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 D

Explanation

A. A CBC in the morning is important but not immediately urgent.

B. Advancing the diet is important but should be done after ensuring the patient is stable.

C. Straight catheterization is important if the client cannot void, but it is not necessarily the first priority.

D. Administering cefazolin 1 gram IV every 6 hours is crucial to prevent postoperative infection and should be done first to maintain the schedule and prevent any potential complications.

A. Report any increase the white blood cell count. B. Wear a face mask while performing wound care. C. Instruct the family to adhere to contact precautions. D. Change the surgical dressing readily when soiled.

Correct Answer is D

Explanation

A. While reporting an increase in white blood cell count is important, it is more a sign of infection rather than a direct preventive measure.

B. Wearing a face mask can help prevent respiratory spread but is less critical for MRSA, which is typically spread by direct contact.

C. Instructing the family to adhere to contact precautions is important but not the primary action.

D. Changing the surgical dressing when soiled is crucial to prevent contamination and potential infection of the wound, directly reducing the risk of MRSA recurrence.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is admitting a client from the postanesthesia unit to the postoperative surgical care unit. Which prescription should the nurse implement first?

Correct Answer is D

Explanation

Correct Answer is D

Explanation

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