Diabetes adaptive quizzing

Which instruction from the primary health care provider would the nurse anticipate reinforcing with a client who is on metformin therapy and is scheduled to undergo renal computed tomography (CT) with contrast dye? a) "Discontinue metformin 1 day before the procedure" b) "Discontinue metformin 1 week before the procedure" c) "Discontinue metformin 3 days after the procedure" d) "Discontinue metformin 7 days after the procedure"

a) "Discontinue metformin 1 day before the procedure"

Which physiological changes would the nurse expect to find in a client with a 20-year history of type 2 diabetes? a) blurry, spotty, or hazy vision b) arthritic changes in the hands c) hyperactive knee and ankle jerk reflexes d) dependent pallor of the feet and lower legs

a) blurry, spotty, or hazy vision

A client with type 1 diabetes has an above-the-knee amputation because of severe lower extremity arterial disease. Two days after surgery, which intervention is appropriate when preparing the client to eat dinner? a) checking the client's serum glucose level b) assisting the client out of bed into a chair c) placing the client in the high-fowler position d) ensuring the client's residual limb is elevated

a) checking the client's serum glucose level

Which manifestations would the nurse include when teaching a client about ketoacidosis? SELECT ALL THAT APPLY a) confusion b) hyperactivity c) excessive thirst d) fruity-scented breath e) decreased urine output

a) confusion c) excessive thirst d) fruity-scented breath

The nurse is formulating a teaching plan for a client recently diagnosed with type 2 diabetes. Which interventions would the nurse include to decrease the risk of complications? SELECT ALL THAT APPLY a) examine the feet daily b) wear well-fitting shoes c) perform regular exercise d) powder the feet after showering e) visit the primary health provider weekly f) test bathwater with the toes before bathing

a) examine the feet daily b) wear well-fitting shoes c) perform regular exercise

Which information would the nurse include in the teaching plan of an adolescent who is found to have type 1 diabetes? SELECT ALL THAT APPLY a) insulin therapy b) prophylactic antibiotics c) blood glucose monitoring d) oral hypoglycemic agents e) adherence to the treatment regimen

a) insulin therapy c) blood glucose monitoring e) adherence to the treatment regimen

A client with type 1 diabetes for 25 years states, "I have been really bad for the past 15 years. I have not paid attention to my diet and have done little to control my diabetes." Which common complications of diabetes might the nurse expect to identify when assessing this client? SELECT ALL THAT APPLY a) leg ulcers b) loss of visual acuity c) thick, yellow toenails d) increased growth of body hair e) decreased sensation in the feet

a) leg ulcers b) loss of visual acuity c) thick, yellow toenails e) decreased sensation in the feet

Which insulin can be administered IV? SELECT ALL THAT APPLY a) lispro insulin b) aspart insulin c) regular insulin d) glargine insulin e) glulisine insulin

a) lispro insulin b) aspart insulin c) regular insulin e) glulisine insulin

Which mechanism of action explains how glyburide decreases serum glucose levels? a) stimulates the pancreas to produce insulin b) accelerates the liver's release of stored glycogen c) increases glucose transport across the cell membrane d) decreases absorption of glucose from the GI system

a) stimulates the pancreas to produce insulin

The nurse is educating the client newly diagnosed with type 2 diabetes on oral antidiabetic medications. Which instruction would the nurse include in the teaching plan? SELECT ALL THAT APPLY a) the client should obtain a finger-stick blood glucose reading before each meal b) the client does not need to follow a specific diet until insulin is required c) the teaching plan should include signs and symptoms of hypoglycemia d) the teaching plan should include how to administer regular insulin e) the

a) the client should obtain a finger-stick blood glucose reading before each meal c) the teaching plan should include signs and symptoms of hypoglycemia e) the teaching plan should include sick day rules

Which insulin will the nurse prepare for the emergency treatment of ketoacidosis? a) glargine b) NPH insulin c) insulin aspart d) insulin detemir

c) insulin aspart

Which adverse effect of metformin will a nurse teach a client with type 2 diabetes to monitor for when used as monotherapy? a) weight gain b) constipation c) lactic acidosis d) hypoglycemia

c) lactic acidosis

Which response would a nurse give to a client who asks, "Why can't I take the insulin in pills instead of taking shots?" during a teaching session about insulin injections? a) "Insulin cannot be manufactured in pill form" b) "Insulin is destroyed by gastric juices, rendering it ineffective" c) "Your health care provider decides the route of administration" d) "Your health care provider will prescribe pills when you are ready"

b) "Insulin is destroyed by gastric juices, rendering it ineffective"

Which information would the nurse provide to a client with type 1 diabetes who requests information about the differences between penlike insulin delivery devices and syringes? a) "The penlike devices have a shorter injection time" b) "Penlike devices provide a more accurate dose delivery" c) "The penlike delivery system uses a smaller-gauge needle" d) "Penlike devices cost less by having reusable insulin cartridges"

b) "Penlike devices provide a more accurate dose delivery"

When will the nurse monitor for a potential hypoglycemic reaction after administering daily regular insulin to a client with type 1 diabetes at 8 AM? a) at breakfast b) before lunch c) before dinner d) in the early afternoon

b) before lunch

A newly hired nurse is delegated the task of developing a care plan for a diabetic client who just returned from surgery after undergoing amputation of the leg. Which task in the care plan is inappropriate according to guidelines? a) the RN administering antidiabetic medications b) instructing the LPN to monitor vital signs c) the RN assessing the client's blood glucose at regular intervals d) instructing the LPN to change the dressing at the amputation site

b) instructing the LPN to monitor vital signs

Which information would the nurse include when teaching a type 2 diabetic controlled with oral antidiabetic medications who is prescribed regular insulin when admitted for elective surgery? a) "You will need a higher serum glucose level while on bed rest" b) "The stress of surgery may cause hypoglycemia" c) "With insulin, dosage can be adjusted to your changing needs during recovery from surgery" d) "The possibility of surgical complications is greater when a client takes oral antidiabetics"

c) "With insulin, dosage can be adjusted to your changing needs during recovery from surgery"

Which time range would a nurse teach as the HIGHEST risk for hypoglycemia to a client with type 1 diabetes who self-administers neutral protamine hagedorn (NPH) insulin every morning at 8AM? a) 9:00 AM to 10:00 AM b) 10:00 AM to 11:00 AM c) Noon to 8:00 PM d) 8:00 PM to midnight

c) Noon to 8:00 PM

Which factors can predispose a client with type 1 diabetes to a diabetic ketoacidotic coma? SELECT ALL THAT APPLY a) taking too much insulin b) getting too much exercise c) excessive emotional stress d) running a fever with the flu e) eating fewer calories than prescribed

c) excessive emotional stress d) running a fever with the flu

While hospitalized, a client with diabetes is observed picking at calluses on the feet. Which intervention would the nurse implement immediately? a) warn the client of the danger of infection b) suggest that the client wear white cotton socks c) teach the client the importance of effective foot care d) check the client's shoes for their fit in the area of the calluses

c) teach the client the importance of effective foot care

A child with type 2 diabetes is scheduled for abdominal surgery. Which factors are most important for the nurse to consider during the postoperative period? SELECT ALL THAT APPLY a) infection will most likely occur at the surgical site b) ketoacidosis frequently occurs later in the postoperative period c) the blood glucose level will increase because of the stress of surgery d) urine test results are the most useful gauge of diabetic control after surgery e) diabetic control is usually maintaine

c) the blood glucose level will increase because of the stress of surgery e) diabetic control is usually maintained with insulin after surgery

A client with type 2 diabetes travels frequently and asks how to plan meals during trips. Which is the BEST response by the nurse? a) "You can order diabetic foods on most airlines and in restaurants" b) "Plan your food ahead and carry it with you from home" c) "monitor your blood glucose level frequently and eat accordingly" d) "Choose the foods you normally do and follow your food plan wherever you are"

d) "Choose the foods you normally do and follow your food plan wherever you are"

Which response will the nurse provide to a client with type 2 diabetes taking one glyburide tablet daily who asks whether an extra tablet should be taken before exercise? a) "You will need to decrease how much you are exercising" b) "An extra pill will help your body use glucose when exercising" c) "The amount of medication you need to take is not related to exercise" d) "Do not take an extra pill because you may become hypoglycemic when exercising"

d) "Do not take an extra pill because you may become hypoglycemic when exercising"

The nurse educator is providing information about different insulin types. Which type of insulin can be safely mixed with regular human insulin in the same syringe? a) insulin glargine b) insulin determir c) insulin lispro mix 75/25 d) NPH

d) NPH

A client with type 1 diabetes receives Humulin R insulin in the morning. Shortly before lunch the nurse identifies that the client is diaphoretic and trembling. Which intervention is appropriate? a) administer insulin to client b) give the client lunch immediately c) encourage the client to drink fluids d) assess the client's blood glucose level

d) assess the client's blood glucose level

Which is an appropriate teaching goal for a client who is newly diagnosed as having type 2 diabetes? a) to perform foot care weekly b) to administer insulin as prescribed c) to test urine for both sugar and acetone d) to identify symptoms of hypoglycemia or hyperglycemia

d) to identify symptoms of hypoglycemia or hyperglycemia