Your patient was placed on NPO status last night at midnight in anticipation of having surgery today at 0700. The start of surgery was delayed until 1500 today, and your patient just returned from the OR. The wife of the patient calls you to the room and says her husband is hungry. When you talk to the patient you notice he is sweating and when you feel his pulse is tachycardic. What is MOST likely the cause?
DVT
Hypoglycemia
Hyperglycemia
Delayed anxiety
The Correct Answer is B
A. Symptoms of DVT typically include pain, swelling, and redness in the affected leg, not sweating and tachycardia.
B. Given the patient's NPO status since midnight, the prolonged fasting coupled with the stress of surgery can lead to low blood sugar. Symptoms of hypoglycemia include sweating, tachycardia, and hunger.
C. Symptoms of hyperglycemia usually include increased thirst, frequent urination, and fatigue, not sweating and tachycardia.
D. While anxiety can cause some physical symptoms, sweating and tachycardia are more characteristic of hypoglycemia in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The appendix is involved in the immune system, not glucose storage.
B. The pancreas produces insulin and glucagon, hormones that regulate blood sugar levels, but it's not a major storage site for glucose.
C. The liver is the primary storage site for glucose in the body. It stores glucose in the form of glycogen. When blood sugar levels drop, the liver breaks down glycogen into glucose and releases it into the bloodstream.
D. The bone marrow is responsible for blood cell production and has no role in glucose storage.
Correct Answer is B
Explanation
A. A fasting blood glucose level of 126 mg/dL or higher on two separate occasions indicates diabetes.
B. Levels below 70 mg/dL can indicate hypoglycemia, a condition characterized by abnormally low blood sugar levels.
C. A fasting blood glucose level between 100 and 126 mg/dL indicates prediabetes.
D. To get accurate results, the patient should not eat or drink anything except water for 8 hours before the test.
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