Pancreas Gland

Which medication can cause Hyperglycemia?

• Labatolol

• Albuterol

• Spironolactone

• Prednisone

The nurse teaches a client with Diabetes Mellitus about differentiating between Hypoglycemia and Ketoacidosis. The client demonstrates an understanding of the teaching by stating that a form of glucose would be taken if which symptoms develop? SELECT ALL THAT APPLY.

• Polyuria

• Shakiness

• Palpitations

• Blurred Vision

• Light-Headedness

Answer explanation

Shakiness, Palpitations, and light-headedness are signs/symptoms of hypoglycemia and would indicate the need for food or glucose.

Polyuria and blurred vision are manifestations of hyperglycemia.

The nurse performs a physical assessment on a client with type 2 DM. Findings include a fasting blood glucose level of 70 mg/dL, Temperature of 101 F, Pulse of 82 bpm, Respirations of 20 bpm, and Blood Pressure of 118/68 mm Hg. Which Finding would be the PRIORITY concern for the nurse?

• Lack of Knowledge

• Inadequate Fluid Volume

• Compromised Family Coping

• Inadequate Consumptions of Nutrients

Answer explanation

An increase Blood Glucose Level will cause the Kidneys to excrete the glucose in the urine. This glucose is accompanied by fluids and electrolytes, causing an osmotic diuresis leading to dehydration. This fluid loss must be replaced when it becomes severe.

Options 1, 3, and 4 are not related specifically to the information in the question.

Nurse is providing dietary instructions to a client with Hypoglycemia. To control Hypoglycemia episodes, the nurse should recommend the client what type of diet?

• Increase saturated fat intake and fast during the afternoon.

• Increase Intake of Vitamin B and D and take iron supplements.

• Eat a candy bar if light-headedness occurs.

• Consume a low carbohydrate, high protein diet and avoid fasting.

What are the 3 P's expected in a Hyperglycemic client? SELECT ALL THAT APPLY.

• Polyuria

• Pallor

• Polydipsia

• Polyphagia