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 C

Explanation

A. Monitoring oxygen saturation is important but secondary to addressing the immediate cause of the cardiac tamponade.

B. Observing for jugular vein distention is relevant but not the priority compared to directly addressing the tamponade.

C. Notifying the healthcare provider to prepare for pericardiocentesis is the most critical intervention. Cardiac tamponade requires immediate decompression to relieve pressure on the heart and restore normal function.

D. Assessing for paradoxical blood pressure can provide additional information but does not address the immediate need for intervention.

A. "The mask should cover only the mouth and leave the nose open for expiration." B. "I can adjust the oxygen level on the flowmeter to keep the client's oxygen saturation greater than 94%." C. "I should put gauze under the elastic straps over the ears." D. "The client should take a 1 to 2-minute break from the Face mask each hour.” E. "I should clean the face mask once per shift." F. "I should place the mask first over the nose and then cover the mouth."

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"}}

Explanation

The mask should cover both the nose and mouth to ensure effective oxygen delivery and prevent air leaks.

The oxygen flowmeter should be adjusted to maintain the client’s oxygen saturation within the target range.

Placing gauze under the straps can help prevent skin irritation from prolonged use of the mask.

Continuous mask use is usually necessary for effective oxygen therapy. Breaks are generally not recommended unless instructed by a healthcare provider.

Face masks should be cleaned more frequently, typically after every shift or as needed, to maintain hygiene and prevent infection.

The mask should be placed over both the nose and mouth simultaneously to ensure proper fit and effective oxygen delivery.

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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

A client with heart failure (HF) develops cardiac tamponade. The client has muffled, distant heart sounds, and is anxious and restless. After Initiating oxygen therapy and IV hydration, which intervention is most important for the nurse to implement?

Correct Answer is C

Explanation

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"}}

Explanation

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