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 ["675"]
Explanation
-
- 198 lb ÷ 2.205 lb/kg = 90 kg
-
Calculate the total daily dose:
- 15 mg/kg/day * 90 kg = 1350 mg/day
-
Calculate the dose for each 12-hour period:
- 1350 mg/day ÷ 2 doses/day = 675 mg/dose
Correct Answer is C
Explanation
A serum potassium level of 3.2 mEq/L is considered low, as normal potassium levels are typically between 3.5 and 5.0 mEq/L. When a client has hypokalemia (low potassium), administering potassium chloride (KCl) can help to correct the imbalance. It is important for the nurse to follow hospital protocols and guidelines when administering medications, especially those that can affect electrolyte balance.
A-Holding the KCL in inappropriate as it is needed from the indicated levels
B-The KCL should not be held as the client needs it
D-Hypokalemia is expected in loop diuretics therapy due to renal losses of potassium
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