Cell Reg (Diabetes)
which is the priority short-term goal when teaching a client with type 1 diabetes who is placed on an insulin pump to control the diabetes? 1. "the client will adhere to the medical regimen" 2. "the client will remain normoglycemic for 3 weeks" 3. "the client will demonstrate correct use of the insulin pump" 4. "the client will list three self-care activities that are necessary to control the diabetes"
3
a child with type 1 diabetes is receiving 15 units of regular insulin and 20 units of NPH insulin at 7:00 am each day. which time would the nurse anticipate a hypoglycemic reaction from the NPH insulin to occur? 1. before noon 2. in the afternoon 3. within 30 minutes 4. during the evening
2
the regulation of type 1 diabetes in an 8 yo child is best attained with a combination of therapeutic modalities in addition tot he administration of insulin. which modalities would the nurse include in the teaching plan? select all that apply 1. dietary control 2. regular exercise 3. urine testing for glucose 4. blood glucose monitoring 5. use of oral hypoglycemic agents
1, 2, 4
which physiological changes would the nurse expect to find in a client with a 20 year history of type 2 diabetes? 1. blurry, spotty, or hazy vision 2. arthritic changes in the hands 3. hyperactive knee and ankle jerk reflexes 4. dependent pallor of the feet and lower legs
1
while obtaining a client's health history, which factor would the nurse identify as predisposing the client to type 2 diabetes? 1. having diabetes insidious 2. eating low-choelstrol foods 3. being 20 pounds overweight 4. drinking a daily alcoholic beverage
3
which instruction from the primary health care provider would the nurse anticipate reinforcing with a client who is on metformin therapy and is scheduled to undergo renal computed tomography (CT) with contrast dye? 1. "discontinue metformin 1 day before the procedure" 2. "discontinue metformin 1 week before the procedure" 3. "discontinue metformin 3 days after the procedure" 4. "discontinue metformin 7 days after the procedure"
1
a client with type 1 diabetes has an above-the-knee amputation because of severe lower extremity arterial disease. two days after surgery, which intervention is appropriate when preparing the client to eat dinner? 1. checking the client's serum glucose level 2. assisting the client out of bed into a chair 3. placing the client in the high-fowler position 4. ensuring the client's residual limb is elevated
1
the nurse develops a teaching plan for a client with diabetes who has been diagnosed with lower extremity arterial disease (LEAD). which measures would the nurse include to increase arterial blood flow to the extremities? 1. exercises that promote muscular activity 2. meticulous care of minor skin breakdown 3. elevation of the legs above the level of the heart 4. soaking the feet in hot water each day
1
the nurse is formulating a teaching plan for a client recently diagnosed with type 2 diabetes. which interventions would the nurse include to decrease the risk of complications? select all that apply 1. examine the feet daily 2. wear well-fitting shoes 3. perform regular exercise 4. powder the feet after showering 5. visit the primary health care provider weekly 6. test bathwater with the toes before bathing
1, 2, 3
the nurse suspects that a client has diabetes mellitus. which statements made by the client help the nurse reach this conclusion? select all that apply 1. "I am 65 years old" 2. "I quite often feel thirsty" 3. "I eat food every 2 hours" 4. "I have excessive sweating" 5. "I sometimes experience shortness of breath"
1, 2, 3
a client with type 1 diabetes for 25 years states, "I have been really bad for the past 15 years. I have not paid attention to my diet and have done little to control my diabetes." which common complications of diabetes might the nurse expect to identify when assessing this client? select all that apply 1. leg ulcers 2. loss of visual acuity 3. thick, yellow toenails 4. increased growth of body hair 5. decreased sensation in the feet
1, 2, 3, 5
which insulin can be administered IV? select all that apply 1. lispro insulin 2. aspart insulin 3. regular insulin 4. glargine insulin 5. glulisine insulin
1, 2, 3, 5
a newly hired nurse is delegated the task of developing a care plan for a diabetic client who just returned from surgery after undergoing amputation of the leg. which task in the care plan in inappropriate according to guidelines? 1. the RN administering antidiabetic medications 2. instructing the licensed practical nurse to monitor vital signs 3. the RN assessing the client's blood glucose levels at regular intervals 4. instructing the LPN to change the dressing at the amputation site
2
when will the nurse monitor for a potential hypoglycemic reaction after administering daily regular insulin to a client with type 1 diabetes at 8 AM? 1. at breakfast 2. before lunch 3. before dinner 4. in the early afternoon
2
which complication associated with type 1 diabetes should the nurse include in the teaching plan for the parent of a newly diagnosed child? 1. obesity 2. ketoacidosis 3. resistance to treatment 4. hypersensitivity to other medications
2
which time range would a nurse teach as the highest risk for hypoglycemia to a client with type 1 diabetes who self-administers neutral protamine Hagedorn (NPH) insulin every morning at 8:00 am? 1. 9:00 am to 10:00 am 2. 10:00 am to 11:00 am 3. noon to 8:00 pm 4. 8:00 pm to midnight
3
which insulin will the nurse prepare for the emergency treatment of ketoacidosis? 1. glargine 2. NPH insulin 3. insulin aspart 4. insulin detemir
3
when determining the main difference between type 1 and type 2 diabetes, the nurse recognizes which laical presentation about type 1? 1. onset of the disease is slow 2. excessive weight is a contributing factor 3. complications are not present at the time of diagnosis 4. treatment involves diet, exercise, and oral medications
3
which adverse effect of metformin will a nurse teach a client with type 2 diabetes to monitor for when used as mono therapy? 1. weight gain 2. constipation 3. lactic acidosis 4. hypoglycemia
3
which eye problem is the leading cause of blindness in clients with diabetes? 1. cataracts 2. glaucoma 3. retinopathy 4. astigmatism
3
while hospitalized, a client with diabetes is observed picking at calluses on the feet. which intervention would the nurse implement immediately? 1. warn the client of the danger of infection 2. suggest that the client wear white cotton socks 3. teach the client the importance of effective foot care 4. check the client's shoes for their fit in the area of the calluses
3
list the actions in order the nurse will perform them when mixing a short-acting and an intermediate-acting insulin in the same syringe. 1. withdraw the prescribed amount of intermediate-acting insulin 2. put air into the short-acting insulin vial 3. put air into the intermediate-acting insulin vial 4. withdraw the prescribed amount of short-acting insulin
3, 2, 4, 1
which factors can predispose a client with type 1 diabetes to a diabetic ketoacidosis coma? select all that apply 1. taking too much insulin 2. getting too much exercise 3. excessive emotional stress 4. running a fever with the flu 5. eating fewer calories than prescribed
3, 4
a client with type 1 diabetes receives Humulin R insulin in the morning. shortly before lunch the nurse identifies that the client is diaphoretic and trembling. which intervention is appropriate? 1. administer insulin to the client 2. give the client lunch immediately 3. encourage the client to drink fluids 4. assess the client's blood glucose level
4
a client with type 2 diabetes travels frequently and asks how to plan meals during trips. which is the best response by the nurse? 1. "you can order diabetic foods on most airlines and in restaurants" 2. "plan your food ahead and carry it with you from home" 3. "monitor your blood glucose level frequently and eat accordingly" 4. "choose the foods you normally do and follow your food plan wherever you are"
4
a client's fasting plasma glucose levels are being evaluated. the nurse identifies that the client is considered to be diabetic if the results are within which range? 1. 40 to 60 2. 80 to 99 3. 100 to 125 4. 126 to 140
4
the nurse educator is providing information about different insulin types. which type of insulin can be safely mixed with regular human insulin in the same syringe? 1. insulin glargine 2. insulin detemir 3. insulin lispro mix 75/25 4. isophane insulin neutral protamine hagedorn (NPH)
4
the nurse is teaching a client about safe insulin administration. which statement made by the client indicates the need for further education? 1. "I should see whether the insulin is expired" 2. "I should keep a daily logbook of times of insulin injections" 3. "I should keep my medication in its original labeled container" 4. "I should administer insulin only if there are any symptoms"
4
which explanation would the nurse give to a 6 yo child about their type 1 diabetes? 1. "diabetes is caused by not having any insulin in your body" 2. "you'll learn how to Gove yourself insulin now that you have diabetes" 3. "diabetes will require you to take insulin shots for the rest of your life" 4. "taking insulin for your diabetes is like getting new batteries for your superhero toys"
4
which is an appropriate teaching goal for a client who is newly diagnosed as having type 2 diabetes? 1. to perform foot care weekly 2. to administer insulin as prescribed 3. to test urine for both sugar and acetone 4. to identify symptoms of hypoglycemia or hyperglycemia
4
which laboratory test would the nurse expect to be prescribed that will reveal the effectiveness of a diabetic regimen for a child with type 1 diabetes? 1. serum glucose 2. glucose tolerance 3. fasting blood glucose 4. glycosylated hemoglobin
4
which response will the nurse provide to a client with type 2 diabetes taking one gylburide tablet daily who asks whether an extra tablet should be taken before exercise? 1. "you will need to decrease how much your are exercising" 2. "an extra pill will help your body use glucose when exercising" 3. "the amount of medication you need to take is not related to exercising" 4. "do not take an extra pill because you may become hypoglycemic when exercising"
4
which information is important for the nurse to include concerning insulin administration when discussing insulin needs with an adolescent with recently diagnosed type 1 diabetes? 1. insulin will be required throughout life 2. insulin may be taken orally until adulthood 3. insulin needs increase with strenuous exercise 4. insulin needs decrease in the presence of an infection
1
which intervention would the nurse prioritize when planning a teaching program for a child who was recently diagnosed with type 1 diabetes? 1. exploring the child's feelings about diabetes 2. explaining how to calculate carbohydrate intake 3. ensuring that the child learns to monitor blood glucose 4. helping the child practice administering insulin injections
1
the nurse is providing instructions about foot care for a client with diabetes mellitus. which would the nurse include in the instructions? select all that apply 1. wear shoes when out of bed 2. soak the feet in warm water daily 3. dry between the toes after bathing 4. remove corns as soon as they appear 5. use a heating pad when the feet feel cold
1, 3
which manifestation would the nurse include when teaching a client about keotacidosis? select all that apply 1. confusion 2. hyperactivity 3. excessive thrust 4. fruity-scented breath 5. decreased urinary output
1, 3, 4
which factor contributes to a client's slow rate of healing? select all that apply 1. diabetes 2. cataract 3. smoking 4. dermatitis 5. alcohol abuse
1, 3, 5
a 9 yo child with type 1 diabetes is prone to having hypoglycemic episodes in the morning. which intervention would be included in the school nurses's plan of care for this child? 1. limiting fluid intake during school hours 2. asking the child each day what was eaten for breakfast 3. considering the presence of diabetes but treating the child the same as the other children 4. checking several times a day for injuries because of participation in the physical education program
2
which response would a nurse give to a client who asks "why can't I take the insulin in pulls instead of taking shots?" during a teaching session about insulin injections? 1. "insulin cannot be manufactured in pill form" 2. "insulin is destroyed by gastric juices, rendering it ineffective" 3. "your health care provider decides the route of administration" 4. "your health care provider will prescribe pills when you are ready"
2
which condition would the nurse identify as the likely cause of profound weakness and nervousness in a client that became confused shortly after self-administering the morning dose of 10 units or regular insulin and 25 units of NPH insulin after a light breakfast with no additional intake in the 3 Horus since that time? 1. hyperglycemia 2. hyperinsulinemia 3. hypoglycemia 4. hypoinsulinemia
3
which information would the nurse base a response on to a patient who asks for guidance regarding who to tell of the diagnosis of diabetes of their child who plays on the soccer team? 1. children with diabetes who participate in active sports can have episodes of hypoglycemia 2. children may have to leave athletic teams if school authorities learn that they have diabetes 3. the school nurse will treat the child if clinical findings of hypoglycemia are recognized early 4. the catch might viol
1
which mechanism of action explains how glyburide decreases serum glucose levels? 1. stimulates the pancreas to produce insulin 2. accelerates the liver's release of stored glycogen 3. increases glucose transport across the cell membrane 4. decreases absorption of glucose from the GI system
1
which information will the nurse include when providing education to the family of an adolescent who was recently diagnosed with type 2 diabetes mellitus? 1. "your teen will need insulin for the rest of her life" 2. "the most important interventions are good nutrition and portion control" 3. "this is a condition where the body produces antibodies against its own cells" 4. "this condition causes weight loss and increased appetite, thirst, and urination"
2
which information would the nurse provide to a client with type 1 diabetes who requests information about the differences between penlike insulin delivery devices and syringes? 1. "the penlike devices have a s shorter injection time" 2. "penlike devices provide a more accurate does delivery" 3. "the penlike delivery system uses a smaller-gauge needle" 4. "penlike devices cost less by having reusable insulin cartridges"
2
a child with type 2 diabetes is scheduled for abdominal surgery. which factors are most important for the nurse to consider during the postoperative period? select all that apply 1. infection will likely occur at the surgical site 2. ketoacidosis frequently occurs later in the postoperative period 3. the blood glucose level will increase because of the stress of surgery 4. urine test results are the most useful gauge of diabetic control after surgery 5. diabetic control is usually maintaine
3, 5
which complication of diabetes would the nurse assess for in a client with a long history of the disease? selecta all that apply 1. leg ulcers 2. loss of visual acuity 3. increased creatinine clearance 4. prolonged capillary refill in the toes 5. decreased sensation in the lower extremities
1, 2, 4, 5
the nurse is educating the client newly diagnosed with type 2 diabetes on oral antidiabetic medications. which instruction would the nurse include in the teaching plan? select all that apply 1. the client should obtain a finger-stick blood glucose reading before each meal 2. the client does not need to follow a specific diet until insulin is required 3. the teaching plan should include signs and symptoms of hypoglycemia 4. the teaching plan should include how to administer regular insulin 5.
1, 3, 5
which information would the nurse include in the teaching plan of an adolescent who is found to have type 1 diabetes? select all that apply 1. insulin therapy 2. prophylactic antibiotics 3. blood glucose monitoring 4. oral hypoglycemic agents 5. adherence to the treatment regimen
1, 3, 5
which information would the nurse include when teaching a type 2 diabetic controlled with oral antidiabetic medications who is prescribed regular insulin when admitted for elective surgery? 1. "you will need a higher serum glucose level while on bed rest" 2. "the stress of surgery may cause hypoglycemia" 3. "with insulin, dosage can be adjusted to your changing needs during recovery from surgery" 4. "the possibility of surgical complications is greater when a client takes oral hypoglycemics"
3
