Insulins

A nurse is reinforcing teaching with a client who is breastfeeding and has pregestational diabetes controlled with insulin. Which of the following instructions should the nurse include

"You have a higher risk for hypoglycemia due to breastfeeding.

A nurse is reinforcing teaching with a client client who is PREGNANT and has type 1 diabetes mellitus

"You should expect to decrease your insulin dosage immediately after you deliver your baby"

a nurse is caring for a client who has type 1 1diabetes mellitus and is resistant to learning self-injection methods. which of the following statements should the nurse provide

"tell me what i can do to help you overcome your fear of giving yourself injections."

A nurse is caring for a client who has been receiving gastrostomy tube feedings and insulin. The client is scheduled to receive a tube feeding at 0700. At which of the following times should the nurse plan to administer insulin lispro subcutaneously?

0645

A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an adolescent client who has type 1 diabetes mellitus. The nurse should anticipate the insulin's onset of action at which of the following times?

0745

A nurse on a pediatric unit receives the laboratory results for several clients. Which of the following results should the nurse report to the provider?

A client who has diabetic ketoacidosis and a blood glucose of 375 mg/dl

A nurse is selecting clients for discharge following an environmental disaster. which of the following clients should the nurse select ?

A client who is 1 day post op following inguinal hernia repair

A school nurse is reinforcing dietary teaching with an adolescent who has type 1 diabetes mellitus. Which of the following responses by the adolescent indicates an understanding of the teaching? (Select all that apply.)

A. "I should eat extra food on busy days when I am more active." C. "I should increase my intake of sugar-free fluids when I am sick." D. "I should eat a snack 30 minutes before my baseball games start."

A nurse is reviewing the laboratory values for a client who has hyperglycemic hyperosmolar nonketotic syndrome (HHNS). The nurse should expect that which of the following laboratory values is consistent with HHNS?

Blood glucose 320mg/Dl

A nurse is caring for a client who is 1 day postpartum following a cesarean birth. Which of the following laboratory findings should the nurse report to the provider ?

Blood glucose 50mg/dL

A nurse is collecting data from an adolescent who takes insulin for the treatment of type 1 diabetes mellitus. The nurse should identify that which of the following findings indicates effective management of the client's diabetes mellitus?

Blood glucose value at bedtime of 140 mg/Dl

nurse is caring for an older adult client who has a new onset of type 2 diabetes mellitus. Which of the following physiological changes contributes to the development of type 2 diabetes?

Decreased sensitivity to circulating insulin

A nurse in the clinic is assessing an older adult client for the second time this week. The client reports a decreased energy level, insomnia, and anorexia. Diagnostic tests are within the expected reference ranges. For which of the following conditions should the nurse screen the client?

Depression

A nurse is reinforcing teaching with a 17 year old client about managing manifestations of polycystic ovary syndrome PCOS. which of the following client statements indicate an understanding of the teaching

Eating more lean meats and vegetables can help me lose weight

A nurse is conducting a home visit with an older adult client who has diabetes mellitus and takes regular insulin subcutaneously before each meal. The client appears disoriented and weak and has slurred speech. Which of the following conditions should the nurse consider first when responding to these manifestations?

Hypoglycemia

nurse is reinforcing teaching with a 13-year-old client who has type 1 diabetes mellitus. Which of the following client statements indicates an understanding of diabetes mellitus management?

I should check my blood glucose levels more often when I am sick.

A nurse in a pediatric clinic is reinforcing teaching with the parent of a school-aged child who has type 1 diabetes mellitus and an upper respiratory infection. Which of the following statements by the parent indicates an understanding of the instructions?

I will check my child's blood glucose lever every 3 hours

A nurse is reinforcing teaching with the parent of a child who has type 1 diabetes mellitus. The nurse is explaining how to manage the child's disorder during an illness such as a cold. Which of the following statements by the parent indicates an understanding of the teaching?

I'll check his blood glucose more often

nurse is caring for a client who has abdominal pain and possibly pancreatitis. Which of the following laboratory results should the nurse identify as an indication of pancreatitis?

Increased serum lipase level

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about a prescription for insulin lispro. Which of the following statements should the nurse include in the teaching?

Insulin lispro has an onset of about 15 minutes

nurse is reinforcing teaching with a group of clients who are pregnant about vitamin K for newborns. Vitamin K helps prevent which of the following conditions in a newborn?

Intracranial hemorrhage

nurse is assisting with a plan for community health screening for a group of clients who are at risk of type 2 diabetes mellitus. Which of the following client groups should the nurse include in the screening?

Men and women who are obese

A nurse is administering a loop diuretic to a client who has 3+ pitting edema in the lower extremities. Which of the following actions should the nurse take?

Monitor the client for ototoxicity

A nurse is assisting with the plan of care for a client who is experiencing the Somogyi effect and takes intermittent-acting insulin. Which of the following actions should the nurse include in the plan?

Monitor the client's nighttime blood glucose levels.

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about the pathophysiology of the disease. Which of the following statements by the client indicates an understanding of the teaching?

My cells are resistant to the effects of insulin

A nurse in a provider's office is reinforcing teaching for a client who has type 2 diabetes mellitus and a new prescription for dulaglutide. Which of the following instructions should the nurse include?

Nausea is an adverse effect that decreases over time

A nurse receives a morning change-of-shift report and delegates several tasks to an assistive personnel (AP) on the team. Which of the following tasks should the nurse instruct the AP to perform first?

Obtain morning capillary blood glucose

A home health nurse enters a client's home and finds a used insulin syringe, without a cap, on the table. Which of the following actions should the nurse take?

Place the syringe in a puncture-proof disposal container.

A nurse is teaching a client who has type 1 diabetes mellitus about a new subcutaneous insulin infusion pump. Which of the following pieces of information should the nurse reinforce in the teaching?

Plan to use a type of short-duration insulin in the infusion pump

A nurse is caring for a client with type 1 diabetes mellitus who has a prescription to administer regular insulin subcutaneously. Which of the following insulin durations should the nurse identify for regular insulin

Short duration, slow acting

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about storing unopened vials of insulin. Which of the following pieces of information should the nurse include in the teaching?

Store the vitals in the refrigerator

A nurse is reinforcing teaching with a client who has diabetes mellitus about a new prescription for pioglitazone. Which of the following statements should the nurse include in the teaching?

The medication can be taken when using insulin

A nurse in a community health clinic is collecting data from a new client who has prescriptions for isoniazid and rifampin. Which of the following disorders should the nurse expect the client to have?

Tuberculosis

a nurse is preparing to administer 10 units of NPH insulin subcutaneously to a client. Which of the following actions should the nurse plan to take?

Use separate syringes for administering insulin glargine and NPH insulin

A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about exercise. Which of the following statements should the nurse include in the teaching?

Wear a medical alert identification tag when you exercise

A nurse is contributing to the plan of care for a client who is scheduled to receive total parenteral nutrition (TP). Which of the following actions should the nurse recommend including in the plan? (Select all that apply.)

Weigh the client daily Obtain a serum blood glucose every 4hours Change the in tubing every 24hours

A nurse is reinforcing teaching with a school-aged child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements should the nurse make?

You can use a vial of insulin for up to 30 days

A nurse is reinforcing teaching about exercise with an adolescent client who has type 1 diabetes mellitus. Which of the following points should the nurse reinforce?

You might need to decrease your routine insulin dosage before exercise

a nurse is caring for a client who has been taking taken metformin for 6 months. Which of the following findings should the nurse identify as an expected therapeutic effect of the medication

decreased blood glucose level

A nurse is reinforcing teaching with an adolescent who was recently diagnosed with type 1 diabetes mellitus. Which of the following insulin injection sites should the nurse recommend that the client use during basketball competitions

hip

A nurse is caring for a client who has type 2 diabetes mellitus and is displaying manifestations of hyperglycemia. Which of the following findings indicate that the client has hyperglycemia?

increased urination

A nurse receives a morning change-of-shift report and delegates several tasks to an assistive personnel (AP) on the team. Which of the following tasks should the nurse instruct the AP to perform first?

obtain the morning capillary blood glucose tests

A nurse is caring for a client who has urolithiasis and requires further diagnostic testing after an initial assessment indicated hypercalcemia. The nurse should explain that which of the following structures controls calcium concentration?

parathyroid gland

A nurse is reviewing the laboratory values of a client who is PREGNANT and has a low progesterone level. Which of the following complications should the nurse expect

preterm labor