Chapter 41 NCLEX-Style Review Questions
What statement would be appropriately included in the teaching concerning type 2 diabetes?
"Regular exercise makes your body better able to use the insulin it produces."
The client is scheduled to get a breakfast tray at 07:00. At what time should the client receive a prescribed dose of insulin lispro?
06:45
The stress response triggered by illness will result in the increase secretion of what hormone?
1. growth 2. glucagon 3. cortisol
You are caring for a client taking insulin. You realize that the client is experiencing symptoms of hypoglycemia when he or she displays which of the following symptoms?
1. mental confusion 2. diaphoresis 3. weakness 4. increased pulse rate
A client, being evaluated for diabetes, asks how a blood glucose test is used to diagnose this disease. What is the nurse's best response?
A fasting blood sugar result of 126 mg/dL or more on two separate occasions is diagnostic of diabetes.
A client who began treatment for type 2 diabetes 8 months ago is now meeting with a diabetic nurse for a scheduled follow-up. How can the nurse best assess the client's glycemic control since beginning treatment?
Assess the most recent hemoglobin A1C levels.
A client has refused a scheduled dose of metformin, stating that he/she is worried about inducing hypoglycemia because his/her blood glucose level is currently 66 mg/dL. The nurse should convey what teaching points to the client?
Metformin does not cause hypoglycemia.
A client prescribed metformin is scheduled to undergo diagnostic testing with the administration of parental radiographic contrast media containing iodine. What fact should direct the nurse's plan of care for this client?
Metformin should be discontinued at least 48 hours before and after diagnostic tests that use contrast medias.
What should be the nurse's initial response when a client diagnosed with type 1 diabetes suddenly reports feeling weak, shaky, and dizzy?
Perform a blood sugar analysis.
A client was diagnosed with type 2 diabetes several months ago and has presented for a scheduled follow-up appointment. Which stated behavior most clearly indicates that the client has established effective health maintenance?
The client frequently checks his/her blood glucose levels.
Because of the risks for lactic acidosis, metformin is contraindicated in which of the following clients?
an 82-year-old diagnosed with type 2 diabetes
A client's current condition requires rapid reduction of blood sugar levels. Which of the following types of insulin will have the most rapid onset of action?
insulin lispro
Rosiglitazone is being considered for the treatment of diabetes in an adult male client. Before the initiation of rosiglitazone therapy, the nurse should review what laboratory work recently drawn?
liver enzymes
When considering the management of diabetic ketoacidosis (DKA), what type of insulin can be administered intravenously?
regular
Meglitinides should be administered at what time?
within only a few minutes before eating a meal