Unit-4 Adaptive Quizzing - Glucose Regulation

Sodium Bicarbonate

A nurse is reviewing how a hyperglycemic client's blood glucose can be lowered. The nurse recalls that the chemical that buffers the client's excessive acetoacetic acid is what?

Serum Glucose Level

A nurse observes that a client's urine has a sweet fruity odor. Which information is most important to evaluate when performing a further client assessment?

"I should control my blood glucose with diet, exercise, and medication"

A nurse teaches a client with type 2 diabetes how to provide self-care to prevent infections of the feet. Which statement made by the client shows the teaching was effective?

Hirsutism, round face, Buffalo hump

A nurse is assessing a client with Cushing syndrome. Which signs should the nurse expect the client to exhibit?

Telling the adolescent that the prescribed dose of rapid-acting insulin should be administered

At 7:00 AM, a nurse learns that an adolescent with diabetes had a 6:30 AM blood glucose level of 180 mg/dL (10.0 mmol/L). What is the priority nursing action at this time?

"Insulin is destroyed in gastric juices, rendering it ineffective."

During each teaching session about insulin injections, a client asks the nurse, "Why can't I take the insulin in pills instead of taking shots?" What is the nurse's best response?

Rotate injection sites

What should a nurse teach the client to do to avoid lipodystrophy when self-administering insulin therapy?

Polyuria, polydipsia, and polyphagia

When obtaining a health history from a client recently diagnosed with type 1 diabetes, the nurse expects the client to report what clinical manifestations?

Increases blood glucose levels

A nurse is caring for a client newly diagnosed with type 1 diabetes. When the primary healthcare provider tries to regulate this client's insulin regimen, the client experiences episodes of hypoglycemia and hyperglycemia, and 15 grams of simple sugar is prescribed. What is the reason this is administered when a client experiences hypoglycemia?

Stimulates the pancreas to produce insulin

A client newly diagnosed with type 2 diabetes is receiving glyburide and asks the nurse how this drug works. What mechanism of action does the nurse provide?

Take the oral hypoglycemic pill, drink warm fluids, and perform a serum glucose test before meals and at bedtime

A client who is taking an oral hypoglycemic daily for type 2 diabetes develops the flu and is concerned about the need for special care. What should the nurse instruct the client to do?

Ketoacidosis

A client with type 1 diabetes is transported via ambulance to the emergency department of the hospital. The client has dry, hot, flushed skin and a fruity odor to the breath and is having Kussmaul respiration's. Which complication does the nurse suspect that the client is experiencing?

"Excessive aldosterone and cortisone cause retention of sodium and loss of potassium"

A primary healthcare provider prescribes a low-sodium, high-potassium diet for a client with Cushing syndrome. Which explanation should the nurse provide to the client about the need to follow this diet?

Soy-based formula

Which formula is most preferable for a child who has lactose intolerance?

Being 20 pounds (9 kilograms) overweight

While obtaining the client's heath history, which factor does the nurse identify that predisposes the client to type 2 diabetes?