The nurse suspects that the patient with type 1 diabetes may be experiencing the Somogyi phenomenon when the patient exhibits:
1. headache on awakening and enuresis.
2. 6 AM blood sugar of 58 and nausea.
3. abdominal pain and blood pressure elevation.
4. drowsiness and disorientation after eating.
1
The Somogyi phenomenon occurs because of a rebound hyperglycemia after a period of hypoglycemia during the early morning. The patient wakes with a headache, enuresis, nausea and vomiting, nightmares, and a high blood sugar level.
PTS: 1 DIF: Cognitive Level: Application REF: 1017
OBJ: 10 TOP: Somogyi Phenomenon
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
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