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The nurse is monitoring a client who was diagnosed with Type 1 Diabetes Mellitus and is being treated with NPH and regular insulin. Which manifestations alert the nurse to the presence of a possible hypoglycemic reaction? (SELECT ALL THAT APPLY)

Nervousness

Tremors

Irritability

Anorexia

Hot, dry skin

Muscle cramps

Answer and Explanation

Correct Answer : A,B,C

A. Nervousness:
Explanation: Correct. Nervousness is a common symptom of hypoglycemia.

B. Tremors:
Explanation: Correct. Tremors or shakiness can occur with hypoglycemia.

C. Irritability:
Explanation: Correct. Irritability is one of the signs of hypoglycemia.

D. Anorexia:
Explanation: Anorexia or loss of appetite is a possible symptom of hypoglycemia but not as commonly observed as other symptoms.

E. Hot, dry skin:
Explanation: Hot, dry skin is not typically associated with hypoglycemia. Diaphoresis or sweating is more common.

F. Muscle cramps:
Explanation: Muscle cramps are not typical symptoms of hypoglycemia.

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

Explanation

A. I will inject my insulin by pinching up a large area of skin, and then inserting the needle.
The correct technique for subcutaneous insulin injection involves pinching a small area of skin (creating a skinfold) and inserting the needle at a 90-degree angle. Injecting into a large area might result in inadequate subcutaneous administration.

B. I can mix my regular acting insulin and my Lantus in the same syringe.
Lantus (insulin glargine) is a long-acting insulin that should not be mixed with other insulins. It should be administered separately to maintain its long-acting profile.

C. I can inject my insulin in the same location each time.
This statement is correct. Injecting insulin into the same general area consistently can help with consistent absorption.

D. I can use a needle/syringe more than once since I am the only one using it.
It is not safe to reuse needles or syringes. Single-use needles and syringes should be disposed of properly after each use to prevent infection and other complications.

E. I will discard my used syringes in a hard container, like an empty plastic milk jug.
This statement is correct. Used syringes should be discarded in a puncture-resistant container, and an empty plastic milk jug can serve as a suitable container for disposal.

A. IV administration of 50% dextrose in water B. IV bolus of 5% dextrose in 0.45% NaCI C. Administer 4 oz. clear juice D. Subcutaneous administration of 12 to 15 units of regular insulin

Correct Answer is A

Explanation

A. IV administration of 50% dextrose in water:
This is the correct answer. The client is severely hypoglycemic, and IV administration of 50% dextrose in water is the most rapid way to raise the blood glucose level in an emergency situation.

B. IV bolus of 5% dextrose in 0.45% NaCl:
While this solution contains dextrose, it is not as concentrated as 50% dextrose. In an emergency, a more concentrated solution is needed to rapidly correct severe hypoglycemia.

C. Administer 4 oz. clear juice:
Oral intake may be too slow in this critical situation. IV administration is more appropriate for rapidly raising the blood glucose level.

D. Subcutaneous administration of 12 to 15 units of regular insulin:
This would further lower the blood glucose level and is not appropriate for treating severe hypoglycemia.

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The nurse is monitoring a client who was diagnosed with Type 1 Diabetes Mellitus and is being treated with NPH and regular insulin. Which manifestations alert the nurse to the presence of a possible hypoglycemic reaction? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse instructs the client about the self-administration of insulin. Which statement or statements by the patient indicate a need for further teaching? (SELECT ALL THAT APPLY)

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

Explanation

A client has been brought to the emergency department by paramedics after being found unconscious. The client's Medic Alert bracelet indicates that the client has type 1 diabetes and the client's blood glucose is 22 mg/dL (1.2 mmol/L). The nurse should anticipate what intervention?

Correct Answer is A

Explanation

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The nurse teaches a diabetic client about Sick Day Rules. Which patient statement or statements indicate understanding of the Sick Day Rules? (SELECT ALL THAT APPLY)