diabetes exam white

a nurse is caring for a client who just recieved 15 units of NPH insulin (intermediate acting peaks at 7-8 hours) to be administered at 0700. at which of the following times of the day is most appropriate for the nurse to plan to offer a snack?

1500

a nurse is caring for a client who has type 1 diabetes mellitus and observes mild hand tremors which of the following snacks should the nurse offer the client after obtaining a glucometer reading of 60 mg/dl?

4 oz of regular soda

a nurse in the emergency department is assisting with the care of a client who is comatose the provider suspects ketoacidosis which of the following findings should the nurse expect?

acetone odor to breath

a nurse is contributing to the plan of care for a client who has a new diagnosis of type 2 diabetes mellitus which of the following interventions should the nurse include? SATA

assist the client to develop an individualized meal plan offer the client 240 ml (8 oz) of skim milk if the clients skin becomes cool and clammy check the clients blood glucose levels before meals and at bedtime

a nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. the nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia?

blurry vision tachycardia sweating

a nurse is reinforcing teaching for a client who has type 1 diabetes mellitus about foot care which of the following client statements should indicate to the nurse an understanding of the instructions?

check feet daily for bruises and sores

the nurse is caring for a client who has type 1 diabetes mellitus the nurse misread the clients morning fasting blood glucose as 210 mg/dl instead of 120 mg/dl an administered the insulin dose appropriate for readings over 200 mg/dl which of the following actions should the nurse identify as the priority?

check their blood glucose

a nurse is checking the laboratory results for a client who is at risk for diabetes mellitus which of the following laboratory results indicates to the nurse that the client is at risk for diabetes mellitus?

fasting blood glucose of 155 mg/dl

a nurse finds a client who has type 1 diabetes mellitus lying in bed sweating, tachycardic, and reporting feeling light headed and shaky which of the following complications should the nurse expect?

hypoglycemia

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?

i should avoid injecting insulin into my thigh if i am going to go running

a nurse is caring for a client who has recurring kidney stones and a history of diabetes mellitus the client is scheduled for an IVP (dye test) the nurse should collect additional data about which of the following statements made by the client?

i took my metformin before breakfast this morning

the nurse is reinforcing teaching with a client who has type 1 diabetes mellitus which of the following statements from the client indicates to the nurse that the teaching is effective?

inject into abdomen for the most rapid absorption

a nurse is reinforcing teaching about prevention of the long term complications of neuropathy and retinopathy with an older adult patient who has diabetes mellitus which of the following actions is the most important for the nurse to include?

maintain stable blood glucose levels

a nurse is reinforcing teaching with a client who has diabetes mellitus about sick day management which of the following is a priority action for the nurse to recommend to the client?

monitor blood glucose every 4 hours

a nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus which of the following statements by the client indicates an understanding of the teaching?

more thirsty than usual

a nurse is collecting data from a client who has diabetes mellitus which of the following findings indicate that the client is experiencing DKA?

polydipsia this is telling you that their blood sugar is high

symtoms of hyperglycemia

polyphagia polyuria polydipsia

a nurse is discussing the care of a client who has who has type 1 diabetes mellitus with an assistive personnel which of the following situations should the nurse instruct the AP to report immediately?

refuses breakfast and requests to sleep

a nurse is reinforcing teaching with a client who has a family history of type 2 diabetes mellitus the nurse should include which of the following risk factors for developing type 2 diabetes mellitus in the teaching?

sedentary lifestyle because it increases risk for being obese which increases risk for diabetes

a nurse is reinforcing teaching with a client who has diabetes mellitus about the manifestations of hypoglycemia which of the following statements by the client indicates an understanding of the teaching?

shakiness but also increased appetite hands cool and sweaty

a nurse is caring for a client who has capillary blood glucose 48 mg/dl which of the following findings should the nurse expect?

tremors

a nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for lispro and lantis insulins. which of the following statements by the client indicates an understanding of the teaching?

unopened vials kept in the fridge

an adult client newly diagnosed with type 2 diabetes mellitus asks the nurse to explain how he developed the condition. which of the following responses should the nurse make?

your body doesnt process glucose well