Test 3: diabetes quizzes, extra studying
A nurse is assessing a client who has type 1 diabetes mellitus and finds the client lying in bed, sweating, and reporting feeling anxious. Which of the following complications should the nurse suspect? a. hypoglycemia b. Nephropathy c. Hyperglycemia d. Ketoacidosis
A
A nurse is teaching a client who is taking metformin XR for type II diabetes mellitus. Which of the following instructions should the nurse include in the teaching? a. "Take the medication with a meal." b. "You may crush or chew the medication." c. "This medication may cause an increase in perspiration." d. "This medication may turn your urine orange."
A
The nurse is reviewing provider's orders for a patient admitted with type 2 diabetes. Which of the following orders would the nurse question? a. Give glargine (Lantus) insulin at bedtime b. Give Novolog insulin SQ 5 units at bedtime c. Give Novolog insulin SQ with meals d. Administer Novolog according to the sliding scale
B
A nurse is teaching a client who has diabetes mellitus about the manifestations of hypoglycemia. Which one of the following statements by the client indicates an understanding of the teaching? a. "I will feel shaky" b. "I will be more thirsty than usual" c. "My skin will be warm and moist" d. "My appetite will be decreased"
a
The nurse is caring for a patient with Type 2 Diabetes who was just prescribed acarbose (Precose). Which of the following instructions should be included in the client education? a. "You need to take this pill when you take your first bite of the meal." b. "This medication may cause hypoglycemia in the middle of the night." c. "Take this medication regardless of whether or not you eat a meal." d. "This medication will reduce your blood sugar by excreting glucose in your urine."
a
a nurse working for a home health agency is teaching a pt who has diabetes mellitus about disease management. which of the following glycosylated hb (HbA1c) values should the nurse include in the teaching plan as an indicator that the pt is appropriately controlling his glucose levels? a. 6.3% b. 7.8% c. 8.5% d. 10%
a
a nurse is taking care of a pt with type 2 diabetes. the nurse knows that diabetes is the leading cause of which of the following: SATA a. nephropathy b. retinopathy c. non-traumatic lower limb amputations d. stroke e. heart disease
a, b, c
what dietary components have altered metabolism with diabetes mellitus? SATA a. carbs (glucose) b. proteins (amino acids) c. lipids (fatty acids) d. insoluble fiber e. soluble fiber
a, b, c
the following are characteristics of type 2 diabetes: SATA a. hyperinsulinemia w eventual decreased insulin production b. insulin resistance c. absent insulin production d. hyperglycemia e. over nutrition f. low body wt
a, b, d, e
causes of hyperglycemia are: SATA a. not enough insulin b. illness c. too much insulin d. emotional stress e. incr carb intake f. corticosteroids g. infection
a, b, d, e, f, g
A client who has Type 2 diabetes mellitus asks the nurse, "Why did I develop diabetes?" Which of the following responses should the nurse make? a. "Your body is destroying the cells that secrete insulin" b. "Your body has insulin resistance and decreased insulin secretion" c. "An infection in your pancreas destroyed the cells that make insulin" d. "Your kidneys are not able to reabsorb water which leads to Type 2 Diabetes Mellitus"or
b
Mr. Wu is an 85yr old resident of a nursing home. During a routine physical exam, his fasting blood glucose shows a bg of 130mg/dl. do you think he should have an OGTT? a. yes b. no
b
A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? SELECT ALL THAT APPLY a. Polyuria b. Blurred vision c. Polydipsia d. Tachycardia e. Moist, clammy skin
b, d, e
The nurse is caring for a client, diagnosed with type 2 diabetes 10 years ago, who has had difficulty losing weight and maintaining a normal blood sugar. The provider has ordered a GLP-1 receptor agonist, liraglutide (Victoza). Which of the following would be correct information for the nurse to teach the client? SELECT ALL THAT APPLY a. "This medication has the potential to help maintain heart health" b. "This medication may cause nausea and diarrhea" c. "This medication will make you feel fuller when you eat because it slows down your digestion" d. "You may have a decrease in food intake when you take this medication" e. "You will inject this medication in your fatty tissue twice a day"
b, d, e
A female patient presents to the provider's office reporting chronic fatigue, polydipsia, polyphagia, and polyuria. She has had recurrent vaginal yeast infections that she treated at home with over-the-counter medications. She has a history of gestational diabetes. Which of the following laboratory test results confirm diabetes? SELECT ALL THAT APPLY a. HDL 32 mg/dL b. Fasting glucose of 184 mg/dL c. Two HgbA1C results of above 8.8% d. Oral Glucose Tolerance Test level of 157 mg/dL using a glucose load of 75 gm
c
A nurse is caring for a client who has uncontrolled type 1 diabetes mellitus. Which of the following findings should the nurse expect? a. Hypertension b. Hematuria c. Weight loss d. Bradycardia
c
A nurse is teaching a client who has a new diagnosis of Type 1 diabetes mellitus about self-administration of insulin. Which of the following instructions should the nurse include? a. "Use each syringe up to two times." b. "Massage the injection site after removing the needle." c. "Store the current bottle of insulin at room temperature." d. "Pull back on the plunger after injecting the insulin."
c
the following are characteristics of type 1 diabetes: SATA a. hyperinsulinemia w eventual decreased insulin production b. insulin resistance c. absent insulin production d. hyperglycemia e. over nutrition f. low body wt
c, d, f
A nurse is caring for a client who has been unable to maintain normal blood glucose levels with exercise and diet. The provider has prescribed Metformin (Glucophage). What information should the nurse include in client teaching? a. "This medication will help the liver convert glycogen stores to glucose for energy" b. "This medication helps increase insulin resistance which will lower your blood glucose" c. "This medication increases the absorption of glucose in the GI tract" d. "This medication helps lower the liver's production of glucose"
d
