Thickening of the basement membrane of the capillaries is responsible for damage to the eyes, kidneys, and fibers, as well as the peripheral circulation. PTS: 1 DIF: Cognitive Level: Comprehension REF: 1004 OBJ: 9 TOP: Complications of Diabetes KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity 24. The nurse suspects that the patient with type 1 diabetes may be experiencing the Somogyi phenomenon when the patient exhibits: 1. headache on awakening and enuresis. 2. 6 blood sugar of 58 and nausea. AM 3. abdominal pain and blood pressure elevation. 4. drowsiness and disorientation after eating. ANS: 1 The Somogyi phenomenon occurs because of a rebound hyperglycemia after a period of hypoglycemia during the early morning. The patient wakes with a headache, enuresis, nausea and vomiting, nightmares, and a high blood sugar level. PTS: 1 DIF: Cognitive Level: Application REF: 1017 OBJ: 10 TOP: Somogyi Phenomenon KEY: Nursing Process Step: Assessment MSC: Physiological Integrity 25. The patient has been admitted with hyperglycemic hyperosmolar nonketotic syndrome (HHNKS). Her blood glucose level is very high (880 mg/dL on admission). The physician believes that her condition is to the result of large amounts of glucose solutions administered intravenously during kidney dialysis. The nurse would anticipate that the patient would exhibit: 1. a fruity breath and high level of ketones in her urine.
Thickening of the basement membrane of the capillaries is responsible for damage to the eyes, kidneys, and fibers, as well as the peripheral circulation. PTS: 1 DIF: Cognitive Level: Comprehension REF: 1004 OBJ: 9 TOP: Complications of Diabetes KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity 24. The nurse suspects that the patient with type 1 diabetes may be experiencing the Somogyi phenomenon when the patient exhibits: 1. headache on awakening and enuresis. 2. 6 AM blood sugar of 58 and nausea. 3. abdominal pain and blood pressure elevation. 4. drowsiness and disorientation after eating. ANS: 1 The Somogyi phenomenon occurs because of a rebound hyperglycemia after a period of hypoglycemia during the early morning. The patient wakes with a headache, enuresis, nausea and vomiting, nightmares, and a high blood sugar level. PTS: 1 DIF: Cognitive Level: Application REF: 1017 OBJ: 10 TOP: Somogyi Phenomenon KEY: Nursing Process Step: Assessment MSC: Physiological Integrity 25. The patient has been admitted with hyperglycemic hyperosmolar nonketotic syndrome (HHNKS). Her blood glucose level is very high (880 mg/dL on admission). The physician believes that her condition is to the result of large amounts of glucose solutions administered intravenously during kidney dialysis. The nurse would anticipate that the patient would exhibit: 1. a fruity breath and high level of ketones in her urine.