The nurse suspects the client with diabetes may be having a hypoglycemic reaction when what manifestation is assessed?

Diaphoresis.

Flushing of the face.

Fruity breath.

Unpredictable behaviors.

Answer and Explanation

The Correct Answer is A

Diaphoresis means excessive sweating, which is one of the symptoms of hypoglycemia. Hypoglycemia occurs when the blood sugar level is lower than the normal range, which can cause dizziness, confusion, weakness, hunger, and other signs.

Choice B is wrong because flushing of the face is not a symptom of hypoglycemia.

Flushing can be caused by other conditions, such as fever, allergic reactions, or rosacea.

Choice C is wrong because fruity breath is a symptom of hyperglycemia, not hypoglycemia.

Hyperglycemia means high blood sugar level, which can cause the body to produce ketones that give the breath a fruity odor.

Choice D is wrong because unpredictable behaviors are not a specific symptom of hypoglycemia.

However, hypoglycemia can cause confusion, irritability, or anxiety, which may affect the behavior of some people.

The normal range of blood sugar level for most people is between 70 and 130 mg/dL (3.9 and 7.2 mmol/L) before meals and less than 180 mg/dL (10 mmol/L) after meals.

However, this may vary depending on the individual and the type of diabetes.

It is important to monitor the blood sugar level regularly and treat hypoglycemia promptly by eating or drinking a simple sugar source.

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Correct Answer is B

Explanation

Thyroid-stimulating hormone - Wikipedia Thyroid-stimulating hormone (TSH) is a hormone produced by the anterior pituitary gland that stimulates the thyroid gland to release its own hormones, triiodothyronine (T) and thyroxine (T).12 If the anterior pituitary gland is dysfunctional, it will not produce enough TSH, leading to low levels of T and T. This condition is called secondary or pituitary hypothyroidism.123

Choice A is wrong because tetraiodothyronine is another name for thyroxine (T), which is a hormone produced by the thyroid gland, not the anterior pituitary gland.14

Choice C is wrong because triiodothyronine (T) is also a hormone produced by the thyroid gland, not the anterior pituitary gland.14

Normal ranges for TSH are 0.4 to 4.0 mIU/L, for T are 100 to 200 ng/dL, and for T are 4.5 to 11.2 mcg/dL.1

A. To decrease adrenal suppression. B. To eliminate adverse side effects. C. To prevent steroid tolerance. D. To prolong therapeutic effects.

Correct Answer is A

Explanation

Prednisone is a glucocorticoid that suppresses the production of natural cortisol by the adrenal glands. Taking prednisone on alternate days allows the adrenal glands to recover and produce some cortisol on the days without prednisone.

Corticosteroids and Adrenal Glands

Choice B is wrong because prednisone does not eliminate adverse side effects, but may cause some such as weight gain, fluid retention, increased blood pressure, increased blood glucose, and increased risk of infection.

Choice C is wrong because there is no evidence of steroid tolerance, which means that higher doses are needed to achieve the same effect.

Choice D is wrong because prednisone does not prolong therapeutic effects, but may decrease them over time due to feedback inhibition of cortisol secretion.

Normal ranges for cortisol are 6 to 23 mcg/dL in the morning and 2 to 11 mcg/dL in the afternoon.

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The nurse suspects the client with diabetes may be having a hypoglycemic reaction when what manifestation is assessed?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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