Exam 46: Diabetes Mellitus and Hypoglycemia

A patient who has been diagnosed with endogenous hypoglycemia most likely has:

A patient has come into the emergency department accompanied by a friend who states that the patient had been acting very strange and seems confused.The friend states that the patient has diabetes and takes insulin.The nurse assesses for signs of hypoglycemia which are:

The nurse suspects that the patient with type 1 diabetes may be experiencing the Somogyi phenomenon when the patient exhibits:

The nurse assigned to care for a patient with diabetic ketoacidosis (DKA)is aware that this is a life-threatening condition that results in:

The nurse administering Humulin R 20 U at 7 AM is aware that this drug will peak in:

The patient comes to the diabetes clinic and confides to the nurse that she does not follow the diet exchange program that she was given.The nurse responds:

The nurse explains that type 1 diabetes mellitus is a disease in which the body does not produce enough insulin; consequently,the blood glucose is elevated because of the:

Whipple triad,which is the diagnostic criterion for hypoglycemia not associated with diabetes mellitus,is described as follows:

In drawing up a patient's diabetes teaching plan,the nurse needs to include the following:

The patient with type 1 diabetes has an insulin order for NPH insulin,35 U,to be given at 7 AM.The patient has also been instruction not to take anything by mouth (NPO)in preparation for laboratory work that will not be drawn until 10 AM.The nurse should:

The teaching plan for a patient with diabetes is focused on smoking cessation and the control of hypertension for the avoidance of microvascular complications,such as:

The teaching plan for a 22-year-old woman taking rosiglitazone (Avandia)would include a caution relative to:

As part of the teaching plan in preparation for discharge,the patient with type 1 diabetes needs guidelines for exercise.Which one of the following must be included?

The nurse stresses that the patient with type 1 diabetes is at risk for cardiovascular disorders because the lack of insulin causes:

The young patient complains that diabetes is causing her to "have no life at all.It's too hard." The most helpful response is:

The patient has been admitted with hyperglycemic hyperosmolar nonketotic syndrome (HHNS).Her blood glucose level is very high (880 mg/dl)on admission.The physician believes that her condition is the result of large amounts of glucose solutions administered intravenously (IV)during kidney dialysis.The nurse anticipates that the patient would exhibit:

When the patient with type 1 diabetes asks why his 7 AM insulin has been changed from NPH insulin to 70/30 premixed insulin,the nurse explains that 70/30 insulin mixture:

The nurse reminds the patient with type I diabetes to rotate the insulin injection sites to prevent ___________________________.

The self-care goal of the patient with diabetes is to keep the blood sugar level normal.Hyperglycemia occurs when:

The teaching plan for a patient with diabetes for foot care would include that the patient should: