Author Question: A client hospitalized with diabetic ketoacidosis calls the nurse and reports feeling hungry, shaky, ... (Read 34 times)

melina_rosy · **on:** Jun 25, 2018

A client hospitalized with diabetic ketoacidosis calls the nurse and reports feeling hungry, shaky, and anxious. Which action by the nurse is most appropriate?

1. Administer 10 mg glucagon intramuscularly.
2. Give 6 oz of orange juice to drink.
3. Check the client's blood pressure and pulse.
4. Call the lab to draw blood for a glucose level.

Question 2

A client with type 1 diabetes mellitus was admitted to the Emergency Department with an elevated temperature and urinary tract infection. The findings were 31 acetone in the urine and blood glucose of 654 mg/dL.

The nurse recognizes that the client is probably experiencing:

1. a Somogyi reaction.
2. nonketotic hyperosmolar syndrome.
3. hyperinsulinism.
4. diabetic ketoacidosis.

moormoney · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 2

1. Glucagon is given intravenously.
2. An alert client with hypoglycemia should be given an immediate treatment of 15 g of a rapid-acting sugar.
3. Vital signs can be done after the blood glucose is checked.
4. A finger-stick blood sugar can be done at the bedside to check blood sugar, followed by vital signs.

Answer to Question 2

Answer: 4

1. A Somogyi reaction involves a morning rise in blood sugar, precipitated by a nighttime hypoglycemic event.
2. Nonketotic hyperosmolar syndrome is characterized by hyperglycemia, diuresis, and dehydration, but not ketosis.
3. Hyperinsulinism involves insulin resistance by the cells.
4. Diabetic ketoacidosis is characterized by hyperglycemia and ketosis.