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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?

A.

Administering an insufficient dose of insulin this morning

B.

Using large amounts of sugar substitute in her tea this morning

C.

Taking a new form of birth control pill this morning

D.

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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Related Questions

Correct Answer is A

Explanation

A. Shakiness is a common symptom of hypoglycemia, often caused by the body's release of adrenaline in response to low blood glucose levels.
B. Hypoglycemia typically causes an increase in hunger, not a decreased appetite, as the body attempts to correct low glucose levels.
C. Cool, clammy skin is associated with hypoglycemia due to the body's stress response, not warm, moist skin.
D. Increased thirst (polydipsia) is a symptom of hyperglycemia, not hypoglycemia.

Correct Answer is ["3.8"]

Explanation

To calculate the dose per administration, we need to determine the total daily dose and then divide it by the number of doses per day.

  1. Convert pounds to kilograms:
    • 22 lb (1 kg / 2.2 lb) = 10 kg
  2. Calculate the total daily dose:
    • 1.5 mg/kg/day 10 kg = 15 mg/day
  3. Determine the dose per administration:
    • 15 mg/day / 4 doses/day = 3.75 mg/dose
  4. Calculate the volume to administer:
    • 3.75 mg / 1 mg/mL = 3.75 mL

Therefore, the nurse should administer = 3.8 mL

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