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 C
Explanation
Rationale-Nonnutritive sugar substitute produces a sweet taste without contributing any calories. For a client with type 1 diabetes mellitus, the best recommendation for a sweetener would be a nonnutritive sugar substitute. These substitutes are considered safe and do not affect blood sugar levels, which is crucial for managing diabetes. They include aspartame, sucralose, and stevia, offer sweetness without the additional calories and carbohydrates, making them a suitable choice for individuals with diabetes. Natural honey and corn syrup, while natural, are high in carbohydrates and can cause an increase in blood sugar levels. This interferes with the titration of insulin and should be avoided.
Correct Answer is D
Explanation
The lab value that should be reported to the provider is D. Sodium 126 mEq/L. Normal sodium levels are typically between 135 and 145 mEq/L. A sodium level of 126 mEq/L is considered hyponatremia, which is a lower-than-normal concentration of sodium in the blood. Hyponatremia can have various causes and may result in symptoms such as headache, confusion, seizures, and other serious health issues.
A-Normal magnesium levels – 1.7-2.2 mEq/L
B-Normal potassium levels- 3.5-5.5mEq/L
C-Normal chloride levels- 96-106 mEq/L
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