A patient with type 1 diabetes has a high morning glucose measurement and the healthcare provider wants the patient evaluated for possible Somogyi effect. The nurse will plan to

obtain the patient's blood glucose level between 2a.m-4a.m

check the patient for a change in level of consciousness between 2a.m-4a.m

withhold the night time snack and check the glucose at 6:00a.m.

administer an increased dose of NPH insulin in the evening

Answer and Explanation

The Correct Answer is A

A. Obtain the patient's blood glucose level between 2a.m-4a.m – Correct Answer. The Somogyi effect occurs when nighttime hypoglycemia triggers a rebound hyperglycemia in the morning. Checking the blood glucose level during the early morning hours helps confirm this phenomenon.

B. Check the patient for a change in level of consciousness between 2a.m-4a.m – Incorrect. While severe hypoglycemia can affect consciousness, the best way to confirm the Somogyi effect is through blood glucose monitoring.

C. Withhold the nighttime snack and check the glucose at 6:00 a.m. – Incorrect. A nighttime snack can help prevent the hypoglycemia that leads to the Somogyi effect.

D. Administer an increased dose of NPH insulin in the evening. – Incorrect. Increasing insulin could worsen nighttime hypoglycemia, making the Somogyi effect worse.

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Correct Answer is D

Explanation

A. Chart – Contains patient information but is not used for immediate verification before transfusion.

B. Order sheet – Ensures the transfusion is ordered but does not confirm patient identity.

C. Medication administration record – Lists medications but is not used to verify transfusion identity.

D. Identification wristband – Correct Answer. The wristband is the most accurate and immediate source for patient verification before administering blood products.

A. Encourage the patient to ask for assistance. B. Keep the call light near the patient. C. Place the patient in a room close to the nurses' station. D. Remind the patient to walk with someone for support.

Correct Answer is C

Explanation

A. Encourage the patient to ask for assistance. – Patients with Alzheimer's often forget to ask for help, making this an unreliable safety measure.

B. Keep the call light near the patient. – The patient may not remember to use the call light.

C. Place the patient in a room close to the nurses' station. – Correct Answer. This allows frequent observation and quick intervention to prevent falls.

D. Remind the patient to walk with someone for support. – Reminders may not be effective due to memory impairment.

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A patient with type 1 diabetes has a high morning glucose measurement and the healthcare provider wants the patient evaluated for possible Somogyi effect. The nurse will plan to

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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