The nurse is caring for a client with type 1 diabetes mellitus who reports experiencing diaphoresis and shakiness in the early morning hours. The nurse should expect which change in the client's treatment plan?

Scheduling of an oral glusoce tolerance test (OGTT).

An insulin pump to better control the client's blood glucose.

The evening dose of NPH insulin will need to be decreased.

Glucose levels will be tested at bedtime, 0300, and upon awakening.

Answer and Explanation

The Correct Answer is C

A. An OGTT is not directly related to the symptoms of hypoglycemia experienced in the early morning.

B. An insulin pump is a possible treatment but is not the immediate change needed for managing hypoglycemia.

C. Diaphoresis and shakiness in the morning suggest possible nocturnal hypoglycemia, which may require a decrease in the evening dose of NPH insulin to prevent such episodes.

D. Testing glucose levels at multiple times can be part of managing diabetes but does not address the immediate need for adjustment in insulin dosing.

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Correct Answer is ["A","B","E"]

Explanation

A. Drink between 8 to 10 cups (1.9 to 2.4 liters) of fluids daily: Staying well-hydrated is important for overall health and can help manage blood sugar levels. Adequate fluid intake also supports kidney function and helps flush excess glucose from the body.

B. Avoid foods high in refined sugars: Foods high in refined sugars can cause rapid spikes in blood glucose levels. Avoiding these foods helps maintain better blood sugar control and prevents hyperglycemia.

C. Eliminate the bedtime snack if heartburn develops after eating: While avoiding bedtime snacks may help with heartburn, it is essential to manage blood sugar levels effectively. A bedtime snack may be necessary for maintaining stable glucose levels overnight, and alternatives or adjustments should be considered.

D. Increase the percentage of protein in the diet if anemia develops: While protein is important, increasing it solely to address anemia may not be the best approach. Anemia requires a balanced diet with adequate iron and other nutrients. Specific dietary recommendations should be tailored based on comprehensive assessment and guidance from a healthcare provider.

E. Choose complex carbohydrates that are high in fiber content: Complex carbohydrates, especially those high in fiber, are digested more slowly and have a more gradual effect on blood sugar levels. Fiber helps with glucose control and provides sustained energy.

A. An adult client in remission after a series of chemotherapy treatments who is receiving intramuscular iron injections for anemia. B. A young adult client who is experiencing fatigue while undergoing a series of external beam radiation treatments for stage I cancer. C. An elderly female client with cancer whose children who are trying to decide whether to change to palliative care measures or continue disease control. D. A middle-aged male client who has just undergone an excisional biopsy and has been told that his tumor appears to be benign.

Correct Answer is C

Explanation

A. The administration of intramuscular injections can be handled by a practical nurse.

B. Fatigue management and monitoring during radiation treatments can also be managed by a practical nurse.

C. The decision to switch to palliative care involves complex conversations and ethical considerations, requiring the assessment and intervention skills of an RN.

D. Post-biopsy care and monitoring, especially with a benign diagnosis, can be managed by a practical nurse.

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The nurse is caring for a client with type 1 diabetes mellitus who reports experiencing diaphoresis and shakiness in the early morning hours. The nurse should expect which change in the client's treatment plan?

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Naxlex Comprehensive Predictor Exams

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Explanation

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