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

Nursing

You might also like to view...

A gastroenterologist is teaching a group of medical students about the enteric nervous system in preparation for a consult on client who has suffered a spinal cord injury. Which of the physician's teaching points is most accurate?

A) "The myenteric plexus is responsible for controlling the function of each segment of the intestinal tract." B) "The enteric nervous system is made up of the myenteric and submucosal plexuses; these are located in the wall of the GI tract." C) "Sympathetic innervation of much of the GI tract occurs by way of the vagus nerve." D) "Parasympathetic stimulation blocks the release of the excitatory neuromediators and inhibits GI motility."

Nursing

The nursing instructor is teaching the Level 1 nursing students the proper way to instill eye drops in a patient's eye

How long would the instructor teach the students to wait between successive eye drops in the same eye to achieve adequate eye drop drug retention and absorption? A) 30 seconds B) 1 minute C) 3 minutes D) 5 minutes

Nursing

A patient who has been taking methyldopa (Aldomet) for a year calls the clinic to report, "My eyes look yellow." A nurse should instruct the patient to do which of the following?

a. Keep taking the drug, the discoloration will fade. b. Come in to have blood work done as soon as possible. c. Discontinue the medication until the next appointment in 6 weeks. d. Stop the medication, because it may be causing kidney damage.

Nursing

An older adult patient reports burning and itching eyes. On assessment, the nurse notes swelling of the eyelid margins bilaterally. What additional data are necessary to confirm the nurse's sus-picion of blepharitis?

a. The patient reports visual disturbances such as rainbow halos. b. The eyelids are reddened from seborrhea. c. The patient is being treated with anticoa-gulants. d. Small corneal hemorrhages are present.

Nursing