A nurse suspects that a patient with type 1 diabetes may be experiencing the Somogyi phenome-non. What symptom supports this suspicion?
a. Headache on awakening and enuresis
b. 6 AM blood sugar of 58 mg/dL and nausea
c. Abdominal pain and elevated blood pres-sure
d. Drowsiness and disorientation after eating
A
The Somogyi phenomenon occurs because of a rebound hyperglycemia after a period of hypog-lycemia during the early morning. The patient wakes with a headache, enuresis, nausea and vo-miting, nightmares, and a high level of blood sugar.
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A woman has just given birth to an infant whose 1-minute Apgar score was 9. Meconium-stained amniotic fluid was noted upon rupture of the membranes. What action by the nurse is most appropriate?
A. Apply oxygen at 0.5 L/minute via face mask. B. Assess and document the infant's 5-minute Apgar score. C. Transfer the neonate to the intensive care unit. D. Vigorously suction the infant's trachea.
A 56-year-old man has been brought to the emergency department by emergency medical services (EMS) and has been diagnosed with a myocardial infarction (MI) based on his presentation and electrocardiogram (ECG)
The patient has been identified as a candidate for percutaneous transluminal coronary angioplasty (PTCA). The nurse who is providing care for this patient should recognize that the extent of cardiac damage will primarily depend on: A) The patient's previous use of antiplatelets and anticoagulants B) The particular risk factors that contributed to the patient's MI C) The duration of oxygen deprivation to the patient's cardiac cells D) The patient's high- and low-density lipoprotein (LDL, HDL) levels prior to MI
The division of nursing wants to ensure that all data collected are accurate and valid. Which strategy would ensure that this goal is met?
A) Standardized terminology B) Tablets C) Bar coding D) Handheld devices
A patient with an eye injury requires an ocular examination to detect the presence of a foreign body. The nurse anticipates that which drug will be used for this examination?
a. Phenylephrine (Neo-Synephrine) b. Fluorescein sodium (AK-Fluor) c. Atropine sulfate (Isopto Atropine) d. Olopatadine (Patanol)