Which complication of insulin therapy is characterized by a rapid decrease in serum glucose, usually at night, causing the release of glucose-elevating hormones and an elevated glucose level in the morning, which may be inadvertently treated with an

increased insulin dose? a. dawn phenomenon c. lipodystrophy
b. insulin resistance d. Somogyi phenome-non


D
The Somogyi phenomenon occurs when a rapid decrease in serum glucose, usually at night, causes the release of glucose-elevating hormones and an elevated glucose level in the morning. Adjusting insulin dosing to avoid the peaking of insulin during the night will correct this effect.

Nursing

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A patient is receiving massage for chronic back pain. The nurse should explain to the patient that the massage therapy provides comfort by:

A) Stimulating the non-pain receptors B) Providing distraction from the pain C) Helping to reduce inflammation in the tissues D) Producing muscle relaxation

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In caring for a dying patient who is grieving, a nurse bases patient care on the theory that grief is helpful and assists the person in accepting the reality of death. What is this type of grief is called?

a. Dysfunctional b. Unresolved c. Uncomplicated d. Maladaptive

Nursing

The nurse understands that which statements regarding BP and the BP requirement are true? SELECT ALL THAT APPLY

a. The highest pressure is the systolic pressure; the lowest pressure is the diastolic pressure b. The pt should be in a comfortable lying or sitting position when taking the blood pressure c. Maximum BP is created in the arteries when the right ventricle pushes blood into the aorta d. The difference between systolic pressure and diastolic pressure is known as pulse deficit e. The point on the gauge where the 1st faint but clear sound appears is known as diastolic pressure

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According to the text, which of the following is NOT a principal route of drug administration?

A. absorption through skin membranes B. Injection C. Inhalation D. biotransformation

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