The health care provider suspects the Somogyi effect in a 66-yr-old patient whose 2:00 AM blood glucose is 66 mg/dL. Which action will the nurse teach the patient to take?

Give 15 grams of simple carbs at 3:00am

Have a snack at bedtime.

Increase the insulin dose.

Do nothing, this is normal

Answer and Explanation

The Correct Answer is B

A. Giving carbohydrates at 3:00 AM might prevent hypoglycemia temporarily but does not address the underlying issue.
B. Having a snack at bedtime helps prevent nighttime hypoglycemia, which can lead to rebound hyperglycemia, known as the Somogyi effect.
C. Increasing the insulin dose could exacerbate nocturnal hypoglycemia, worsening the Somogyi effect.
D. Doing nothing is inappropriate as the low 2:00 AM glucose level is a sign of the Somogyi effect.

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Correct Answer is D

Explanation

A. Constipation is not a common side effect of phenazopyridine.
B. Incontinence is not associated with this medication.
C. Slight drowsiness is not a typical effect of phenazopyridine.
D. Bright orange-red urine is a well-known and harmless side effect of phenazopyridine, and patients should be informed to avoid alarm.

A. 16 units B. 42 units C. 26 units D. 32 units

Correct Answer is B

Explanation

A. Preparing only 16 units would mean administering just the regular insulin and not the NPH insulin, which is also prescribed.
B. The total number of insulin units is calculated by adding the units of regular insulin (16 units) and NPH insulin (26 units), resulting in 42 units to be administered together.
C. Preparing only 26 units would mean administering only the NPH insulin and not the regular insulin, which is not appropriate.
D. Preparing 32 units is incorrect as it does not accurately reflect the sum of both insulin types prescribed.

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The health care provider suspects the Somogyi effect in a 66-yr-old patient whose 2:00 AM blood glucose is 66 mg/dL. Which action will the nurse teach the patient to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Before the client starts taking phenazopyridine hydrochloride (Pyridium), she should be taught about which of the drugs side effects?

Correct Answer is D

Explanation

A nurse is caring for a client who has diabetes and a new prescription for 16 units of regular insulin and 26 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?

Correct Answer is B

Explanation

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The health care provider suspects the Somogyi effect in a 66-yr-old patient whose 2:00 AM blood glucose is 66 mg/dL. Which action will the nurse teach the patient to take?

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