A home health care nurse is assessing a patient with type 1 diabetes who has been controlled for 6 months. The nurse is surprised and concerned about a blood glucose reading of 52 mg/dL. What action by this patient most likely caused this episode of hypoglycemia?

Administering an insufficient dose of insulin this morning

Using large amounts of sugar substitute in her tea this morning

Taking a new form of birth control pill this morning

A 2-hour long exercise class at the spa this morning

Answer and Explanation

The Correct Answer is D

A. An insufficient dose of insulin would likely cause hyperglycemia, not hypoglycemia.
B. Sugar substitutes do not affect blood glucose levels significantly and would not lead to hypoglycemia.
C. Birth control pills generally do not cause hypoglycemia.
D. Prolonged exercise increases insulin sensitivity and glucose uptake, which can lead to hypoglycemia if insulin or food intake is not adjusted accordingly. The 2-hour exercise session is the most likely cause of the hypoglycemic episode.

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Correct Answer is C

Explanation

A. Weight gain, rather than weight loss, is associated with hypothyroidism and myxedema.
B. High-fiber foods are encouraged in hypothyroidism to manage constipation, not limited.
C. Clients with myxedema experience cold intolerance and need warmth, making the application of warm blankets an appropriate intervention.
D. While clients may experience fatigue, bedrest is not a primary intervention; maintaining activity as tolerated is encouraged.

A. The client asks the AP to trim his broken toenail. B. The client reports urine that is dark yellow in color. C. The client reports dizziness when standing. D. The client refuses breakfast and requests to sleep.

Correct Answer is D

Explanation

A. Toenail trimming should be performed by a professional to prevent injury, but it does not require immediate reporting.
B. Dark yellow urine can indicate dehydration, but it is not an urgent concern in this context.
C. Dizziness when standing is a concern, but it does not take priority over the refusal of breakfast, which may lead to hypoglycemia.
D. A refusal to eat can lead to hypoglycemia in clients with type 1 diabetes, and this situation should be reported immediately to prevent a dangerous drop in blood glucose levels.

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A home health care nurse is assessing a patient with type 1 diabetes who has been controlled for 6 months. The nurse is surprised and concerned about a blood glucose reading of 52 mg/dL. What action by this patient most likely caused this episode of hypoglycemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the plan of care for a client who has hypothyroidism with myxedema. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is C

Explanation

A nurse is discussing the care of a client who has type 1 diabetes mellitus with an assistive personnel (AP). Which of the following situations should the nurse instruct the AP to report immediately?

Correct Answer is D

Explanation

A nurse is caring for a client who has type 1 diabetes mellitus and observes mild hand tremors. Which of the following snacks should the nurse offer the client after obtaining a glucometer reading of 60 mg/dL?

A nurse is reinforcing teaching with a client who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is checking the laboratory results of a client who is at risk for diabetes mellitus. Which of the following laboratory results indicates to the nurse that the client is at risk for diabetes mellitus?

A nurse is reinforcing teaching about preventing long-term complications of retinopathy and neuropathy with an older adult client who has diabetes mellitus. Which of the following actions is the most important for the nurse to include in the teaching?

A nurse is reviewing the laboratory report of a client who has hyperparathyroidism. The nurse should expect which of the following findings?

A nurse is reviewing the laboratory report of a client who has hypoparathyroidism. The nurse should expect which of the following values?

A nurse is reinforcing teaching with a client who has diabetes mellitus type 1 about sick-day management. Which of the following is the priority action for the nurse to recommend to the client?

A patient with long-term asthma develops Cushing syndrome. What is the cause of this condition?