Ati Adult health Quiz 6
A nurse is caring for a client with diabetes mellitus who is prescribed regular insulin via a sliding scale. After administering the correct dose at 0715, the nurse should ensure the client receives breakfast at which of the following times? 0720 0730 0745 0815
0745
A nurse is providing teaching to a client who has a diabetes mellitus about carbohydrate intake needs when exercising.Which of the following food should the nurse include as containing a 15 g serving of carbohydrates? Two slices of bread 1 cup sugar free yogurt 1 cup milk One cup regular ice cream
1 cup milk
A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of MPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe ? 14 units 28 units 32 units 42 units
42 units
A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels? 6.3% 7.8% 8.5% 10%
6.3%
A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective? A decrease in blood sugar. A decrease in blood pressure A decrease in urine output A decrease in specific gravity
A decrease in urine output
A nurse is caring for a 4 year old child who has been diagnosed with diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize as therapeutic in helping the child deal with the injection? A needleless syringe and doll A video game A story about a child who has diabetes A period of play in the play room
A needle less syringe and doll
A nurse observes mild hand tremors in a client who has diabetes mellitus. Which of the following actions should the nurse take after obtaining a glucose meter reading of 60 mg/dL? Administer 15 g of carbohydrates. Retest the blood glucose level. Administer 1 mg of glucagon IM. Administer IV dextrose. .
Administer 15 g of carbohydrates.
A nurse is teaching a client who has diabetes mellitus and a new prescription for Gleimpiride. The nurse should teach the client so avoid which of the following drinks while taking this medication? Grapefruit juice Milk Alcohol Coffee
Alcohol
A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as indications that the client has an infection? (Select all that apply.) A. Bradycardia B. An increase in neutrophils C. An increase in RBCs D. An increase in platelets E. Localized edema
An increase in neutrophils Localized Adema
A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.) *Polyuria *Blurred vision *Polydipsia *Tachycardia *Moist, clammy skin
Blurred vision Moist, clammy skin Tachycardia
A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following intervention should the nurse include in the plan of care? Measure the blood glucose levels every four hours Administer a diuretic Initiate fluid restrictions Check urine specific gravity
Check urine specific gravity
A nurse is reviewing guidelines to prevent DKA during periods of illness with a client who has type one diabetes mellitus. Which of the following instructions should the nurse include in the teaching? What is your blood glucose level every eight hours Check your hearing for a key tones my blood glucose levels are greater that is so 240 mg over deciliters Was hold her usual daily dose of insulin Drink 240 to 360 mm of calorie free liquids every eight hours
Check your ear ever key tones when blood glucose levels are greater than 240 mg/dL
A nurse is planning a community diabetes mellitus management program. which of the following Goals should the nurse include for the program? Proper foot care will be demonstrated to clients during the program Clients will have a decrease incidence of foot amputations Facility will be reserved for the program Handouts in teaching materials will be distributed at the program
Clients will have a decreased incidence of foot amputations
A nurse is providing dietary teaching to a client who has nephropathy secondary to diabetes mellitus and plans to make dietary adjustments. Which of the following instructions should the nurse include? Add intakes below 45% of total calories the intake of that is too high. Diabetics should consume between 45% to 65% of carbohydrates per day. Clients who have diabetes should limit cholesterol to less than 200 mg per day Consume less than 0.8 g/kg of body weight of protein per day. Clients who have diabetes should reach the goal of 25 g per day of fiber for women in 38 g per day for men
Consume less than 0.8 g/kg of body weight of protein per day.
A nurse is assessing a client who has diabetes mellitus. Which of the following findings is a manifestation of hypoglycemia? Bradycardia Cool clammy skin Vomiting Fruity oh odor on the clients breath
Cool clammy skin
A nurse is caring for a client who has type one diabetes mellitus and it's not following the guidelines for therapy. Which of the following should the nurse consider as contributing factors to the clients nonadherence? Select all that apply Gender Culture Literacy Dexterity Motivation
Culture Literacy Dexterity Motivation
The nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect? Dehydration Polyphagia Hyperglycemia Bradycardia
Dehydration
A nurse is developing a teaching plan for a client who has a new diagnosis of type two diabetes mellitus. Which of the following actions should the nurse plan to take first? Establish short term realistic goals with a client Give the client access to a video about diabetes Determine what the client knows about managing diabetes Evaluate the effectiveness of the clients admission teaching plan
Determine what the client knows about managing diabetes
A nurse is teaching a client who has type one diabetes mellitus about exercise. Which of the following instruction should the nurse include? Perform vigorous exercise my blood glucose is less than 100 MG/DL Do not exercise ketones are present in your urine Avoid eating for two hours before exercise Examine your feet weekly
Do not exercise ketones are present in your urine
A nurse is teaching a client who has diabetes mellitus and receives 25 units of MPH insulin every morning if her blood glucose level is above 200 MG/DL. Which of the following information should the nurse include? Discard the nph solution if it appears cloudy Shake the insulin vigorously before loading the syringe Expect the nph insulin to peak in 6 to 14 hours Freeze unopen insulin vials
Expect the nph insulin to peak in 6 to 14 hours
A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. To focus on effective learning with this client, which of the following interventions should the nurse use? Explore the client's feelings about dietary modifications Ask the clients to perform a return demonstration of insulin injection Review the action of insulin therapy Have the client practice blood glucose monitoring using a Glucometer
Explore the client's feelings about dietary modifications
A nurse is reviewing the laboratory results of a client who is at risk for developing diabetes mellitus. The nurse should recognize what which of the following results indicates the client meets the criteria for a diagnosis of diabetes mellitus? HbA1c 5.5% 2hr blood glucose 170 MG/DL Fasting blood glucose 155 MG/DL Casual blood glucose 180 MG/DL
Fasting blood glucose 155 MG/DL
A nurse is caring for a client who has diabetes and plans to administer his regular insulin subcutaneously before he eats breakfast at 0800. After checking the clients morning glucose level which of the following actions should the nurse take? Give the insulin at 0700 If the insulin when their breakfast tray arrives Get the insulin 30 minutes after breakfast with the clients other routine medicines Give insulin at 0730
Give insulin at 0730
A nurse is providing teaching for a client who is newly diagnosed with type two diabetes mellitus and has a prescription for glipizide. And which of the following statements by the nurse best describes the actions of glipizide? Glipizide absorbs the excess carbohydrates in your system Glipizide stimulates your pancreas to release insulin Glipizide replaces insulin that is not being produced by your pancreas Glipizide prevent your liver from destroying your insulin
Glipizide stimulates your pancreas to release insulin
A nurse is caring for a client with type one diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the clients blood glucose to be 48 mg over deciliters on the Glucometer he should get the client which of the following? Graham crackers 1 teaspoon of sugar 4 ounces of diet soda 4 ounces of skim milk
Graham crackers
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type two diabetes. The newborn has respiratory distress syndrome. The nurse should be aware that the most likely cause of the respiratory distress is which of the following? Hyperinsulinemia Increased deposits of fat in the chest and shoulder area Brachial plexus injury Increased blood viscosity
Hyperinsulinemia
A nurse is assessing a client who has type one diabetes mellitus and finds the client lying in bed sweating and reporting feeling anxious. Which of the following complication should the nurse suspect ? Hypoglycemia Nephropathy Ketoacidosis Hyper glycemia
Hypoglycemia
A nurse is caring for a newborn who has macro Somnia and whose mother has diabetes mellitus. The nurse should recognize which of the following newborn complications as a priority focus of care? Hypoglycemia Hypomagnesium Hyperbilirubinemia Hypocalcemia
Hypoglycemia
A nurse is teaching about disease management for a client with type one diabetes mellitus. Which statement made by the client indicates an understanding of the teaching? I am to take my blood sugar reading after meals Insulin allows me to eat ice cream at bedtime A weight reduction program will make me hypoglycemic I gave the insulin injections in my abdominal area
I gave the insulin injections in my abdominal area
A nurse in a providers office is collecting a health history from a client who has a new prescription for glyburide to treat type two diabetes mellitus. Which of the following statements by the client indicates a contradiction for taking this medication? I had strep throat about one year ago I plan to continue nursing my baby until he is at least a year old I got my flu shot at the pharmacy two weeks ago I am allergic to shellfish
I plan to continue nursing my baby until he is at least a year old
A nurse is providing teaching about foot care for a client who has type two diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? I should soak my feet before trimming my nails I should buy new shoes late in the day I should wear a clean pair of nylon socks every day I should use a heating pad at night with my feet feel cold
I should buy new shoes late in the day
A nurse is providing teaching soy school age child who has a new diagnosis of type one diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching? My morning blood glucose should be between 90 and 130 I should eat a snack half an hour before playing soccer I should not take my regular insulin when I am sick I can store an open bottles of insulin in the freezer
I should eat a snack half an hour before playing soccer
A nurse is teaching a client who has diabetes about which dietary source should provide the greatest percentage of calories. Which of the following statements indicates the client understands the teaching? Most of my calories each day should be from fats I should eat more calories from complex carbohydrates than anything else Simple sugars are needed more than other calorie sources Proteins should be my main source of calories
I should eat more calories from complex carbohydrates than anything else
A nurse is caring for a seven-year-old child he has an upper respiratory infection and type one diabetes mellitus. Which of the following statements by the mother indicating me for further instruction? I would encourage her to drink half a cup of water or sugar-free fluids every 30 minutes I will report a change in her breathing or any signs of confusion I will notify the doctor if her temperature is not controlled with acetaminophen I will continue to check his blood sugar two times every day
I will continue to check his blood sugar two times every day
A nurse is teaching 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 I will be more thirsty than usual My skin will be warm and moist My appetite will be decreased
I will feel shaky
A nurse is teaching a client who has diabetes mellitus and a new prescription for prednisone for a rash. Which of the following statements by the client indicate a need for further teaching? I might need to increase my regular insulin during this time I will gradually stop the prednisone when my rash goes away I should expect my stools to become very dark and sticky while on this medication I might have a hard time falling asleep while taking the prednisone
I will gradually stop the prednisone the rash goes away
A nurse is teaching a client who has type one diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching? I'll wear sandals it warm weather I'll put lotion between my toes after dry my feet I'll check my feet every day for sores and bruises I'll soak my feet in cold water every night before I go to bed
I'll check my feet every day for sores and bruises
A nurse is preparing to administer 10 units of regular insulin and 20 units of mph insulin to a client who has diabetes mellitus. When mixing the two type of insulin which of the following actions should the nurse take first? Inject 10 units of air into regular insulin vial Inject 20 units of air into the NPH insulin vial Withdraw 10 units of insulin from the regular insulin vial Replace the needle for withdrawal with safety needle
Inject 20 units of air into the NPH insulin vial
I nurse for parents to administer lispro insulin to a client who has type one diabetes mellitus. Which of the following actions should the nurse take? Assess for hypoglycemia four hours after the insulin injection Inject the insulin 15 minutes before a meal Monitor for polyuria Administer was short acting insulin
Inject insulin 15 minutes before a meal
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medication for the client? Acarbose Repaglinide Insulin Glipizide
Insulin
A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provided regarding this type of insulin? Insulin Glargine has a duration of 3 to 6 hours Insulin glargine has a duration of 6 to 10 hours Insulin glargine has a duration of 16 to 24 hours Insulin glargine has a duration of 18 to 24 hours
Insulin glargine has a duration of 18 to 24 hours
A nurse is assessing a female client who it's at risk for developing type. Two diabetes mellitus. The nurse should identify that which of the following manifestations increases the clients risk for developing type two diabetes? Abdominal girth 32 inches Fasting blood glucose 98 MG/DL Triglyceride level 100 MG/DL Let pressure 138/98mm Hg
Let pressure 138/98mm Hg
A nurse is teaching an older adult client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy which of the following instruction should the nurse include. Have an eye examination once per year Examine your feet carefully every day Wear compression stockings daily Maintain stable blood glucose levels
Maintain stable blood glucose levels
A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL before the client's breakfast. Which of the following actions is the nurse's priority? 1) Give the client 15 to 20 g of carbohydrate. 2) Monitor the client for hypoglycemia. 3) Complete an incident report. 4) Notify the nurse manager.
Monitor the client for hypoglycemia.
A nurse is providing teaching to a female client who has type 2 diabetes and a new prescription for pioglitazone. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) -Expect urine to be darkened. -Monitor weight daily. -Increase calcium intake. -Use oral contraceptives to avoid pregnancy. -Take tablets whole.
Monitor weight daily Increase calcium intake Take tablets whole
The nurse is providing discharge teaching to the parents of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parents indicates an understanding of teaching? The onset of low blood glucose usually occur slowly My son my complain of feeling shaky when he has a low blood glucose level Sweating can occur with hyperglycemia My son might have nausea and vomiting with hypoglycemia
My son my complain of feeling shaky when he has a low blood glucose level
A nurse is performing a monofilament sensory assessment of a client who has diabetes mellitus. When performing this assessment for which of the following complications is the nurse monitoring? nephropathy Neuropathy Radiculopathy Retinopathy
Neuropathy
A nurse is caring for a client who has type one diabetes mellitus. Which of the following recommendations should the nurse make to the client for a sweetener? Corn syrup Natural Honey Nonnutritive sugar substitute Guava nectar
Nonnutritive sugar substitute
A nurse is providing teaching so an adolescent who has type one diabetes mellitus. Which of the following shit the nurse include in the teaching? Administer glucagon for hypoglycemia Obtain an influenza vaccine annually Inject insulin in the deltoid muscle Take glyburide with breakfast
Obtain an influenza vaccine annually
A nurse is reviewing the medication list for a client who has a new diagnosis of type two diabetes mellitus. The nurse should recognize which of the following medication can cause glucose intolerance Cimetidine Dextromethorphan Prednisone Atorvastatin
Prednisone
A nurse is preparing a teaching session about reducing the risk of complications of diabetes mellitus. Which of the following information should the nurse plan to include in the teaching? Select all that apply Reduce cholesterol and saturated fat intake Increase physical activity and daily exercise Enroll in smoking cessation program Sustain hyperglycemia to reduce deterioration of nerve cells Maintain optimal blood pressure to prevent kidney damage
Reduce cholesterol and saturated fat intake Increase physical activity and daily exercise Enroll in smoking cessation program Maintain optimal blood pressure to prevent kidney damage
A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused flushed and with an acetone odor on the breath. Diabetic keto acidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client? NPH insulin Insulin glargine Insulated detemir Regular insulin
Regular insulin
A nurse is providing dietary teaching for a client who has just learned that she has type two diabetes mellitus. The nurse should explain that which of the following sweeteners will add calories to the clients carbohydrate count? Sorbitol Sucralose Aspartame Acesulfame potassium
Sorbitol
A nurse is teaching a client who has a new diagnosis of type one diabetes mellitus about self administration of insulin. Which of the following instruction should the nurse include? Pull back on the plunger after injecting the insulin Massage the injection side after removing the needle Store the current bottle of insulin at room temperature Use each syringe up to six times
Store the current bottle of insulin at room temperature
A nurse is assessing a client who has diabetes insipidus. What is the following findings as a manifestation of this diagnosis? Hypertension Bounding peripheral pulses Tachycardia Hyperglycemia
Tachycardia
A nurse is teaching a client who is taking meta-Forman Exar for type two diabetes mellitus. Which of the following instructions should the nurse include in the teaching? Take the medication with the meal You may crash or chew the medication This medication may cause an increase in perspiration This medication may turn your Irvine orange
Take this medication with the meal
A nurse is teaching a school age child who has type one diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include? Withhold insulin dose if feeling nauseous Notify the provider if blood glucose levels are over 350 mg/dcl Test the urine for a ketones Limit fluid intake during meal time
Test the urine for a ketones
A nurse administers desmopressin to a client who has a diagnosis of diabetes insipidus. The nurse recognizes that which of the following laboratory findings indicate a therapeutic effects of the medication? Serum sodium 146MEQ/L Blood glucose 80 MG/DL Urine specific gravity 1.015 Blood urea nutrition BUN 15 MG/DL
Urine specific gravity 1.015
A nurse is caring for a client who has uncontrolled type one diabetes mellitus. Which of the following findings should the nurse expect? Hypertension Hematuria Weight loss Bradycardia
Weight loss
A client who has type two diabetes mellitus ask the nurse why did I develop diabetes? Which of the following responses should the nurse may? Your bodies destroying the cells that secrete insulin Everybody has insulin resistance and decreased insulin secretion And infection in your pancreas destroyed the cells that make insulin Your kidneys are not able to re-absorb water which leads to type two diabetes mellitus
Your body has insulin resistance and decrease insulin secretion
