A nurse is assessing a client who has type 1 diabetes mellitus and finds the client lying in bed, sweating. and reporting feeling anxious. Which of the following complications should the nurse suspect?
Hyperglycemia
Hypoglycemia
Ketoacidosis
Nephropathy
The Correct Answer is B
Rationale-The symptoms of sweating and feeling anxious in a client with type 1 diabetes mellitus are indicative of hypoglycemia. Hypoglycemia occurs when blood sugar levels fall too low, which can happen with the administration of insulin or other diabetes medications, missed meals, or increased exercise without adequate dietary adjustment. These symptoms are part of the body's natural response to low blood sugar, as it tries to signal the need for a source of energy. It is important for the nurse to recognize these signs promptly and respond with appropriate interventions, such as providing a fastacting carbohydrate, to prevent further complications associated with hypoglycemia.
A, C -Hyperglycemia and ketoacidosis presents with respiratory distress and a fruity odor. They occur due
D-Nephropathy presents with lack or reduced urine output. Injury occurs the renal tubules reduces renal ultrafiltration and reabsorption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale-The symptoms of sweating and feeling anxious in a client with type 1 diabetes mellitus are indicative of hypoglycemia. Hypoglycemia occurs when blood sugar levels fall too low, which can happen with the administration of insulin or other diabetes medications, missed meals, or increased exercise without adequate dietary adjustment. These symptoms are part of the body's natural response to low blood sugar, as it tries to signal the need for a source of energy. It is important for the nurse to recognize these signs promptly and respond with appropriate interventions, such as providing a fastacting carbohydrate, to prevent further complications associated with hypoglycemia.
A, C -Hyperglycemia and ketoacidosis presents with respiratory distress and a fruity odor. They occur due
D-Nephropathy presents with lack or reduced urine output. Injury occurs the renal tubules reduces renal ultrafiltration and reabsorption.
Correct Answer is C
Explanation
Naloxone is an opioid antagonist used to rapidly reverse the effects of an opioid overdose, which often includes severely slowed or stopped breathing.
- CheyneStokes respirations (A) and Kussmaul respirations (D) are abnormal breathing patterns that are not indicative of effective naloxone treatment.
- Substernal retractions (B) indicate difficulty breathing, which would not suggest that the naloxone has been effective.
- Effective naloxone intervention is typically indicated by the restoration of normal breathing patterns in a person who has experienced opioid toxicity.
A-Cheyne stokes respirations is due to conditions such as stroke, brain injury
B-Substernal retraction occur in respiratory distress due to pulmonary conditions such as pneumonia D-Kussmaul breathing is found in diabetes ketoacidosis
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