DIABETES TYPE 1

A nurse is caring for a client with diabetes. When reinforcing education for the client about foot care, which instruction should the nurse provide? "Avoid using hot water bottles and heating pads."

"Avoid using hot water bottles and heating pads."

A client with type 1 diabetes mellitus has just learned she's pregnant. The nurse is teaching her about insulin requirements during pregnancy. Which guideline should the nurse provide? "Insulin requirements usually decrease during the first trimester."

"Insulin requirements usually decrease during the first trimester."

The nurse is reinforcing teaching about diabetes mellitus and vascular complications. Which statement made by the client indicates understanding? Select all that apply. "Microvascular complications include neuropathy and retinopathy." "Macrovascular complications include coronary arterial disease, peripheral vascular disease, and cerebrovascular disease."

"Microvascular complications include neuropathy and retinopathy." "Macrovascular complications include coronary arterial disease, peripheral vascular disease, and cerebrovascular disease."

A client, age 59, reports of leg pain brought on by walking several blocks — a symptom that first arose several weeks ago. The client's history includes diabetes mellitus and a two-pack-per-day cigarette habit for the past 42 years. The physician diagnoses intermittent claudication and prescribes pentoxifylline, 400 mg by mouth three times daily with meals. The nurse should provide which instruction concerning long-term care? "Practice meticulous foot care."

"Practice meticulous foot care."

The nurse is preparing to administer short-acting insulin to a child with type 1 diabetes mellitus. When should the nurse measure the child's blood glucose level? 1 hour after administering insulin

1 hour after administering insulin

A client is admitted to the hospital with signs and symptoms of diabetes mellitus. Which findings will the nurse most likely observe in this client? excessive thirst excessive hunger Frequent, high-volume urination

excessive thirst excessive hunger Frequent, high-volume urination

When caring for a client with a diagnosis of type 2 diabetes mellitus, which diagnostic test(s) would the nurse anticipate being performed? Select all that apply. fasting blood glucose glycosylated hemoglobin postprandial glucose

fasting blood glucose glycosylated hemoglobin postprandial glucose

The nurse is reinforcing discharge teaching for a client diagnosed with diabetes mellitus. Which common clinical manifestations should the nurse include? Select all that apply. fatigue vision changes polyuria

fatigue vision changes polyuria

The nurse teaches a diabetic client that diet plays a crucial role in managing diabetes mellitus. When evaluating dietary intake, the nurse knows the client is eating the right foods if total daily caloric intake consists of: 55% to 60% carbohydrate, 30% fat, and 10% to 15% protein.

55% to 60% carbohydrate, 30% fat, and 10% to 15% protein.

The nurse is working with a 2-year-old child who has been admitted with a new diagnosis of diabetes mellitus. Which signs would the nurse expect to observe in the child? Select all that apply. increased appetite weight loss frequent urination

increased appetite weight loss frequent urination

A well 50-year-old client with a history of diabetes mellitus type 2 has gone to the immunization clinic at the local health department. The client reports no known allergies and no immunizations for the last 5 years. Which vaccine would the nurse administer to the client? Select all that apply. influenza vaccine pneumococcal polyvalent vaccine

influenza vaccine pneumococcal polyvalent vaccine

The nurse is assisting with a teaching plan for an obese Hispanic client, age 65, diagnosed with type 2 diabetes mellitus. Which true statements about diabetes mellitus should the nurse include in her plan? Select all that apply. Diabetes mellitus is three times more common in Hispanics than in Blacks or Whites. At least 80% of clients diagnosed with type 2 diabetes are obese.

Diabetes mellitus is three times more common in Hispanics than in Blacks or Whites. At least 80% of clients diagnosed with type 2 diabetes are obese.

A client who has recently been diagnosed with type 1 diabetes receives 30 units of Humulin 70/30 insulin every morning at 7 a.m. before breakfast. What actions should the nurse take prior to administering the insulin? Select all that apply. Have another nurse check and confirm the dosage. Review the morning fasting blood glucose level.

Have another nurse check and confirm the dosage. Review the morning fasting blood glucose level.

A 12-year-old with diabetes mellitus uses a glucometer to test their glucose level before lunch. The child receives a reading of 245 mg/dL (13.6 mmol/L) and notifies the nurse. What should the nurse do next? Select all that apply. Tell the client to administer their regular insulin according to the child's sliding scale. Give the client their lunch tray.

Tell the client to administer their regular insulin according to the child's sliding scale. Give the client their lunch tray.

A client with type 2 diabetes mellitus needs instruction on proper foot care. Which instructions should the nurse include in client teaching? Select all that apply. Wear cotton socks. Apply foot powder after bathing. See a podiatrist regularly to have your feet checked.

Wear cotton socks. Apply foot powder after bathing. See a podiatrist regularly to have your feet checked.

When reviewing the urinalysis report of a client with newly diagnosed diabetes mellitus, the nurse would expect which urine characteristics to be abnormal? Select all that apply. odor Ketone bodies. amount glucose level

amount odor glucose level Ketone bodies.

A client's blood glucose level is 45 mg/dL (2.49 mmol/L). Which signs and symptoms should the nurse be alert for in this client? Select all that apply. anxiety and confusion headache and tremors cool, diaphoretic skin

anxiety and confusion headache and tremors cool, diaphoretic skin

The nurse is reviewing the laboratory values for a client with diabetes mellitus. Which value should the nurse notify the health care provider about? Select all that apply. blood glucose 70 mg/dL serum sodium 130 mEq/L

blood glucose 70 mg/dL serum sodium 130 mEq/L

The nurse is participating in a care planning conference for an adolescent client recently diagnosed with diabetes mellitus type 1. Which characteristics of adolescents does the nurse identify that should be taken into consideration when planning client education and care? Select all that apply. desire to be an individual desire to become independent of parents ability to educate peers about the seriousness of the disease desire to be like peers

desire to be like peers desire to become independent of parents

A nurse taking care of a client diagnosed with diabetes mellitus has checked the client's blood glucose and obtained a reading of 65 mg/dL. Which signs and symptoms, if exhibited by the client, would indicate to the nurse that the blood glucose reading is correct? Select all that apply. nervousness, diaphoresis, and confusion hunger, tachycardia, and changes in speech

nervousness, diaphoresis, and confusion hunger, tachycardia, and changes in speech