Diabetes Review Questions- Adult

Which organ secretes insulin and glucagon for blood glucose homeostasis?

Pancreas

The nurse is caring for a client with hyperglycemia. Which clinical manifestations can the nurse expect to find? Select all that apply.

Polydipsia, lethargy

The nurse is reviewing orders and notes an order of varying doses of short-acting insulin based on blood glucose readings. This is known as what?

Sliding-scale insulin

The nurse is teaching a group about diabetes. Which of the following is most important for the nurse to include in the information?

Use a mirror to look at their feet

he nurse is administering lispro insulin to a client. When should the nurse administer the medication?

When the client is eating

The nurse administers neutral protamine Hagedorn (NPH) insulin to a diabetic client. When should the nurse anticipate a hypoglycemic reaction to occur?

6-12 hours

The nurse is caring for a group of clients. Which client is at highest risk for developing type 2 diabetes?

A hispanic client who is obese and does not exercise

The nurse is caring for a client with hypoglycemia. Which clinical manifestations can the nurse expect to find? Select all that apply.

Irritability, confusion, seizures, tremor

A client presents to the hospital in diabetic ketoacidosis (DKA). Which clinical manifestations can the nurse expect to document?

Kussmaul respirations

The nurse is caring for a client who experienced the Somogyi effect. Which of the following interventions should the nurse implement?

Monitor the blood glucose level between 02:00 and 04:00 a.,.

Which of the following orders would the nurse question in a client with type I diabetes?

Acarbose

A client with type 2 diabetes has a blood glucose level of 260 mg/dL. There is an order for insulin on a sliding scale. Which action should the nurse take?

Administer the insulin as ordered

The nurse is preparing a presentation about exercise for a group of diabetics. Which information should the nurse include in the presentation?

Avoid exercise if ketones are present in blood or urine

The nurse is administering an oral glucose tolerance test (OGTT). Which result indicates diabetes after 2 hours?

Blood glucose level of 220 mg/dl

The nurse is teaching a diabetic client about foot care. Which of the following should the nurse include in the teaching? Select all that apply.

Never go barefoot, cut toenails to natural shape of nail, schedule an exam with a podiatrist annualy

The nurse reviews lab results for a client and notes ketones in the urine. Which condition does the nurse suspect based on these results?

Diabetic ketoacidosis

A client with type 2 diabetes asks the nurse what long-term complications can occur. The nurse will include which of the following complications in the response? Select all that apply.

Diabetic retinopathy, nephropathy, neuropathy, foot problems.

The nurse is caring for a client with diabetes. Which of the following should the nurse report to the health-care provider?

Fever of 101.6

The nurse is caring for a client who develops hypoglycemia. The client has dysphagia. Which of the following should the nurse administer?

Glucagon subcutaneously (SQ)

The nurse is caring for a client with diabetes who has a blood glucose level of 400 mg/dL. The client insists they follow the prescribed treatment plan. Which test will the nurse anticipate being ordered to determine blood glucose results over 3 months?

Glycosylated hemoglobin