The nurse that which of the following activities/conditions increases complications of hypoglycemia for the individual with type 1 diabetes? (SELECT ALL THAT APPLY)
taking prescribed tamsulosin for benign prostatic hyperplasia
having urinary retention due to bladder atony
jogging for 2 miles (3.2 km)
drinking 3 12 oz. (360 mL) bottles of beer in 2 hours
taking metoprolol XL 50 mg
Correct Answer : C,D,E
A. Tamsulosin primarily affects urinary function and is not directly related to glucose metabolism or insulin action. It does not significantly contribute to hypoglycemic events.
B. While urinary retention can lead to discomfort and potential complications, it does not have a direct impact on blood glucose levels or increase the risk of hypoglycemia. However, if it results in increased stress or medication changes, it could indirectly affect glucose management.
C. Physical activity, such as jogging, can increase the risk of hypoglycemia in individuals with Type 1 diabetes, especially if they do not adjust their insulin or carbohydrate intake accordingly. Exercise can enhance insulin sensitivity and cause blood glucose levels to drop.
D. Alcohol can increase the risk of hypoglycemia, particularly in individuals with diabetes, because it can inhibit gluconeogenesis (the liver's ability to produce glucose). Drinking a significant amount of alcohol, especially without food, can lead to dangerously low blood sugar levels.
E. Metoprolol, a beta-blocker, can mask the symptoms of hypoglycemia (such as increased heart rate and tremors), making it more difficult for the individual to recognize when they are hypoglycemic. This can lead to delayed treatment and increased risk of severe hypoglycemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["37.5"]
Explanation
Drip rate (drops per minute) = (Volume to be infused (mL) x Drop factor) / Time (minutes)
3 hours = 3 * 60 = 180 minutes
Drip rate = (450 mL x 15 drops/mL) / 180 minutes Drip rate = 6750 / 180
Drip rate = 37.5 drops per minute
Therefore, the nurse should regulate the IV at a rate of 37.5 drops per minute.
Correct Answer is A
Explanation
This is the expected peak time for regular insulin. After administration, insulin will generally reach its maximum effectiveness in lowering blood glucose within this timeframe, making it crucial for the client to eat or take carbohydrates to prevent hypoglycemia.
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