 Show Detailed Answer Key Endocrine 3 1.A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? A. "I will carry a complex carbohydrate snack with me when I exercise." Rationale:The nurse should reinforce that the client should carry a simple carbohydrate such as hard candy or glucose tablets for use during exercise if the client becomes hypoglycemic. B. "I should exercise first thing in the morning before eating breakfast." Rationale:The nurse should reinforce that exercise should follow a meal. Exercising first thing in the morning on an empty stomach places the client at risk for hypoglycemia. C. "I should avoid injecting insulin into my thigh if I am going to go running." Rationale:The nurse should reinforce that the client should avoid injecting insulin into an area that will soon be exercised to avoid increasing the absorption rate of the insulin. D. "I will increase the intensity of my exercise routine if my urine is positive for ketones." Rationale:The nurse should reinforce that exercise should be avoided if ketones are present in the urine as this indicates an elevated blood glucose level or ketoacidosis. 2.A nurse is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should the nurse expect to observe? (Select all that apply.) A. Buffalo hump B. Purple striations C. Moon face D. Tremors E. Obese extremities Rationale:Buffalo hump is correct. Cushing's syndrome is a disease caused by an increased production of cortisol or by excessive use of corticosteroids. Buffalo hump, a collection of fat between the shoulders, is a common manifestation of Cushing's syndrome. Purple striations is correct. Purple striations on the skin of the abdomen, thighs, and breasts are a common manifestation of Cushing's syndrome. This is due to the collection of body fat in these areas. Moon face is correct. Moon face is a common manifestation of Cushing's syndrome. Clients who have this manifestation present with a round, red, full face. Tremors is incorrect. Tremors are not a common finding of Cushing's syndrome. Obese extremities is incorrect. Clients who have Cushing's syndrome have truncal obesity, a protuberant abdomen, with thin extremities, which is due to an alteration in protein metabolism. Created on:03/31/2021Page 1 53. A nurse is caring for a client who is 4 hr postoperative following an open reductioninternal fixation of the right ankle. Which of the following assessment findings should thenurse report to the provider? Get answer to your question and much more 54. A nurse is assessing a client who is postoperative following a thyroidectomy. Which ofthe following findings is the nurse's priority? Get answer to your question and much more 55. A nurse is teaching a client about osteoporosis prevention. The nurse should instruct theclient that which of the following medications can increase their risk for developingosteoporosis? Get answer to your question and much more 56. A nurse is providing education to a client who is at risk for osteoporosis. Which of thefollowing instructions should the nurse include? Get answer to your question and much more 57. A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of thefollowing findings should indicate to the nurse the client is experiencing hypoxia? Get answer to your question and much more 58. A nurse is assessing a client's hydration status. Which of the following findings indicatesfluid volume overload? Get answer to your question and much more 59. A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylacticreaction. After ensuring a patent airway, which of the following nursing interventions isthe priority? Get answer to your question and much more 60. A nurse is providing teaching to a client who has asthma about the use of a metered-doseinhaler. The nurse should identify that which of the following client actions indicates anunderstanding of the teaching? Get answer to your question and much more What is the Somogyi effect?If the blood sugar level drops too low in the early morning hours, hormones (such as growth hormone, cortisol, and catecholamines) are released. These help reverse the low blood sugar level but may lead to blood sugar levels that are higher than normal in the morning.
What is the definition of Somogyi?Medical Definition of Somogyi effect
: hyperglycemia following an episode of hypoglycemia especially : hyperglycemia that occurs after breakfast following nocturnal hypoglycemia and that may occur in type 1 diabetes especially when too much insulin has been taken the day before.
Does the Somogyi effect mean you have diabetes?The Somogyi effect leads to high blood glucose levels in people with diabetes. It happens when low blood sugar triggers a rebound effect, leading to high blood sugar.
How to differentiate between Somogyi effect and dawn phenomenon?How can you tell the difference?. If the blood sugar level is low at 2 a.m. to 3 a.m., suspect the Somogyi effect.. If the blood sugar level is normal or high at 2 a.m. to 3 a.m., it's likely the dawn phenomenon.. |
A nurse is assisting with the plan of care for a client who is experiencing the Somogyi effect
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