The father of an 11-year-old child with type 1 diabetes mellitus ...

[Davideckstein7]

The father of an 11-year-old child with type 1 diabetes mellitus says that the child has frequent nightmares and wakes up in the middle of the night. What could be the cause of the nightmares?
 
  1. The child is experiencing anxiety related to the diabetes.
  2. The child might be experiencing Somogyi phenomenon, which often occurs at night.
  3. The child might be experiencing dawn phenomenon with blood sugar elevations.
  4. The child's nightmares have nothing to do with the diabetes.

Question 2

The client who is self-injecting insulin was advised by the nurse to rotate injection sites because:
 
  1. it reduces the danger of nerve damage and decreases absorption.
  2. it reduces the chance of infection and increases absorption.
  3. insulin can reach all parts of the body and be used more efficiently.
  4. it reduces irritation to the tissues and increases absorption.

[zacnyjessica]

Answer to Question 1

Answer: 2

1. Anxiety is most likely not the cause for the nightmares.
2. 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.
3. Dawn phenomenon is a rise in blood sugar between 5 and 8 a.m.
4. 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.

Answer to Question 2

Answer: 4

1. Nerve damage and infection are not related to rotation.
2. Nerve damage and infection are not related to rotation.
3. Site selection affects rate of absorption; insulin will reach all body parts eventually.
4. If the same injection sites are used repeatedly, lipodystrophy and lipoatrophy of the tissue can result, which will alter insulin absorption.

[Davideckstein7]

TYSM

[Jossy]

Thanks for the timely response, appreciate it