in diabetes management and eye care have helped reduce the incidence of blindness, it is still a significant concern for individuals with diabetes.
Correct Answer is C
Explanation
C. Medical nutrition therapy for diabetes involves creating a well-balanced, individualized meal plan that meets the patient's nutritional needs while helping to manage blood glucose levels. This approach can be healthy for the entire family and does not require separate meals or special foods. It promotes overall healthy eating habits that everyone can benefit from.
A. Low-carbohydrate diets may be considered for some patients but the emphasis of a diabetic diet is not necessarily on high-protein intake. Instead, the focus is on balanced meals that include appropriate amounts of carbohydrates, proteins, and fats.
B. People with diabetes do not require special foods; rather, they need to make healthier choices from the foods available. The emphasis is on a balanced diet that can include regular foods, with modifications to portion sizes and meal timing to manage blood glucose levels effectively.
D. It is not necessary to completely avoid sugars and fats; rather, the focus should be on moderating intake and choosing healthier options. For example, limiting added sugars and unhealthy fats (like trans fats and saturated fats) is important, but healthy fats (such as those from nuts, seeds, and avocados) can be part of a balanced diet.
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