Diabetes- D
A nurse is reinforcing teaching with a client who is breastfeeding and has pregestational diabetes controlled with insulin.Which of the following instructions should the nurse include?
"You have a higher risk for hypoglycemia due to breastfeeding."
A nurse is reinforcing teaching about exercise with an adolescent client who has type 1 diabetes mellitus.Which of the following points should the nurse reinforce?
"You might need to decrease your routine insulin dosage before exercise."
A nurse is reinforcing teaching with an adolescent client who has type 1 diabetes mellitus about managing hypoglycemia. Which of the following statements should the nurse include in the teaching?
"You should drink 4 oz of orange juice if you experience hypoglycemia."
A nurse is reinforcing teaching with a client who is pregnant and has type 1 diabetes mellitus.Which of the following statements should the nurse include in the teaching?
"You should expect to decrease your insulin dosage during the second and third trimesters of pregnancy."
A nurse is collecting data from a child who has type 1 diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Tachycardia
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about self-administration of a new prescription for acarbose. Which of the following pieces of information should the nurse include in the teaching?
Tell the client to take the medication with food.
A nurse is reinforcing discharge teaching about foot care with a client who has diabetic neuropathy.Which of the following statements by the client demonstrates an understanding of the teaching?
"1 will wash my feet daily and apply lotion, except between my toes."
A nurse is reinforcing teaching about dietary changes with a client who is pregnant and has pregestational diabetes.Which of the following statements should the nurse include in the teaching?
"Carbohydrates should make up 55% of your diet."
A nurse is reinforcing teaching with a 13-year-old client who has type 1 diabetes mellitus.Which of the following client statements indicates an understanding of diabetes mellitus management?
"I should check my blood glucose levels more often when l am sick."
A school nurse is reinforcing dietary teaching with an adolescent who has type 1 diabetes mellitus. Which of the following responses by the adolescent indicates an understanding of the teaching? (Select all that apply.)
"I should eat extra food on busy days when l am more active."
A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an adolescent client who has type 1 diabetes mellitus.The nurse should anticipate the insulin's onset of action at which of the following times?
0745
A nurse is selecting clients for discharge following an environmental disaster. Which of the following clients sho the nurse select?
A client who is 1 day postoperative following an inguinal hernia repair.
A nurse is reinforcing dietary teaching with a client who has diabetes mellitus. Which of the following actions should the nurse take first?
Ask the client to identify the types of foods she prefers.
A nurse is reviewing the laboratory values for a client who has hyperglycemic hyperosmolar nonketotic syndrome (HHNS). The nurse should expect that which of the following laboratory values is consistent with HHNS?
Blood glucose 320 mg/dL
A nurse is collecting data from an adolescent who takes insulin for the treatment of type 1 diabetes mellitus. The nurse should identify that which of the following findings indicates effective management of the client's diabetes mellitus?
Blood glucose value at bedtime of 140 mg/dL
A nurse is caring for a client who has been taking taken metformin for 6 months. Which of the following findings should the nurse identify as an expected therapeutic effect of the medication?
Decreased blood glucose level.
A nurse is caring for an older adult client who has a new onset of type 2 diabetes mellitus. Which of the following physiological changes contributes to the development of type 2 diabetes?
Decreased sensitivity to circulating insulin.
A nurse is reinforcing teaching with the guardian of a school-aged child who has diabetes mellitus about how to recognize diabetic ketoacidosis (DKA). Which of the following findings should the nurse describe as a manifestation of this complication?
Deep, rapid respirations
A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood glucose reading of 48 mg/dL. Which of the following findings should the nurse expect?
Diaphoresis
A nurse is reinforcing teaching about hypoglycemia with a client who has diabetes mellitus.Which of the following manifestations should the nurse include? (Select all that apply.)
Diaphoresis Palpitations Shakiness
A nurse is reviewing the laboratory report of a client who is taking risperidone. The nurse should identify that which of the following results indicates a potential adverse reaction to the medication?
Elevated blood glucose.
A nurse is assisting with the plan of care for a client who has type 2 diabetes mellitus.Which of the following interventions should the nurse include in the plan?
Encourage the client to control weight
A nurse is reviewing laboratory results for a client who has diabetes mellitus. Which of the following results indicates that the client is controlling the diabetes?
Fasting blood glucose 95 mg/dL.
A nurse is reviewing risk factors for postpartum depression with a newly licensed nurse. Which of the following risk factors should the nurse include?
Gestational diabetes
A nurse is collecting data from a client who has type 2 diabetes mellitus and is taking metformin.Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?
Glycosylated hemoglobin (HbA1c)of 6.8%
A nurse at an ophthalmology clinic is collecting data from a client who was referred by the provider for a potential cataract. Which of the following client reports is consistent with cataracts?
Halos when looking at lights.
A nurse is reinforcing teaching with an adolescent who was recently diagnosed with type 1 diabetes mellitus. Which of the following insulin injection sites should the nurse recommend that the client use during basketball competitions?
Hip
A nurse is caring for a client who has type 2 diabetes mellitus and is displaying manifestations of hyperglycemia. Which of the following findings indicate that the client has hyperglycemia?
Increased urination.
A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about hypoglycemia.Which of the following manifestations should the nurse include in the teaching?
Irritability
A nurse is assisting with a plan for community health screening for a group of clients who are at risk of type 2 diabetes mellitus.Which of the following client groups should the nurse include in the screening?
Men and women who are obese
A nurse is teaching a client who has type 1 diabetes mellitus about a new subcutaneous insulin infusion pump. Which of the following pieces of information should the nurse reinforce in the teaching?
Plan to use a type of short-duration insulin in the infusion pump.
A nurse is caring for a group of clients. Which of the following tasks should the nurse assign to an assistive personnel(AP)?
Provide oral care to a client who cannot take oral fluids
A nurse is assisting with developing the plan of care for a 5-year-old child who has a new diagnosis of type 1 diabetes mellitus. Which of the following actions should the nurse include in the plan?
Use short explanations immediately prior to collecting a blood glucose level to explain what will happen
A nurse is assisting with developing the plan of care for a 5-year-old child who has a new diagnosis of type 1 diabetes mellitus.Which of the following actions should the nurse include in the plan?
Use short explanations immediately prior to collecting a blood glucose level to explain what will happen when the finger stick occurs.
A nurse is reinforcing teaching with a client who has diabetes mellitus about food choices.Which of the following client statements indicates the teaching has been understood?
"I should replace white bread with whole-grain bread."
A nurse in a pediatric clinic is reinforcing teaching with the parent of a school-aged child who has type 1 diabetes mellitus and an upper respiratory infection. Which of the following statements by the parent indicates an understanding of the instructions?
"I will check my child's blood glucose level every 3 hours."
A nurse is reinforcing discharge teaching about foot care with a client who has diabetic neuropathy.Which of the following statements by the client demonstrates an understanding of the teaching?
"I will wash my feet daily and apply lotion, except between my toes."
A nurse is reinforcing teaching with the parent of a child who has type 1 diabetes mellitus. The nurse is explaining how to manage the child's disorder during an illness such as a cold. Which of the following statements by the parent indicates an understanding of the teaching?
"I'Il check his blood glucose more often."
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about a prescription for insulin lispro.
"Insulin lispro has an onset of about 15 minutes."
A nurse is caring for a client who has type 1 diabetes mellitus and is scheduled to receive hemodialysis.The client says, "I don't even know why l'm doing this. There is no cure." Which of the following statements should the nurse make?
"It sounds as though you have given up."
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about the pathophysiology of the disease. Which of the following statements by the client indicates an understanding of the teaching?
"My cells are resistant to the effects of insulin."
A nurse is caring for a client who has type 1 diabetes mellitus and is resistant to learning self-injection insulin methods. Which of the following statements should the nurse provide?
"Tell me what I can do to help you overcome your fear of giving yourself injections."
A nurse is assisting with discharge teaching for a client who has type 2 diabetes mellitus. The client expresses concern about cooking an appropriate diet for her diabetes due to her cultural beliefs and preferences.Which of the following responses should the nurse provide?
"The dietitian will help you choose foods that meet both your cultural and health requirements."
A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about exercise. Which of the following statements should the nurse include in the teaching?
"Wear a medical alert identification tag when you exercise."
A nurse is reinforcing teaching with a school-aged child who has a new diagnosis of type 1 diabetes mellitus.Which of the following statements should the nurse make?
"You can use a vial of insulin for up to 30 days."
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The client states, "I eat pasta every day. I can't imagine giving it up." Which of the following responses should the nurse make?
"You don't have to give up pasta; just adjust the amount you eat."
A nurse is conducting a home visit with an older adult client who has diabetes mellitus and takes regular insulin subcutaneously before each meal. The client appears disoriented and weak and has slurred speech.Which of the following conditions should the nurse consider first when responding to these manifestations?
Hypoglycemia.
A nurse is reinforcing teaching about self-administration of NPH insulin with a client who has type 2 diabetes mellitus. Which of the following instructions should the nurse include?
Rotate injection sites within the same area.
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about storing unopened vials of insulin. Which of the following pieces of information should the nurse include in the teaching?
Store the vials in the refrigerator.
