The nurse suspects the

diabetic patient may be

having a hypoglycemic

reaction when what

manifestation is assessed?

A) Dry, flaky skin

B) Diaphoresis

C) Flushing of the face

D) Fruity breath

Ans: B

Feedback:

Diaphoresis and cool clammy skin are signs of

hypoglycemia. A fruity breath is seen with

ketoacidosis. Flushing of the face is associated

with hyperglycemia.- on test

A patient is admitted to the

emergency department in

diabetic ketoacidosis (DKA)

with a blood glucose level of

485 mg/dL. The physician

orders an initial dose of 25 U

insulin IV. Which type of

insulin will be administered?

A) NPH insulin

B) lantus insulin

C) levenir insulin

D) Regular insulin

Ans: D

Feedback:

Regular insulin is a short-acting insulin that

manages the hyperglycemia and hyperkalemia

resulting from DKA, which is a life-threatening

complication that occurs with severe insulin

deficiency. Furthermore, only regular insulin can

be given IV and is the drug of choice in

emergency situations. Humulin N, Humulin L, and

NPH are intermediate-acting forms