The nurse that which of the following activities/conditions increases complications of hypoglycemia for the individual with type 1 diabetes? (SELECT ALL THAT APPLY)

taking prescribed tamsulosin for benign prostatic hyperplasia

having urinary retention due to bladder atony

jogging for 2 miles (3.2 km)

drinking 3 12 oz. (360 mL) bottles of beer in 2 hours

taking metoprolol XL 50 mg

Answer and Explanation

Correct Answer : C,D,E

A.   Tamsulosin primarily affects urinary function and is not directly related to glucose metabolism or insulin action. It does not significantly contribute to hypoglycemic events.
B.   While urinary retention can lead to discomfort and potential complications, it does not have a direct impact on blood glucose levels or increase the risk of hypoglycemia. However, if it results in increased stress or medication changes, it could indirectly affect glucose management.
C.   Physical activity, such as jogging, can increase the risk of hypoglycemia in individuals with Type 1 diabetes, especially if they do not adjust their insulin or carbohydrate intake accordingly. Exercise can enhance insulin sensitivity and cause blood glucose levels to drop.
D.   Alcohol can increase the risk of hypoglycemia, particularly in individuals with diabetes, because it can inhibit gluconeogenesis (the liver's ability to produce glucose). Drinking a significant amount of alcohol, especially without food, can lead to dangerously low blood sugar levels.
E.   Metoprolol, a beta-blocker, can mask the symptoms of hypoglycemia (such as increased heart rate and tremors), making it more difficult for the individual to recognize when they are hypoglycemic. This can lead to delayed treatment and increased risk of severe hypoglycemia.

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Correct Answer is C

Explanation

A. This position can increase pressure on the surgical site and hinder blood flow.
B. This position can also increase pressure on the surgical site and may be uncomfortable for the client.
C. This position promotes venous return, reduces swelling, and minimizes pressure on the surgical site.
D. This position can increase pressure on the surgical site and may hinder blood flow.

A. maintenance of a healthy weight B. use of low doses of insulin regular. C. oral hypoglycemic agents D. self-monitoring of blood glucose.

Correct Answer is A

Explanation

A. Teaching the client about maintaining a healthy weight is crucial, especially in preventing the progression from prediabetes to type 2 diabetes. Weight management through diet and exercise can significantly improve insulin sensitivity and glucose control.
B. At a fasting plasma glucose level of 120 mg/dL, the client is not typically at the stage where insulin therapy is necessary. Insulin is usually reserved for individuals with established diabetes, particularly if they are unable to achieve glycemic control through lifestyle changes or oral medications.
C. Similar to option B, the use of oral hypoglycemic agents is not indicated for someone with a fasting glucose of 120 mg/dL. This level suggests prediabetes, and the initial approach is generally focused on lifestyle changes rather than medication.
D. While self-monitoring of blood glucose is important for individuals with diabetes, it may not be the immediate focus for a client with a fasting plasma glucose level of 120 mg/dL unless the physician has indicated a diagnosis of diabetes or if the client has symptoms. In prediabetes, education around lifestyle modifications is typically prioritized.

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The nurse that which of the following activities/conditions increases complications of hypoglycemia for the individual with type 1 diabetes? (SELECT ALL THAT APPLY)

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Naxlex Comprehensive Predictor Exams

The client has just returned to the surgical unit following femoral-popliteal bypass surgery of the right leg. The nurse should place the client in which position?

Correct Answer is C

Explanation

A client screened for diabetes has a fasting plasma glucose level of 120 mg/dl. The nurse will plan to teach the client about

Correct Answer is A

Explanation

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