A 13 year old male who uses insulin to control his

109
A 13-year-old male who uses insulin to control his type 1 diabetes experiences hunger, lightheadedness,
tachycardia, pallor, headache, and confusion during gym class. The most probable cause of these symptoms is:
a.
Hyperglycemia resulting from incorrect insulin administration
b.
Dawn phenomenon caused by eating a snack before gym class
c.
Hypoglycemia caused by increased exercise
d.
Somogyi effect caused by insulin sensitivity
The boy is experiencing hypoglycemia due to increased glucose utilization with exercise.
The boy is experiencing hypoglycemia, not hyperglycemia.
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C

The boy is experiencing hypoglycemia, not dawn phenomenon, which occurs as an early morning rise in blood
glucose concentration with no hypoglycemia during the night.
The Somogyi effect is a combination of hypoglycemia with rebound hyperglycemia.
110
A 55-year-old female is admitted to the medical unit for complications of long-term, poorly controlled type 2 DM.
Which of the following would the nurse expect to find in addition to elevated glucose?
111
When a staff member asks the nurse what causes the chronic complications of DM such as microvascular and
macrovascular disease, how should the nurse respond? These complications are primarily related to:
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B
112
A nurse checks lab results as both Cushing syndrome and Addison disease can manifest with elevated levels of: