A client with diabetes has a blood glucose level of 480 mg/dL and is experiencing weakness and confusion. Which information would be helpful to identify the reason for the client's symptoms?
a. Drank a bottle of beer last night before bed
b. Skipped breakfast because of being late for work
c. Takes insulin as prescribed and follows a healthy diet
d. Has not taken insulin for the past four days because of a flu-like illness
d. Has not taken insulin for the past four days because of a flu-like illness
Illness is the most likely cause of hyperglycemic episodes among clients with usual good glucose control. Not taking insulin as prescribed for 4 days will cause the blood glucose level to raise dangerously high. Although alcohol in excess may result in a hypoglycemia episode, one bottle of beer would not be considered excessive even for a diabetic client. Skipping meals after taking insulin could result in a hypoglycemia episode. The fact that the client always takes his insulin as prescribed and follows a healthy diet does not provide any clues for the current condition.
You might also like to view...
Allergy shots, which are injections with an allergen solution, makes use of the theory of
a. naturopathy. b. homeopathy. c. chiropractic. d. shiatsu.
A nurse is assessing a patient who is receiving a nitroprusside (Nipride) infusion to treat cardiogenic shock. Which finding indicates that the medication is effective?
a. No new heart murmurs b. Decreased troponin level c. Warm, pink, and dry skin d. Blood pressure 92/40 mm Hg
Under the direction of the nurse, a nursing assistant may escort patients to procedures
Indicate whether the statement is true or false.
The patient is a 5-day-old newborn who weighs 7 lb 3 oz. Ordered: Nebcin 4 mg IM q12h. Refer to information from package insert. If this is a safe dose, calculate the amount to administer: ________ If it is not a safe dose, write: not safe. 
Fill in the blank(s) with the appropriate word(s).