A nurse finds a patient who has type 1 diabetes mellitus lying in bed, sweating, tachycardic, and reports feeling light-headed and shaky. Which complication should the nurse expect?
Select one:
ketoacidosis
hypoglycemia
nephropathy
hyperglycemia
The Correct Answer is B
A. Ketoacidosis typically presents with symptoms like nausea, vomiting, abdominal pain, fruity breath, and Kussmaul respirations—not acute shakiness or sweating.
B. The signs of sweating, tachycardia, light-headedness, and shakiness are classic early symptoms of hypoglycemia, a common complication in type 1 diabetes, especially when insulin or food intake is imbalanced.
C. Nephropathy is a chronic complication of diabetes affecting the kidneys and does not present with acute symptoms like those described.
D. Hyperglycemia usually causes polyuria, polydipsia, and fatigue but not the adrenergic (fight-or-flight) symptoms described here.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["120"]
Explanation
To find the total volume given in one day:
30 mL per dose × 4 doses per day = 120 mL per day
Answer: 120 mL
Correct Answer is C
Explanation
A. While confirming consent is important, it is usually completed during the preoperative checklist, not the primary focus of the surgical "time out."
B. Although team presence is necessary, the "time out" is specifically about verifying critical details related to the patient and procedure, not the identities of the providers.
C. The "time out" is a universal protocol established to prevent wrong-patient, wrong-site, or wrong-procedure errors. All team members pause to confirm these crucial details before the incision.
D. DNR (Do Not Resuscitate) status is reviewed during preoperative planning but is not the focus of the surgical time out process.
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