The home health nurse is assessing a type 1 diabetic patient who has been controlled for 6 months. The nurse is surprised and concerned about a blood glucose reading of 52
This ep-isode of hypoglycemia is probably caused by the patient's having: 1. taken a new form of birth control pill this morning.
2. used large amounts of sugar substitute in her tea this morning.
3. had a 2-hour long exercise class at the spa this morning.
4. underdosed herself with insulin this morning.
3
Excessive exercise used up the glucose that was made available by the insulin taken by the patient. The patient now has too much insulin for the available glucose and has become hy-poglycemic.
PTS: 1 DIF: Cognitive Level: Analysis REF: 1011
OBJ: 5 TOP: Diabetes—Treatment
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
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