The nurse is providing discharge education about signs and symptoms of hypoglycemia and hyperglycemia. For each sign/symptom, indicate whether it is manifestation of hypoglycemia or hyperglycemia. Select one option in each row.
Tremor
Lethargy
Seizures
Polydipsia
Abdominal pain
Sweating
Polyuria
Hunger
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"},"G":{"answers":"B"},"H":{"answers":"A"}}
Hypoglycemia
Tremor is a common symptom of hypoglycemia, as low blood sugar levels can lead to shaky hands and trembling.
Seizures can occur in severe cases of hypoglycemia when the brain is deprived of glucose, leading to abnormal electrical activity and convulsions.
Sweating, particularly cold and clammy skin, is a common symptom of hypoglycemia as the body responds to low blood sugar levels.
Hunger or sudden feelings of extreme hunger are common symptoms of hypoglycemia as the body seeks additional fuel to raise blood sugar levels.
Hyperglycemia
Lethargy, or extreme fatigue and drowsiness, is more commonly associated with hyperglycemia, as elevated blood sugar levels can affect energy levels and lead to feelings of sluggishness.
Polydipsia is a classic symptom of hyperglycemia, as high blood sugar levels can cause dehydration and trigger the body's thirst response.
Abdominal pain is more commonly associated with hyperglycemia, particularly in conditions like diabetic ketoacidosis (DKA), where abdominal discomfort can be a sign of metabolic disturbances.
Polyuria is a classic symptom of hyperglycemia, as high blood sugar levels can lead to increased urine production as the kidneys work to remove excess glucose from the bloodstream.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
HR: 110 bpm; regular - The heart rate has decreased from 115 bpm and is now regular, suggesting improved cardiac rhythm stability.
RR: 24 breaths/min; rapid, deep - The respiratory rate has decreased from 26 breaths/min, indicating less rapid breathing.
BP: 94/56 mm Hg - While the blood pressure remains relatively low, there is a slight improvement compared to the previous reading.
Glucose 460 mg/dl - The glucose level has decreased from 525 mg/dL and 530 mg/dL in previous readings. While still elevated, this indicates some improvement in hyperglycemia.
Correct Answer is D
Explanation
D. Sucralfate should be taken on an empty stomach, typically 1 hour before meals. This timing allows the medication to coat the ulcer site effectively and protect it from the acidic environment of the stomach, which increases after eating.
A. Taking sucralfate with an antacid can interfere with its action. Sucralfate works by forming a protective barrier on the ulcer site, and antacids can prevent sucralfate from binding properly to the ulcer. It's generally recommended to take sucralfate at least 30 minutes before or after antacids.
B. Sucralfate is not taken on an "as needed" basis for pain relief. It is prescribed as a regular, scheduled medication to provide continuous protection of the ulcer site. Pain relief from peptic ulcers comes as the ulcer heals, which sucralfate aids by protecting the mucosal lining.
C. Sucralfate does not need to be stored in the refrigerator. It should be stored at room temperature, away from moisture and heat, according to standard storage guidelines for most medications.
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