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A nurse is assessing a patient who has diabetes mellitus. Which of the following findings is a manifestation of hypoglycemia?

Bradycardia

Fruity odor on the client's breath

Vomiting

Cool, clammy skin

Answer and Explanation

The Correct Answer is D

A. Bradycardia is not a typical sign of hypoglycemia; tachycardia is more common.

B. A fruity odor on the breath is a sign of diabetic ketoacidosis (DKA) (hyperglycemia).

C. Vomiting is more common in hyperglycemia/DKA rather than hypoglycemia.

D. Hypoglycemia presents with cool, clammy skin, sweating, confusion, and tremors due to the release of epinephrine.

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Correct Answer is B

Explanation

A. Give potassium intravenously. – The potassium level is 3.7 (within normal range 3.5–5.0), so potassium is not needed yet.

B. Administer D5 NS with the insulin drip. – Correct Answer. Once glucose drops to ≤200 mg/dL, dextrose is added to prevent hypoglycemia while continuing insulin to correct ketoacidosis.

C. Administer 3% NS at 200 mL/hr. – Hypertonic saline is used for severe hyponatremia, which is not the case here.

D. Expect the insulin drip to be discontinued. – The insulin drip is not discontinued until ketoacidosis has fully resolved (when HCO3 > 18, pH > 7.3, and anion gap normalizes).

A. "This is where you live now." B. "This is a safer place for you to live." C. "Your family said there is no one to care for you at home." D. "Tell me what you like to cook for dinner."

Correct Answer is D

Explanation

A. Stating "this is where you live now" may cause frustration.

B. Telling the patient it is safer does not acknowledge their emotions.

C. Mentioning family decisions may increase anxiety.

D. This approach validates the patient’s feelings and redirects the conversation without causing distress.

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A nurse is assessing a patient who has diabetes mellitus. Which of the following findings is a manifestation of hypoglycemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with diabetic ketoacidosis (DKA) has been receiving insulin for 6 hours. Laboratory finding are Na+ 131, K+ 3.7, CL- 102, HCO3 22, and glucose 170. Which action should the nurse take?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

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