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A nurse is teaching a client about type 2 diabetes mellitus. What information would reduce a client's risk of developing this disease?

maintain weight within normal limits for your body size and muscle mass

A school-age child experiences symptoms of excessive polyphagia, polyuria, and weight loss. The physician diagnoses type 1 diabetes and admits the child to the facility for insulin regulation. The physician orders an insulin regimen of insulin and isophane insulin administered subcutaneously. How soon after administration can the nurse expect the regular insulin to begin to act?

.5 to 1 hour

A nurse is planning care for a client newly diagnosed with diabetes mellitus type 1. Which statement illustrates an appropriate outcome criterion?

The client will correctly demonstrate blood glucose testing prior to discharge.

A client is admitted with a diagnosis of diabetic ketoacidosis. An insulin drip is initiated with 50 units of insulin in 100 ml of normal saline solution administered via an infusion pump set at 10 ml/hour. The nurse determines that the client is receiving how many units of insulin each hour? Record your answer using a whole number.

5

Every morning, a client with type 1 diabetes receives 15 units of Humulin 70/30. What does this type of insulin contain?

70% NPH insulin and 30% regular insulin

A nurse is teaching a new diabetic client to administer insulin. How will the nurse evaluate if the teaching interventions were appropriate?

Observe the client demonstrate an insulin injection and correctly identify the injection site rotation.

A client concerned about being diagnosed with type 2 diabetes tells a nurse, "My parent suffered with diabetes for many years and finally died of kidney failure in spite of treatment. Why should I try if I'm going to go through the same thing?" What is the nurse's most appropriate response?

are you worried that you will have the same experience as your parent?

A nurse is providing dietary instructions to a client with diabetes. What is most important for the nurse to include in teaching for prevention of hypoglycemia?

avoid delaying or skipping meals

When referred to a podiatrist, a client newly diagnosed with diabetes mellitus asks, "Why do you need to check my feet when I'm having a problem with my blood sugar?" The nurse's most helpful response to this statement is

diabetes can affect sensation in your feet and you can hurt yourself without realizing it

A client is coming to the clinic for a follow-up appointment after taking metformin for 9 months. After reviewing the client's HbA1C level of 8.5%, the nurse anticipates what response from the healthcare provider?

order an additional oral antidiabetic agent

After being sick for three days, a client with a history of diabetes mellitus is admitted to the hospital with diabetic ketoacidosis (DKA). Which diagnostic test will the nurse prioritize in monitoring?

serum potassium level

The laboratory comes to draw an Hgb A1c. The client asks the nurse what this test represents. Which statement would be correct?

this test reflects the average blood glucose over a period of approximately 2-3 months

A client who has been newly diagnosed with type 1 diabetes asks the nurse, "Why do I have to take two shots of insulin? Isn't one shot enough?" What should the nurse tell the client?

two shots will give you better control and decrease complications

What is helpful to assess with a clients high blood sugar

urinalysis, complete metabolic panel

A client with newly diagnosed type 2 diabetes is admitted to the metabolic unit. The primary goal for this admission is education. Which goal should the nurse incorporate into their teaching plan?

weight reduction through diet and exercise

A client with diabetes begins to cry and says, "I just can't stand the thought of having to give myself a shot every day." What would be the best response by the nurse?

what bothers you about giving yourself the insulin shots

A nurse in a diabetes clinic receives phone calls from four clients with type 1 diabetes. The nurse returns the call of the client reporting what symptoms as highest priority?

I noticed that mu urine has a foul oder and I have a fever

The nurse is receiving results of a blood glucose level from the laboratory over the telephone. What should the nurse do?

Write down the results, read back the results to the caller from the laboratory, and receive confirmation from the caller.

An adolescent with insulin-dependent diabetes is being taught the importance of rotating the sites of insulin injections. The nurse should judge that the teaching was successful when the adolescent identifies which complication that can result from using the same site?

destruction of the fat tissue and poor absorption

Mr. Jay presents with a day of severe abdominal pain. He is scheduled for a CT scan with contrast. One of his home medications is metformin (Glucophage). Once the test is completed the nurse anticipates:

holding the metformin (glucophage) for 48 hours

The nurse has been assigned to a client who has had diabetes for 10 years. The nurse gives the client's usual dose of regular insulin at 7 a.m. At 10:30 a.m., the client has light-headedness and sweating. The nurse should contact the physician, report the situation, background, and assessment, and recommend intervention for:

hypoglycemia

A nurse is teaching a school-age child with diabetes and their parents about managing diabetes during illness. The nurse determines that the parents understand the instruction when they indicate that they will make which treatment plan modification on days when the child is ill?

increasing the frequency of blood glucose monitoring

A client with diabetes is being tested for glycosylated hemoglobin. How would the nurse explain the reason for this diagnostic test?

it determines the average blood glucose level in the previous 2-3 months

The nurse is conducting an assessment of an elderly client who is blind. What would the nurse expect to be present in the client's medical history?

diabetes mellitus

An adolescent with well-controlled type 1 diabetes has assumed complete management of the disease and wants to participate in gymnastics after school. To ensure safe participation, the nurse should instruct the client to adjust the therapeutic regimen by:

eating a snack before each gymnastics practice

Which combination of adverse effects should a nurse monitor for when administering I.V. insulin to a client with diabetic ketoacidosis?

hypokalemia and hypoglycemia