Wellness Final Practice Qs
A client is evaluated for type 1 diabetes. Which client comment correlates best with this disorder? A."I'm thirsty all the time. I just can't get enough to drink." B."I noticed that my urine has a foul odor." C."I have been experiencing nausea and vomiting." D."My skin appears drier than usual."
A."I'm thirsty all the time. I just can't get enough to drink."
The patient diagnosed 10 years ago with Type 2 Diabetes has consistent HgbA1c results of 5.7-6.0 since diagnosis. This patient can expect which of the following? A.Few, if any, complications related to adequate glucose control B.Diabetic retinopathy related to microvascular changes C.Mild, but manageable complications related to sub-optimal glucose control D.Frequent episodes of HHS related to lack of glucose control
A.Few, if any, complications related to adequate glucose control Over 6.5% means you have diabetes
A nurse is assessing a client after a thyroidectomy. The assessment reveals muscle twitching and tingling, along with numbness in the fingers, toes, and mouth area. The nurse should suspect which complication? A.Tetany B.Hemorrhage C.Thyroid storm D.Laryngeal nerve damage
A.Tetany Tetany: A condition that is due usually to low blood calcium (hypocalcemia) and is characterized by spasms of the hands and feet, cramps, spasm of the voice box (larynx), and overactive neurological reflexes. Tetany is generally considered to result from very low calcium levels in the blood.
A client with diabetes is taking insulin lispro injections. The nurse should advise the client to eat: A.Within 15-30 minutes after taking the injection. B.1 hour after the injection. C.At anytime because time of meals with lispro injections I unnecessary. D.Two hours after the injection.
A.Within 15-30 minutes after taking the injection. This type of insulin is fast-acting
The nurse is teaching a client with type 1 diabetes self-administration of insulin. Which statement by the client would be an expected outcome of the teaching session? Select all that apply. A."if I lose weight and control my carbohydrate intake, I can progress to diabetic pills." B."I need to make sure that I eat my meals and snacks on time after I take my insulin." C."If I monitor and control my blood glucose levels carefully, there is less likelihood of suffering long-term complications." D."If I exercise more than is normal, there is a risk that I might become hypoglycemic." E."It is OK for me to skip my insulin dose if I am not eating."
B."I need to make sure that I eat my meals and snacks on time after I take my insulin." C."If I monitor and control my blood glucose levels carefully, there is less likelihood of suffering long-term complications." D."If I exercise more than is normal, there is a risk that I might become hypoglycemic."
The nurse has been assigned to a client who has had diabetes for 10 years. The nurse gives the client's usual dose of regular insulin at 7 a.m. At 10:30 a.m., the client has light-headedness and sweating. The nurse should contact the physician, report the situation, background, and assessment, and recommend intervention for: A) Metabolic acidosis. B) Hyperglycemia. C) Hypoglycemia. D) Ketoacidosis.
C) Hypoglycemia
A Client with diabetes mellitus develops sinusitis and otitis media accompanied by a temperature of 100.8 degrees F (38.2 degrees C). What effect do these findings have on his need for insulin? A.They have no effect. B.They decrease the need for insulin. C.They increase the need for insulin. D.They cause wide fluctuations in the need for insulin.
C. They increase the need for insulin
A client receiving thyroid replacement therapy develops influenza and forgets to take her thyroid replacement medicine. The nurse understand that skipping this medication puts the client at risk for developing which life-threatening complication? A.Myocardial infarction B.Thyroid storm C.Myxedema coma D.Congestive heart failure
C.Myxedema coma
A nurse is preparing to administer insulin to a child who's just been diagnosed with type 1 diabetes. When the child's mother stops the nurse in the hall, she's crying and anxious to talk about her son's condition. The nurse's best response is: A."I can't talk now. I have to give your son his insulin as soon as possible." B.If you'll wait in your son's room, the physician will talk with you as soon as he's free." C."Everything will be just fine. I'll be back I a minute and then we can talk." D.I'm going to give your son some insulin. Then, I'll be happy to talk with you."
D.I'm going to give your son some insulin. Then, I'll be happy to talk with you."
A pt with DM 1 has influenza. The nurse should instruct the pt to: A) increase the frequency of self-monitoring (BG testing) B) reduce food intake to diminish nausea C) discontinue that dose of insulin if unable to eat D) take half of the normal dose of insulin
a. increase the frequency of self monitoring (BG testing) Your doctor may ask you to test your blood sugar more often when you're sick. That's because when your body releases hormones to fight the illness, those hormones can also raise your blood sugar levels and increase how much insulin you need