diabetes 2

Which lab test is the best indicator of a patient and blood glucose level and or compliance with the DM regimen last three months?

Glycosylated hemoglobin HbA1c

Which individual is at greater risk for developing type two DM?

56-year-old Hispanic woman

Which nursing intervention is the priority want to client's first admitted with hyperglycemic hyperosmolar nonketotic syndrome?

Administering fluid replacement

Which class of antidiabetic medication should be taken with the first bite of a meal to be fully effective?

Alpha glucosidase inhibitors which include miglitol (glyset)

The nurses teaching a patient with diabetes about proper footcare which instructions does the nurse include?Select all that apply

Apply moisturizing cream to the feet after bathing but not between the toes, do not go barefoot, inspect your feet daily

Which class of antidiabetic medication must be held for 48 hours of the patient is having an x-ray with iodinated contrast materials?

Biguanides which includes metformin

A client with type one diabetes has an above-the-knee amputation because of the severe lower extremity arterial disease. What is the nurses primary responsibility two days after surgery when preparing The client to eat dinner?

Checking the client serum glucose level

A nurses caring for two clients newly diagnosed with diabetes. One client has type one diabetes and other client has type two diabetes. The nurse determines that the main difference between the diagnosed type on an type two diabetes is that in type one diabetes.

Complications are not present at the time of diagnosis

Which statement about sexual intercourse for patients with diabetes is true?

Impotance is associated DM male patients

847-year-old patient with a history of type 2 DM & emphysema that reports smoking three packs of cigarettes per day is admitted to the hospital with a diagnosis of acute pneumonia. The patient is placed on the regular oral antidiabetic agents, sliding scale insulin, and antibiotic medications, on day two of hospitalization the healthcare provider orders prednisone therapy, what does the nurse expect the blood glucose to do?

Increase

Which statement about type two DM are accurate? Select all that apply

It peaks at about the age of 50, most people with type two DM Are obese, people with type two DM have insulin resistance, it can be treated with oral antidiabetic medications and insulin

Which factors differentiate DKA from HHS? Select all that apply

Level of hyperglycemia, amount of ketones produced

According to the diabetes control and complication trial study of type one DM patients intensive therapy with good glucose control resulted in delays in which complication? Select all that apply

Macrovascular disease cardiovascular disease retinopathy neuropathy nephropathy

Which class of antidiabetic medication should be given 1 to 30 minutes before a meal?

Meglitinides which include nategladide

Which is considered the earliest sign of diabetic nephropathy?

Microalbuminuria

Early treatment of DKA and HHNS includes IV administration of which fluid?

Normal saline

A client tells the nurse during admission history that an oral hypoglycemic agent is taken daily. For which condition does the nurse conclude that oral hypoglycemic agent may be prescribed by the healthcare provider?

Reduced insulin production

What type of insulin is used in the emergency treatment of DKA and hyperglycemic hyperosmolar nonketotic syndrome?

Regular

Which class of antidiabetic medication is most likely to cause hypoglycemic episode because of the long duration of action?

Sulfonylureas which includes chlorpromadine

A patient with type two DM music controlled with a sulfonylurea develops a UTI, due to the stress of the infection, the pt must be treated with insulin, what additional info does the nurse relay to the pt.?

The insulin is necessary to supplement the sulfonylurea until the infection clears

Which complications of DM are considered emergencies? Select all that apply

Diabetic ketoacidosis, hypoglycemia, hyperglycemic hyperosmolar state

A patient with type two diabetes often has which lab value?

Elevated triglycerides

A nurse is formulating a teaching plan for client recently diagnosed with type two diabetes. What interventions should the nurse include that will decrease the risk of complications select all that apply

Examine the feet daily, wearing well fitted shoes, performing regular exercise

A nurse is assessing client experiencing a diabetic coma. What unique response associated with diabetic coma that is not exhibited with hyperglycemic hyperosmolar nonketotoic syndrome should the nurse identify when assessing this client?

Kussmaul respirations

Which statements about sensory alteration in pts with diabetes are accurate? Select all that apply

Loss of pain pressure and temperature sensation in the foot increases the risk for injury, sensory neuropathy causes loss of normal sweating and skin temperature regulation , it can be delayed by keeping the blood glucose levels as close to normal as possible