A nurse in a mental health clinic is assessing a client prior to their appointment with the provider

show:

Exhibits

Complete the diagram by dragging from the choices below to specify the following:

which condition the client is most likely experiencing

Two actions for the nurse take to address this condition

Two parameters for the nurse to monitor to assess the client's progress

A. "I give the insulin injections in my abdominal area." is correct. The abdomen is a common and recommended site for insulin injections, as it allows for faster absorption compared to other areas like the arms or thighs. It is important for clients with diabetes to rotate injection sites within the recommended areas to avoid tissue damage.
B. "A weight reduction program will make me hypoglycemic." is incorrect. While weight reduction is important for overall health, especially in individuals with type 2 diabetes, it is not typically associated with hypoglycemia. In type 1 diabetes, hypoglycemia is more related to insulin dosage, meal timing, and physical activity levels, not weight loss.
C. "Insulin allows me to eat ice cream at bedtime." is incorrect. While insulin helps regulate blood sugar, it does not mean the client can eat high-sugar foods, like ice cream, without considering its effect on blood glucose. Insulin therapy requires careful monitoring of carbohydrate intake, meal planning, and adjusting insulin doses accordingly.
D. "I am to take my blood sugar reading after meals." is incorrect. Blood sugar levels should generally be checked before meals, especially when managing type 1 diabetes. Checking after meals is useful to evaluate postprandial blood sugar control, but the primary goal is to manage blood glucose before eating.

A. Malignant hypertension is a hypertensive emergency characterized by extremely high blood pressure with end-organ damage. It is not typically associated with diabetic ketoacidosis (DKA), which more commonly presents with hypotension due to dehydration.
B. Acetone odor to breath is a hallmark sign of DKA. It results from the buildup of ketones (especially acetone) in the blood due to the breakdown of fat for energy when insulin is insufficient. This gives the breath a characteristic fruity or nail-polish-like odor.
C. Cheyne-Stokes breathing is a pattern of periodic breathing often seen in neurologic or end-of-life conditions, not typically associated with DKA. In DKA, Kussmaul respirations—deep and rapid breathing—are more characteristic as the body attempts to compensate for metabolic acidosis.
D. Blood glucose level below 40 mg/dL indicates severe hypoglycemia, which is the opposite of DKA. DKA typically presents with hyperglycemia, usually with blood glucose levels above 250 mg/dL.