A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)
Tachycardia
Polydipsia
Polyuria
Blurred vision
Moist, clammy
Correct Answer : A,D,E
A. Tachycardia, or increased heart rate, can occur during hypoglycemia as a result of the body's response to low blood sugar levels. The sympathetic nervous system is activated, leading to increased adrenaline (epinephrine) release, which can cause palpitations and tachycardia.
B. Polydipsia refers to excessive thirst. It is typically a symptom of hyperglycemia (high blood sugar levels) rather than hypoglycemia. During hypoglycemia, thirst is not a common symptom.
C. Polyuria refers to excessive urination. Similar to polydipsia, it is more commonly associated with hyperglycemia (high blood sugar levels) rather than hypoglycemia. Hypoglycemia typically does not cause polyuria.
D. Blurred vision can occur during hypoglycemia due to changes in the shape of the lens in the eye caused by altered fluid balance due to low blood sugar levels.
E. Moist, clammy skin is a common manifestation of hypoglycemia. When blood sugar levels drop, the body's autonomic nervous system responds by releasing adrenaline, which can cause sweating and clamminess.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The flexible metal piece in the medical mask is designed to be shaped around the nose to provide a better fit and seal. Placing it at the bottom is not appropriate.
B. It is important not to touch the front of the mask while wearing it, especially with potentially contaminated gloves or hands. Touching the front of the mask can transfer pathogens from the mask to the hands or vice versa, compromising infection control measures.
C. Medical masks are designed for single use and should be discarded after each use to prevent contamination and ensure effectiveness.
D. You should remove your gloves first before removing your mask to avoid contaminating your face with any pathogens that might be on the gloves.
Correct Answer is A
Explanation
A. Glipizide belongs to a class of medications called sulfonylureas. Sulfonylureas work by stimulating the beta cells in the pancreas to release insulin. Insulin is a hormone that helps lower blood sugar levels by facilitating the uptake of glucose into cells for energy or storage. Therefore, this statement accurately describes the mechanism of action of glipizide.
B. Glipizide does not absorb carbohydrates. Instead, it acts on pancreatic beta cells to increase insulin secretion in response to glucose in the bloodstream.
C. Glipizide does not affect the liver's breakdown of insulin. Its primary action is on the pancreas to stimulate insulin release.
D. Glipizide does not replace insulin. It stimulates the pancreas to release more insulin. It is used in type 2 diabetes mellitus, where insulin production by the pancreas may be reduced but not absent.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today