Glucose regulation

which blood glucose levels would the nurse identify as hypoglycemia? -68mg/dL -78mg/dL -88mg/dL -98mg/dL

68mg/dL

A child with type 1 diabetes is exhibiting deep, rapid respirations; flushed, dry cheeks; abdominal pain with nausea; increased thirst. Which blood pH and glucose level would the nurse expect the laboratory tests to reveal? -7.20 and 60mg/dL -7.50 and 60mg/dL 7.50 and 460 mg/dL 7.20 and 460 mg/dL

7.20 and 460 mg/dL

Which advice will the nurse give the client to avoid lipodystrophy when self-administering insulin therapy? -exercise regularly -rotate injection sites -use the z-track technique -vigorously massage the injection site

rotate injection sites

which hormone would the nurse identify as inhibiting insulin and glucagon secretion? -amylin -somatostatin -triiodothyronine (T3) -pancreatic polypeptide

somatostatin

which mechanism of action explains how glyburide decreases serum glucose levels?

stimulates the pancreas to produce insulin glyburide: sulfonylurea

A client with diabetes presents to the emergency department with a 3-hour history of profound weakness and nervousness. According to the spouse, the client became confused shortly after self-administering the morning dose of 10 units of regular insulin and 25 units of NPG insulin. The client had a light breakfast and no additional intake since that time Which condition would the nurse identify as the likely cause of the client's signs and symptoms? -hyperinsulinemia -hypoglycemia

hypoglycemia

Which complication associated with type 1 diabetes should the nurse include in the teaching plan for parents of a newly diagnosed child? -obesity -ketoacidosis -resistance to treatment -hypersensitivity to other medications

ketoacidosis

A client with type 1 diabetes asks what causes several brown spots on the skin. What would be the BEST response by the nurse

Those brown spots result from small blood vessel damage; the blood contains iron, which leaves a brown spot.

While obtaining the client's health history, which factor would the nurse identify that predisposes the client to type 2 diabetes? -having diabetes insipidus -eating low cholesterol foods -being 20 lbs overweight -drinking a daily alcoholic beverage

being 20lbs overweight

After a surgical thyroidectormy a client exhibits carpopedal spasm and tremors. The client reports tingling in the fingers and around the mouth. The nurse suspects a deficiency in which mineral? -potassium -calcium -magnesium -sodium

calcium

After surgery, total parenteral nutrition is instituted via a central venous infusion. during the fourth hour of the infusion the client complains of nausea, fatigue, and a headache. The hourly during output is twice the amount of the previous hour. After contacting the primary health care provider, which action would the nurse take

check the serum glucose levels

The nurse is teaching an adolescent newly diagnosed with type 1 diabetes about self-care. Which is the primary long-term goal? -maintaining normoglycemia -complying with the diabetic diet -adhering to an exercise program -developing nonstressful lifestyle

maintaining normoglycemia

When obtaining a health history from a client recently diagnosed with type 1 diabetes, the nurse expects the client to report which clinical manifestation? -nervousness -polyuria -nocturia -diaphoresis

polyuria

A client has been placing used insulin needles in a container sealed with heavy-duty tape. Where would the nurse tell the client to dispose of the container? -The local hazardous waste collection site -the regular household trash -the local health department disposal -the environmental protection agency through the mail

the local hazardous waste collection site

a client with T1 DM has a finger stick glucose level of 258 at bedtime. A prescription for sliding scale regular insulin exists. which would the nurse do? -call the health care provider -encourage intake of fluids -administer the insulin as prescribed -give the client 4 ounces of OJ

administer the insulin as prescribed.

Which medication is responsible for neonatal hypoglycemia? -warfarin -simvastatin -tolbutamide -methimazole

tolbutamide oral hypoglycemic agent