Author Question: A client with diabetes asks the nurse why his blood glucose level is higher on days when he sleeps ... (Read 39 times)

natalie2426 · **on:** Jul 23, 2018

A client with diabetes asks the nurse why his blood glucose level is higher on days when he sleeps less. What should the nurse explain to the client?

1. During sleep, the hormone cortisol is inhibited. If sleep is interrupted, cortisol levels will remain elevated, impacting blood glucose.
2. Because the client is awake more, it is likely the client is eating more, which is impacting the blood glucose level.
3. There is no relationship between sleep and blood glucose levels.
4. The body needs cortisol for the extra energy created by the lack of sleep.

Question 2

A hospitalized client is being woken up every hour during the night for care and procedures. The nurse realizes that the lack of sleep can have which physiological effect?

1. Decrease urine output.
2. Increase thirst.
3. Increase susceptibility to infection.
4. Decrease heart rate.

JaynaD87 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: The cortisol level falls during sleep. With waking, the cortisol level peaks. If the client with diabetes is not getting sufficient rest, the cortisol level will stay elevated, which will impact the control of blood glucose.
Rationale 2: The nurse has no way of knowing what the client is ingesting that would impact blood glucose level and sleep.
Rationale 3: There is a relationship between sleep and blood glucose levels.
Rationale 4: The body does not use cortisol for energy.

Answer to Question 2

Correct Answer: 3
Rationale 1: The loss of NREM sleep does not impact urine output.
Rationale 2: The loss of NREM sleep does not impact thirst.
Rationale 3: The loss of NREM sleep causes immunosuppression, slows tissue repair, lowers pain tolerance, triggers profound fatigue, and increases susceptibility to infection.
Rationale 4: In NREM sleep, the heart rate decreases. With the loss of NREM sleep, this decrease would not occur.