Patho The Point Ch 33

A client diagnosed with type 2 diabetes has been instructed about managing his condition with diet. The nurse determines further teaching is necessary when the client states:

"I must avoid all candies and cookies, but can eat unlimited amounts of pasta and breads."

The mother of a 2-year-old newly diagnosed with type 1 diabetes asks why insulin has to be given by injection. The best response by the nurse is:

"Insulin is destroyed by the stomach contents and has to be administered by injection."

The health care provider has prescribed Repaglinide 2 mg for a client diagnosed with type 2 diabetes. The most important information for the nurse to give the client would be:

"Take the medication 15 to 30 minutes before each meal."

The nurse is reviewing assessment data on four clients. Select at highest risk for developing type 2 diabetes

A 45-year-old obese female with a sedentary lifestyle

A client has been experiencing elevated blood glucose levels. The nurse anticipates that the client assessment data would include:

polydipsia

A 48-year-old male client diagnosed with type 2 diabetes presents with the following: Blood glucose level of 46 mg/dL Very lethargic Has cool, clammy skin. Select the most appropriate intervention.

Administer injectable glucagon

Select the most common symptoms of diabetes. Select all that apply.

polydipsia, polyuria, polyphagia

The nurse is caring for a client who is being treated for HHS (hyperosmolar hyperglycemic state). The nurse is aware that the client should be assessed for:

Cerebral edema

A nurse is teaching a client newly diagnosed with diabetes about the action of insulin. The most appropriate information for the nurse to provide would be that it:

Increases protein synthesis

Select the most appropriate intervention for the nurse to teach a client diagnosed with distal symmetric neuropathy related to diabetes.

Inspect the feet for blisters daily

The diagnosis of type 1 diabetes would be confirmed by

Insulin is not available for use by the body.

The diagnosis of type 1 diabetes would be confirmed by:

Insulin is not available for use by the body.

The nurse has just completed teaching a client newly diagnosed with type 1 diabetes about rapid-acting insulin. The nurse determines that teaching was effective when the client selects:

Lispro

A client is brought to the emergency department with a suspected diagnosis of DKA (diabetic ketoacidosis). Select the assessment/diagnostic data to confirm the diagnosis. Select all that apply.

Positive urine ketones Low serum bicarbonate

A pregnant client asks the nurse if she is at risk for developing gestational diabetes. The nurse reviews the risk factors with the client. The most important information for the nurse to provide would be: Select all that apply.

Severe obesity Glycosuria Polycystic ovary disease

The nurse is teaching a client with diabetes and the family about the signs and symptoms of hypoglycemia. The client asks what produces signs and symptoms of headache, disturbed behavior, coma, and seizures. The best response would be:

The brain relies on blood glucose as its main energy source.

A client is managing his diabetes with exercise and diet. The health care provider reviews the client's most recent lab results: fasting blood sugar level at 80 mg/dL and a hemoglobin A1C of 5%. Select the response that best identifies the client.

The client is achieving normal glycemic control.

The nurse is teaching a client with diabetes about medications that will increase the blood glucose level. The most important information for the nurse to provide would be: Select all that apply.

Total parenteral nutrition Loop diuretics Antipsychotics Oral contraceptives

A client tells the health care provider that he has been very compliant over the last 2 months in the management of his diabetes .The best diagnostic indicator that would support the client's response would be:

a) Urine test

A client is admitted to the emergency department and diagnosed with diabetic ketoacidosis (DKA). The client would most likely manifest:

ketosis

The nurse is caring for a client diagnosed with diabetes mellitus who is reporting burning pain of his feet. The nurse would interpret this as:

somatic neuropathy

A pregnant client asks the nurse if she is at risk for developing gestational diabetes. The nurse reviews the risk factors with the client. The most important information for the nurse to provide would be: Select all that apply.

• Polycystic ovary disease • Glycosuria • Severe obesity