A nurse is reviewing a patient's laboratory results and finds the hemoglobin is 10 g/dL and the hematocrit is 30%. The nurse recognizes that the patient is at risk for which of the following?

Impaired immunity

Hypoxia

Fluid retention

Prolonged bleeding

Answer and Explanation

The Correct Answer is B

A. Impaired immunity. – Incorrect. While anemia may weaken overall health, hemoglobin levels of 10 g/dL do not significantly affect immune function.

B. Hypoxia. – Correct Answer. Hemoglobin carries oxygen in the blood, and low levels can lead to decreased oxygen delivery to tissues, causing hypoxia.

C. Fluid retention. – Incorrect. Anemia does not directly cause fluid retention.

D. Prolonged bleeding. – Incorrect. While severe anemia can be associated with bleeding disorders, a hemoglobin level of 10 g/dL does not significantly impair clotting.

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Correct Answer is B

Explanation

A. 8:00 AM to 11:00 AM. – Incorrect. NPH insulin peaks in 6–14 hours, not within a few hours.

B. 2:00 PM to 5:00 PM. – Correct Answer. NPH insulin peaks around 6–14 hours, making this the most likely time for hypoglycemia.

C. 2:00 AM to 5:00 AM. – Incorrect. This would be the peak time for evening NPH insulin, not morning administration.

D. 10:00 PM to 12:00 AM. – Incorrect. NPH insulin does not peak this late when given in the morning.

A. High glucose levels cause the body to use proteins for energy, causing lactic acidosis. B. Chronic elevated blood glucose levels damage cells and cause long-term chronic organ dysfunction. C. Early identification of hypoglycemia is easier to treat resulting in better outcomes. D. Carbohydrates are constantly being converted to glucose and utilized for extra energy stores.

Correct Answer is B

Explanation

A. High glucose levels cause the body to use proteins for energy, causing lactic acidosis – While hyperglycemia can lead to ketosis, it does not directly cause lactic acidosis.

B. Chronic elevated blood glucose levels damage cells and cause long-term chronic organ dysfunction – Hyperglycemia leads to complications such as neuropathy, nephropathy, and retinopathy, making glucose control essential.

C. Early identification of hypoglycemia is easier to treat resulting in better outcomes – While important, the primary reason for frequent monitoring is to prevent long-term complications.

D. Carbohydrates are constantly being converted to glucose and utilized for extra energy stores – This statement is not specific to diabetes management.

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A nurse is reviewing a patient's laboratory results and finds the hemoglobin is 10 g/dL and the hematocrit is 30%. The nurse recognizes that the patient is at risk for which of the following?

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Naxlex Comprehensive Predictor Exams

What time of day would a nurse expect to see signs of hypoglycemia in a patient following NPH insulin (intermediate acting) given at 7:30am?

Correct Answer is B

Explanation

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Explanation

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