The patient comes to the emergency room complaining of abdominal pain. The nurse assesses dry, hot skin, fruity breath, and deep respirations. To which problem should the nurse attribute these findings?
a. An insulin reaction
b. Ketoacidosis
c. Rebound hyperglycemia
d. Hypoglycemia
B
Abdominal pain with dry, hot skin, fruity breath, and deep respirations is characteristic of ketoa-cidosis. Manifestations of an insulin reaction, or hypoglycemia, include tremulousness, hunger, headache, pallor, sweating, palpitations, blurred vision, and weakness. Rebound hyperglycemia, or the Somogyi effect, follows a period of hypoglycemia, often during sleep. When hypoglyce-mia occurs, the body secretes glucagon, epinephrine, growth hormone, and cortisol to counteract the effects of low blood sugar. The patient may report nightmares and night sweats along with morning elevated serum glucose; if the patient increases the insulin dose, it worsens the problem.
You might also like to view...
A male client is visiting his family in the United States and experiences what his family describes as a "breakdown." His family takes him to a stress treatment center at a local mental health clinic
The client is a follower of traditional folk medicine practices and is agitated when he learns that he must see a licensed psychiatrist. Which care providers is this client most likely accustomed to? (Select all that apply.) a. Healers b. Shamans c. Nurse practitioners d. Spiritualists e. Lay unlicensed therapists
A 22-year-old patient calls the clinic and tells the nurse that she has been depressed and is thinking about taking St. John's wort but wants to know if it is safe first
The nurse begins by questioning what other medications the patient takes and would be concerned about a drug-alternative drug interaction if the patient is also taking what type of medication? A) Antihistamines B) Analgesics C) Antibiotics D) Oral contraceptives
The client has an endotracheal tube and is unresponsive to painful stimuli. Which should the nurse implement while providing oral care?
1. Use suction to remove oral secretions. 2. Test the gag reflex with squirts of water. 3. Clean the teeth with a medium toothbrush. 4. Prevent client toothbrush biting with airway.
What occurs when psoralens are exposed to UV light?
1. They inhibit DNA synthesis and arrest abnormal cell growth. 2. They increase cell growth. 3. They increase the size of plaques. 4. They produce a photosensitive reaction.