The patient comes to the emergency room complaining of abdominal pain.The nurse assesses dry,hot skin,fruity breath,and deep respirations.To which problem should the nurse attribute these findings?

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Abdominal pain with dry,hot skin,fruity breath,and deep respirations is characteristic of ketoacidosis.Manifestations of an insulin reaction,or hypoglycemia,include tremulousness,hunger,headache,pallor,sweating,palpitations,blurred vision,and weakness.Rebound hyperglycemia,or the Somogyi effect,follows a period of hypoglycemia,often during sleep.When hypoglycemia occurs,the body secretes glucagon,epinephrine,growth hormone,and cortisol to counteract the effects of low blood sugar.The patient may report nightmares and night sweats along with morning elevated serum glucose; if the patient increases the insulin dose,it worsens the problem.

The Patient Comes to the Emergency Room Complaining of Abdominal