Diabetes quiz

A nurse is assisting with the plan of care for a client who has hypothyroidism with myxedema. Which of the following interventions should the nurse include in the plan of care?

apply warm blankets

A nurse administers subcutaneous NPH insulin at 0700 to a child who has diabetes. At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication?

0900

A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

I will be more thirsty than usual

A nurse is reinforcing discharge teaching about nutrition with a client who has a new diagnosis of diabetes mellitus. Which of the following statements should be included in the teaching?

Carbohydrates should comprise 45 to 65% of daily caloric intake

A nurse is teaching the parents of a child who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following manifestations should the nurse include in the teaching?

Diaphoresis

A nurse is reinforcing teaching for a client who has type 2 diabetes mellitus and is prescribed glipizide. The client should be taught that glipizide works in which of the following ways?

Glipizide stimulates the pancreas to release adequate insulin.

A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

I should avoid injecting insulin into my thigh if I am going to go running

A nurse is reinforcing teaching with a client who has diabetes about which dietary source should provide the greatest percentage of her calories. Which of the following client statements indicates an understanding of the teaching?

I should eat more calories from complex carbohydrates than anything else

A nurse is reinforcing teaching about self-administration of insulin with a parent of a school-age child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?

I will be sure my child aspirates before injecting the insulin.

A nurse is reinforcing teaching with a client who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?

I will feel shaky

A nurse is reinforcing teaching with a client who has diabetes mellitus and self-administers insulin. The client reports drinking an occasional glass of wine. Which of the following is an appropriate response by the nurse?

It is best for you to drink an occasional glass of wine with a meal."

A nurse is reinforcing teaching with a client who has diabetes mellitus type 1 about sick-day management. Which of the following is the priority action for the nurse to recommend to the client?

Monitor blood glucose levels every 4 hours

A nurse is reinforcing teaching with an adolescent who has type 1 diabetes mellitus. Which of the following instructions should the nurse include in the teaching?

Obtain an influenza vaccine annually.

A nurse is reinforcing teaching with a client who is scheduled for a blood test to measure her thyroid-stimulating hormone (TSH) level. Which of the following statements should the nurse give?

The test determines whether your thyroid gland is overactive, appropriately active, or underactive.

A nurse is contributing to the plan of care for a client who has diabetes insipidus. Which of the following interventions should the nurse include?

administer desmopressin

A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following is a priority for the nurse to monitor during the first 24 hr of care for this client?

airway patency

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.)

blurry vision tachycardia sweating

A nurse in a provider's office is collecting data from a client who has hypothyroidism. Which of the findings should the nurse expect?

bradycardia

A nurse is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should the nurse expect to observe? (Select all that apply.)

buffalo hump purple striations moon face

A nurse is assisting in the plan of care for a client who had a removal of the pituitary gland. Which of the following actions should the nurse include in the plan?

change the nasal drip pad as needed

A nurse is assisting with the plan of care for a client who is 4 hr postoperative from a subtotal thyroidectomy. Which of the following implementations should the nurse recommend?

check for bleeding on the dressing at the back of the client's neck

A nursing is reviewing nutrition therapy with a client who has Cushing's disease. Which of the following dietary modifications should the nurse include in this discussion?

decrease sodium intake

A nurse is collecting data from a client who has diabetes and is overweight. The client tells the nurse that she wants to start an exercise program. Which of the following actions should the nurse take first?

determine the client's usual pattern of activity

A nurse is caring for a client who is at 32 weeks of gestation and has hyperthyroidism. For which of the following clinical findings should the nurse monitor and report to the provider? (Select all that apply.)

fever tachycardia vomiting restlessness

A nurse is assisting with meal planning for a client who has hypothyroidism. The nurse should reinforce with the client that she should increase her daily intake of which of the following nutrients?

fiber

A nurse is assisting with the plan of care for a client who had a subtotal thyroidectomy. In which of the following positions should the nurse plan to place the client?

fowler's position

A nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations should the nurse expect the client to report?

frequent mood changes

A nurse is reinforcing teaching about manifestations of hypoglycemia with an adolescent who has type 1 diabetes mellitus. Which of the following manifestations should the nurse include in the teaching?

headache

A nurse is in a provider's office is collecting data from an older adult client who has type 2 diabetes mellitus. Which of the following findings is a manifestation of hyperglycemia?

history of poor wound healing

A nurse is collecting data from a client who has Cushing's syndrome. Which of the following findings should the nurse expect?

hyperpigmentation

A nurse is assisting with the care of a client who has diabetes insipidus. The nurse should monitor the client for which of the following manifestations?

hypotension

A nurse is caring for a client who is postoperative and has a history Addison's disease. For which of the following manifestations should the nurse monitor?

hypotension

A nurse is reviewing the laboratory report of a client who has hyperparathyroidism. The nurse should expect which of the following findings?

increased magnesium level

A nurse notes that a client's laboratory findings reveal agranulocytosis. The client is taking propylthiouracil to treat hyperthyroidism. The nurse should monitor the client for which of the following?

infection

A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes. Identify the steps the nurse should take when preparing the two insulins. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

inject 20 units of air into NPH inject 10 units of air in to regular withdraw 10 units of NPH withdraw 20 units of regular

A nurse is collecting data from a client. The provider suspects the client may have syndrome of inappropriate antidiuretic hormone (SIADH). When obtaining a medical history, the nurse should ask for additional information about which of the following conditions? (Select all that apply.)

lung cancer seizures

A nurse is caring for a client who has type 1 diabetes mellitus. Which of the following should the nurse recommend to the client as an appropriate sweetener?

nonnutritive sugar substitute

A nurse is collecting data from a client who has hypoparathyroidism. Which of the following findings should the nurse expect?

numbness of the hands

A nurse is caring for a client who has hyperparathyroidism. Based on this diagnosis, the nurse should monitor the client for which of the following complications?

pathologic factures

A nurse is reviewing the laboratory report of a client who has hypoparathyroidism. The nurse should expect which of the following values?

phosphate 5.7

A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on his breath. The nurse should anticipate a prescription for which of the following types of insulin to treat the client?

regular

A nurse is collecting data from a client who has diabetes insipidus. Which of the following findings should the nurse expect?

tachycardia

A nurse is caring for a 9-year-old child who has a new diagnosis of diabetes mellitus and tells the nurse that he is eager to return to school and participate in sports. The mother tells the nurse that she is afraid to let her take part in physical activities at school. Which of the following responses should the nurse make?

tell me more about how you are feeling about your daughter's activities

A nurse is caring for a client who asks about the functions of the thymus, spleen, and lymph nodes. Which of the following responses should the nurse make?

these organs are for immunity

A nurse is reviewing data for a client who has a head injury. Which of the following findings should indicate to the nurse that the client might have diabetes insipidus?

urine output 650

A nurse is reinforcing teaching with a client who has diabetes mellitus about foot care. Which of the following instructions should the nurse include?

wear cotton socks

A nurse in a clinic is caring for a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?

weight gain

A nurse is collecting data from a client who has type 1 diabetes mellitus. Which of the following findings should the nurse expect?

weight loss