QUESTION AND 100% VERIFIED
ANSWERS(BRAND NEW).
A nurse is caring for a client who is diabetic and reports a headache,
restlessess, fatigue, and hunger. The nurse should identify that the client is
likely experiencing which of the following conditions?
a. hypoglycemia
b. hyperglycemia
c. neuropathy
d. hypokalemia - CorreCt Answers -A (hypoglycemia complicates from DM
indicating blood glucose less than 70. Can be due to excessive insulin,
exercise or too little food consumed. Manifestations: sweating, tremor,
tachycardia, palpitations, headache, fatigue, nervousness, and hunger)
-hyperglycemia can occur from too little insulin, illness or excessive food
consumption. Manifestations: dehydration, fruity breath, nausea, vomiting,
and warm/moist skin
-hypokalemia occurs from diabetic ketoacidosis. Symptoms: fatigue,
confusion, muscle weakness, hypotension, weak pulse, hypoactive bowel
sounds and shallow respirations
A nurse is teaching about self-monitoring to a client who has type 1 DM.
Which of the following statements by the client indicates an understanding
of the teaching?
a. "I will check my urine once a day for ketones"
, b. "I will notify my provider if pre-meal glucose is 120 mg/dL"
c. "I will check my blood glucose every 4 hours when I am sick"
d. "I will check blood glucose every 5 minutes when lightheaded" - CorreCt
Answers -C (when sick glucose check every 3-4 hrs. Client should consume
40z sugar free/noncaffienated liquid every 30 mins to prevent dehydration
& eat carbohydrates through soft food. Ketones should be checked for--level
should be negative or small)
-ketones checked if have glycosuria, blood glucose greater than 240 after 2
tests and during illness
-target for pre-meal glucose is 70-130 mg/dL
-signs of hypoglycemia such as lightheadedness, hunger or shakiness,
should be treated w/ 15 grams of fast-acting carbohydrates. Checking every
5 minutes wouldn't have carb source time to impact
A nurse is providing teaching to a client who has diabetes mellitus about
carbohydrate intake needs when exercising. Which of the following foods
should the nurse include as containing a 15 g serving of carbohydrates?
a. 2 slices of bread
b. 1 cup sugar-free yogurt
c. 1 cup milk
d. 1 cup regular ice cream - CorreCt Answers -C
-1 slice of bread includes 15 g of carbs
-1/3 cup of sugar free yogurt has 15 g carbs
-1/2 cup of ice cream has 15 g carbs