The father told the nurse that his 11-year-old child with type 1 diabetes has frequent nightmares and wakes up in the middle of the night. Which of the following is probably the cause of the nightmares?
A)
The child is experiencing anxiety related to the diabetes.
B)
The child's nightmares have nothing to do with the diabetes.
C)
The child may be experiencing Somogyi phenomenon, which often occurs at night.
D)
The child may be experiencing dawn phenomenon with blood sugar elevations.
C
Explanation:
A)
The Somogyi phenomenon involves nighttime episodes of hypoglycemia, which cause tremors, restlessness, and night sweats, followed by a morning rise in blood sugar. They are a likely cause of the nightmares, rather than anxiety. Dawn phenomenon is a rise in blood sugar between 5 and 8 a.m.
Analysis
Assessment
Physiological Integrity: Reduction of Risk Potential
B)
The Somogyi phenomenon involves nighttime episodes of hypoglycemia, which cause tremors, restlessness, and night sweats, followed by a morning rise in blood sugar. They are a likely cause of the nightmares, rather than anxiety. Dawn phenomenon is a rise in blood sugar between 5 and 8 a.m.
Analysis
Assessment
Physiological Integrity: Reduction of Risk Potential
C)
The Somogyi phenomenon involves nighttime episodes of hypoglycemia, which cause tremors, restlessness, and night sweats, followed by a morning rise in blood sugar. They are a likely cause of the nightmares, rather than anxiety. Dawn phenomenon is a rise in blood sugar between 5 and 8 a.m.
Analysis
Assessment
Physiological Integrity: Reduction of Risk Potential
D)
The Somogyi phenomenon involves nighttime episodes of hypoglycemia, which cause tremors, restlessness, and night sweats, followed by a morning rise in blood sugar. They are a likely cause of the nightmares, rather than anxiety. Dawn phenomenon is a rise in blood sugar between 5 and 8 a.m.
Analysis
Assessment
Physiological Integrity: Reduction of Risk Potential
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