Diabetes
54. The nurse is reviewing the actions that a patient with type 1 diabetes mellitus should take if mild hypoglycemia is experienced. What should the nurse include in this teaching? Select all that apply. a. Ingest additional 15 grams of carbohydrate if blood glucose remains low after 15 minutes. b. Ingest 4 ounces of fruit juice when blood glucose is below 70 mg/dL. c. Measure blood glucose 15 minutes after ingesting a carbohydrate source. d. Add table sugar to 8 ounces of fruit juice when blood glucose is below 70 mg/dL. e. Test blood glucose 30 minutes after reaching 70 mg/dL.
a. Ingest additional 15 grams of carbohydrate if blood glucose remains low after 15 minutes. b. Ingest 4 ounces of fruit juice when blood glucose is below 70 mg/dL. c. Measure blood glucose 15 minutes after ingesting a carbohydrate source.
9. A client is diagnosed with type 2 diabetes mellitus. What information about type 2 diabetes mellitus should the nurse include when providing client education? a. Insulin resistance occurs in peripheral tissues. b. The onset of hyperglycemia is rapid. c. Metabolism of dietary carbohydrates is enhanced. d. The liver suppresses glucose being released.
a. Insulin resistance occurs in peripheral tissues.
55. The nurse is preparing to administer insulin to an underweight patient. Which actions should the nurse take when providing this injection? Select all that apply. a. Make sure no air bubbles are present in the syringe. b. Insert the needle at a 90-degree angle. c. Massage the site of insertion. d. Rotate injection sites. e. Ensure insulin is at room temperature.
a. Make sure no air bubbles are present in the syringe. d. Rotate injection sites. e. Ensure insulin is at room temperature.
14. The nurse is caring for a client with diabetes mellitus who is at risk for developing chronic complications. For which conditions should the nurse monitor? Select all that apply. a. Nephropathy b. Stroke c. Dementia d. Retinopathy e. Neuropathy
a. Nephropathy b. Stroke d. Retinopathy e. Neuropathy
8. The nurse is admitting a client with diabetes mellitus. Which information should the nurse specifically include in the health history? Select all that apply. a. Numbness in feet b. Vision changes c. Infections d. Frequent voiding e. Hypotension
a. Numbness in feet b. Vision changes c. Infections d. Frequent voiding
28. Which of the following symptoms would you ask about while taking a health history to help determine if a client has developed complications from diabetes mellitus? Select all that apply. a. Numbness in the feet b. Dizziness c. Frequent voiding d. Quick wound healing e. Vision changes
a. Numbness in the feet b. Dizziness c. Frequent voiding e. Vision changes
36. The nurse is reviewing data collected from a patient with a predisposition to developing insulin resistance. Which medications should the nurse identify as potentially causing this patient to develop diabetes? Select all that apply. a. furosemide (Lasix) b. nicotinic acid (Niacor) c. phenytoin (Dilantin) d. acetaminophen (Tylenol) e. levothyroxine (Synthroid)
a. furosemide (Lasix) b. nicotinic acid (Niacor) c. phenytoin (Dilantin) e. levothyroxine (Synthroid)
38. The nurse is caring for a healthy patient who has a serum glucose level of 60 mg/dL. The nurse anticipates which counterregulatory serum hormonal changes to occur in this patient? Select all that apply. a. increased growth hormone levels b. decreased thyroxine levels c. decreased glucocorticoid levels d. increased epinephrine levels e. increased insulin levels
a. increased growth hormone levels d. increased epinephrine levels
56. The nurse is teaching a patient with type 2 diabetes mellitus about glyburide (DiaBeta). The nurse knows teaching has been effective when the patient states, "I need to monitor for dizziness, lightheadedness, and sweating if I take: Select all that apply. a. metoprolol (Lopressor) for hypertension." b. docusate sodium (Colace) for constipation." c. cetirizine (Zyrtec) for allergies." d. ranitidine (Zantac) for heartburn." e. ibuprofen (Motrin) for pain."
a. metoprolol (Lopressor) for hypertension." d. ranitidine (Zantac) for heartburn." e. ibuprofen (Motrin) for pain."
41. The nurse is reviewing data collected for a patient's health history. Which factor should the nurse identify as increasing the patient's risk of developing type 2 diabetes mellitus? a. physical inactivity b. low waist-to-hip ratio c. blood pressure of 120/70 d. body mass index of 23 kg/m2
a. physical inactivity
49. A patient recently diagnosed with type 1 diabetes mellitus does not understand why the disease developed because the patient is thin and eats all of the time. What is the most appropriate response by the nurse? a. "Diabetes makes it difficult for your body to obtain energy from the foods you eat." b. "Your condition makes it impossible for you to gain weight." c. "Thin people can be diabetic, too." d. "Your lab tests indicate the presence of diabetes."
a. "Diabetes makes it difficult for your body to obtain energy from the foods you eat."
72. The nurse is trying to determine if a patient is experiencing manifestations of type 1 or type 2 diabetes mellitus. Which question should the nurse ask the patient to help determine the type? a. "Have you been hungrier than in the past?" b. "Have you been drinking more liquids than in the past?" c. "Have you noticed any changes in your vision?" d. "Have you been urinating in greater amounts than in the past?"
a. "Have you been hungrier than in the past?"
50. A nurse is teaching a group of patients about the prevalence of type 2 diabetes in older adults. The nurse knows teaching has been effective when a patient states, "Statistically, in a group of 100 older adults in the United States, approximately: a. 17 will have type 2 diabetes." b. 27 will have type 2 diabetes." c. 10 will have type 2 diabetes." d.33 will have type 2 diabetes."
b. 27 will have type 2 diabetes."
37. The nurse is conducting an educational session with a patient who is newly diagnosed with diabetes. The nurse knows further education is needed when the patient states, "In the U.S.: a. 25.8 million people have diabetes." b. 6 million people are diagnosed with diabetes per year." c. 7 million people have diabetes but have not been diagnosed." d. 18.8 million people have been diagnosed with diabetes."
b. 6 million people are diagnosed with diabetes per year."
26. Nutritional recommendations for clients with diabetes mellitus include which of the following? a. 20% carbohydrates, 10% protein, and 65% fat b. 65% carbohydrates, 20% protein, and 10% fat c. 10% carbohydrates, 65% protein, and 20% fat d. 15% carbohydrates, 30% protein, and 55% fat
b. 65% carbohydrates, 20% protein, and 10% fat
52. The nurse instructs a patient with type 2 diabetes mellitus on the use of a glucometer for self-monitoring. Which patient statements about glucometer performance indicate that teaching has been effective? Select all that apply. a. Grapefruit juice should not be ingested when using the glucometer. b. A patient with sickle cell anemia may need another way to check blood glucose levels. c. A sufficient amount of blood must be applied to the strip. d. Follow manufacturer's recommendation regarding cleaning of meter. e. Correctly apply the blood to the meter strip.
b. A patient with sickle cell anemia may need another way to check blood glucose levels. c. A sufficient amount of blood must be applied to the strip. d. Follow manufacturer's recommendation regarding cleaning of meter. e. Correctly apply the blood to the meter strip.
4. A client is seen in the health care providers office. What data should alert the nurse as a risk factor associated with the development of type 2 diabetes mellitus? a. HDL cholesterol level of 38 mg/dL b. Blood pressure of 140/90 mmHg c. Triglyceride level of 180 mg/dL d. History of delivering a baby weighing less than 8 lb
b. Blood pressure of 140/90 mmHg
2. The nurse caring for a client with diabetes mellitus understands that this client is at risk for a number of complications. What complication is this client at greatest risk for developing? a. Bowel obstruction b. Coronary artery disease c. Acute renal disease d. Memory impairment
b. Coronary artery disease
30. Which of the following items should be considered when developing a care plan for the older client with diabetes mellitus? Select all that apply. a. Increased hunger b. Exercises adjusted for physical limitations c. Excess fluid intake d. Insufficient financial resources to afford medications e. Visual deficits that might interfere with insulin administration
b. Exercises adjusted for physical limitations d. Insufficient financial resources to afford medications e. Visual deficits that might interfere with insulin administration
57. The nurse is caring for a patient experiencing diabetic ketoacidosis. What actions should the nurse take when preparing this patient's insulin infusion? Select all that apply. a. Prepare an infusion of Dextrose 5% and 0.45% normal saline. b. Flush the tubing with the insulin solution before connecting. c. Discontinue the infusion after first dose of subcutaneous insulin. d. Have one ampule of Dextrose 10% at the bedside. e. Attach insulin infusion to an intravenous pump.
b. Flush the tubing with the insulin solution before connecting. c. Discontinue the infusion after first dose of subcutaneous insulin. e. Attach insulin infusion to an intravenous pump.
21. Which of the following are manifestations of type 1 diabetes mellitus? Select all that apply. a. Weight gain b. Glucosuria c. Blurred vision d. Fever e. Polyuria
b. Glucosuria c. Blurred vision e. Polyuria
48. An older patient with type 2 diabetes mellitus is upset because family members do not believe the patient has an illness and resist helping with diet and activity modifications. What should the nurse suggest to help this patient? a. Explain the risk for family also to develop the illness. b. Invite family to participate in a support group. c. Limit discussions about the illness with family members. d. Store health-related items away from common family areas in the home.
b. Invite family to participate in a support group.
39. The nurse is teaching a patient with diabetes about self-management. What should the nurse include regarding medications to treat diabetes mellitus? a. Patients with type 1 diabetes may progress to type 2 if blood glucose levels are not well controlled. b. Patients with type 2 diabetes may achieve normal blood glucose levels with a combination of oral medications and insulin. c. Patients with type 2 diabetes will always need an exogenous source of insulin. d. Patients with type 1 diabetes may achieve normal blood glucose levels with oral medications.
b. Patients with type 2 diabetes may achieve normal blood glucose levels with a combination of oral medications and insulin.
3. The nurse is completing a health history on a client with type 1 diabetes mellitus. Which manifestations indicate the client is experiencing hyperglycemia? Select all that apply. a. Weight gain b. Polyphagia c. Polydipsia d. Fatigue e. Polyuria
b. Polyphagia c. Polydipsia d. Fatigue e. Polyuria
15. A client with diabetes mellitus is admitted to the medical unit for chronic complications. The nurse ensures that the floor is free of clutter, uses a night light, and checks the water temperature before bathing the client. What potential problem do these interventions address when caring for this client? a. Ineffective coping b. Risk for injury c. Risk for infection d. Acute pain
b. Risk for injury
33. The nurse is reviewing the healthcare record of a patient with type 2 diabetes mellitus who has a foot wound. Which outcome of care would be the most important at this time? a. The patient will obtain a thermometer for monitoring bath water temperature. b. The patient will bring a caregiver to the next healthcare appointment. c. The patient will explain why patients with diabetes should not go barefoot. d. The patient will describe the steps of effective diabetic foot care.
b. The patient will bring a caregiver to the next healthcare appointment.
24. Gladys Lewis is a 48-year-old woman with a history of hypertension who is admitted to the hospital with an infected wound on her right ankle that does not seem to be healing. She reports that she has been experiencing fatigue, blurred vision, polyuria, and polydipsia for the past month. Upon reviewing her medical record, you note that she has a BMI of 32 and a blood glucose level of 225 mg/dL. Her blood and urine are negative for ketones. Which of the following do you suspect may be happening to Ms. Lewis? a. Type 1 diabetes mellitus b. Type 2 diabetes mellitus c. Diabetes insipidus d. Hypoglycemia
b. Type 2 diabetes mellitus
32. The nurse is assessing a patient who has a family history of type 2 diabetes mellitus. Which finding would require follow-up by the nurse? a. decreased waist-to-hip ratio through dietary changes b. a new prescription for levothyroxine (Synthroid) for hypothyroidism c. a fasting blood glucose level of 89 mg/dL d. delivery of a baby that weighed 8 pounds and 12 ounces
b. a new prescription for levothyroxine (Synthroid) for hypothyroidism
71. The manager observes a graduate nurse teaching a 5-year-old patient with diabetes mellitus. The manager determines that content being instructed is appropriate when the nurse states, "Insulin acts like: a. a mud pie that makes the blood vessels thick and sticky." b. a wagon that carries sugar into the cells of the body." c. salty potato chips that make people feel very thirsty." d. building blocks that help make protein into strong muscles."
b. a wagon that carries sugar into the cells of the body."
70. The nurse notes that a 41-year-old patient's fasting blood glucose level is 125 mg/dL. What should the nurse suspect is occurring with the patient? a. consistent with diabetes b. consistent with prediabetes c. severe hyperglycemia d. normal results
b. consistent with prediabetes
53. The nurse is identifying patients at risk for needing insulin. Which patients should the nurse identify as potentially needing insulin to maintain a normal blood glucose level? Select all that apply. a. patients receiving total parenteral nutrition b. patients with type 2 diabetes who are undergoing surgical procedures c. patients who are fasting or malnourished d. patients with type 2 diabetes who are diagnosed with an infection e. patients with gestational diabetes
b. patients with type 2 diabetes who are undergoing surgical procedures d. patients with type 2 diabetes who are diagnosed with an infection e. patients with gestational diabetes
51. A patient with type 1 diabetes mellitus has difficulty swallowing and takes milk of magnesium every day for nausea and constipation. What should the nurse suspect is occurring with this patient? a. reaction to insulin injections b. visceral neuropathy c. peripheral neuropathy d. age-related changes
b. visceral neuropathy
60. The nurse is caring for a patient with type 1 diabetes mellitus. Which patient statement requires immediate intervention by the nurse? a. "I will not use insulin detemir in my insulin pump." b. "I won't mix my cloudy regular insulin with other insulins." c. "I will take my lispro insulin 15 minutes before I eat breakfast." d. "I am allergic to eggs."
b. "I won't mix my cloudy regular insulin with other insulins."
65. A patient with diabetes asks what can be done to prevent the development of corns on the feet. How should the nurse respond to this patient? a. "Use corn pads to gradually remove the growths." b. "Make sure that you select shoes that are appropriately fitted." c. "Corns are best treated by shaving them off." d. "A mild abrasive soap can be used to scrub the area to remove them."
b. "Make sure that you select shoes that are appropriately fitted."
27. Greer Bell is a 59-year-old man who was admitted to the hospital with complaints of chest pain, dyspnea, polyuria, polydipsia, and polyphagia. His glycosylated hemoglobin (A1C) is 9%. While taking Mr. Greer's admission history, he mentions that his feet feel numb. Which of the following complications would you assess Mr. Greer for first? a. Retinopathy b. Hepatitis c. A foot ulcer d. Nephropathy
c. A foot ulcer
58. A patient with type 1 diabetes mellitus who had one episode of vomiting in the past 2 hours asks if the routine insulin injection should be taken. What action by the nurse is best at this time? a. Contact the physician. b. Check the patient's fasting serum glucose level. c. Explain the need to take the insulin. d. Document the refusal and continue on with the planned care.
c. Explain the need to take the insulin.
25. Which of the following lab values indicate that the client may have diabetes mellitus? a. Casual plasma glucose greater than 150 mg/dL b. Glycosylated hemoglobin (A1C) less than 5.7% c. Glycosylated hemoglobin (A1C) greater than 6.5% d. Fasting plasma glucose less than 126 mg/dl
c. Glycosylated hemoglobin (A1C) greater than 6.5%
35. The nurse is reviewing instruction provided to a graduate nurse regarding insulin therapy. Which statement made by the graduate indicates that further instruction is needed? Select all that apply. a. Regular insulin can be administered intravenously. b. Lispro is a rapid-acting insulin. c. Insulin detemir is administered prior to each meal. d. NPH insulin may be mixed with lispro insulin. e. Insulin glargine may be used to treat gestational diabetes.
c. Insulin detemir is administered prior to each meal. e. Insulin glargine may be used to treat gestational diabetes.
16. The nurse is planning discharge education for a client newly diagnosed with diabetes and is planning to implement the education at different levels. What level of instruction provides the basic knowledge and skills needed to manage diabetes mellitus for the first 1 to 2 weeks after diagnosis? a. Level 3 b. Level 2 c. Level 1 d. Level 4
c. Level 1
64. A patient with diabetes is diaphoretic, has a heart rate of 112 beats per minute, and is feeling nervous and shaky. What action should the nurse take first? a. Provide the patient with a snack of milk and crackers. b. Contact the laboratory and order a serum glucose level. c. Obtain a capillary serum glucose level reading with a glucose meter. d. Administer insulin utilizing the prescribed sliding scale dosages.
c. Obtain a capillary serum glucose level reading with a glucose meter.
7. When planning care for a client with diabetes mellitus, the nurse addresses the potential problem of risk for infection. Which intervention will assist in addressing this potential problem? a. Monitor sensation to extremities daily. b. Instruct the client to have an oral examination yearly. c. Teach using lukewarm water and soap for skin care. d. Promote smoking cessation.
c. Teach using lukewarm water and soap for skin care.
69. The nurse is concerned that a patient with type 1 diabetes mellitus is at risk for developing diabetic ketoacidosis. What did the nurse assess to come to this conclusion? a. ulcer on plantar aspect of right foot b. reports of anxiety c. serum glucose level of 325 mg/dL d. pale, cool skin
c. serum glucose level of 325 mg/dL
43. The nurse is assessing a patient with type 2 diabetes mellitus. What questions should the nurse ask to determine the patient's risk for a lower extremity amputation? Select all that apply. a. "When were you first diagnosed with diabetes mellitus?" b. "Do you use insulin or oral hypoglycemic agents?" c. "Do you have any problems with your kidney related to diabetes?" d. "Do you have any problems with your eyes related to diabetes?" e. "What were your glycosylated hemoglobin values over the past year?"
c. "Do you have any problems with your kidney related to diabetes?" d. "Do you have any problems with your eyes related to diabetes?" e. "What were your glycosylated hemoglobin values over the past year?"
6. The nurse has completed educating a client diagnosed with type 1 diabetes mellitus about medication, nutrition, and exercise. What statement by the client indicates the client has a good understanding of how to properly treat diabetes mellitus? a. "I will take oral hypoglycemic agents to control my blood glucose." b. "I need to exercise at least 120 minutes each week." c. "I need to learn sick day management rules." d. "I will prevent prolonged sessions of exercise because they cause hyperglycemia."
c. "I need to learn sick day management rules."
1.The nurse is providing education to a client recently diagnosed with type 1 diabetes mellitus. What information will the nurse include when teaching about the characteristics of this disease? a. Hyperosmolar hyperglycemia state b. Insulin resistance c. Rapid onset of disease d. Breakdown of fats and proteins
d. Breakdown of fats and proteins
18. Which of the following best describes the pathophysiology of Type 1 diabetes mellitus? a. Production of pancreatic beta cells b. Production of pancreatic alpha cells c. Destruction of pancreatic alpha cells d. Destruction of pancreatic beta cells
d. Destruction of pancreatic beta cells
68. A patient with diabetes mellitus and poor circulation has thick and ingrown toenails. What should the nurse instruct the patient to do? a. Cut toenails immediately prior to bathing. b. Soak feet in Epsom salts daily. c. Use a clean sharp razor blade to trim nails. d. Make an appointment with a podiatrist.
d. Make an appointment with a podiatrist.
29. Which of the following should the nurse perform when caring for the diabetic client's feet? a. Let the feet air dry. b. Cut the toenails as short as possible. c. Remove all corns on the feet with a commercial product. d. Wash the feet with mild soap and lukewarm water.
d. Wash the feet with mild soap and lukewarm water.
31. Richard Cortez, a 68-year-old man with history of type 2 diabetes mellitus, is admitted to the hospital with community-acquired pneumonia. What should you teach Mr. Cortez to help him prevent injuries while he is in the hospital? a. Monitor blood glucose levels once a week. b. Turn off lights around the bed and room. c. Walk slowly when feeling dizzy from medications. d. Wear shoes or slippers when out of bed.
d. Wear shoes or slippers when out of bed.
61. The community nurse is teaching a group of members with type 1 or 2 diabetes mellitus who are planning to participate in an athletic triathlon. On which potential complication from this event should the nurse focus when teaching? a. impaired glucose tolerance b. diabetic ketoacidosis c. hyperosmolar hyperglycemic state d. hypoglycemia
d. hypoglycemia
63. A patient with no previous history of diabetes mellitus has ketones in the urine. Which question should the nurse ask this patient? a. "Have you donated blood recently?" b. "Have you ever been told you have albumin in your urine?" c. "What did you eat for breakfast and lunch today?" d. "Can you please describe any weight loss strategies you've been using?"
d. "Can you please describe any weight loss strategies you've been using?"
44. A patient at risk for the development of type 2 diabetes mellitus asks why weight loss will reduce risk of the condition. Which response by the nurse is most accurate? a. "The physical inactivity associated with obesity causes a reduced ability by the body to produce insulin." b. "The amount of foods taken in require more insulin to adequately metabolize them, resulting in diabetes." c. "Thin people are less likely to become diabetic." d. "Excess body weight impairs the body's release of insulin."
d. "Excess body weight impairs the body's release of insulin."
47. A patient beginning insulin for type 2 diabetes is experiencing blurred vision and is concerned about becoming blind. What response by the nurse is most appropriate? a. "Blurry vision is very common. Do not worry." b. "I will call the physician to report your symptoms." c. "I will make an appointment for you to see an ophthalmologist." d. "This is a normal response when insulin therapy is initiated."
d. "This is a normal response when insulin therapy is initiated."
5. The nurse is educating a client newly diagnosed with type 1 diabetes mellitus. What information should the nurse include in client education about ongoing monitoring of glucose levels? a. Urine testing will assist in measuring hypoglycemia. b. Urine testing is only used until glucose goals are achieved. c. Self-monitoring blood glucose is painless and noninvasive. d. Self-monitoring blood glucose should occur three or four times a day.
d. Self-monitoring blood glucose should occur three or four times a day.
42. The nurse is planning care for a patient with type 1 diabetes mellitus. Which action should the nurse identify as being the most effective to reduce the development of complications? a. the necessity of a yearly eye exam b. knowing symptoms of urinary tract infections c. performance of effective foot care d. self-monitoring of blood glucose levels
d. self-monitoring of blood glucose levels
20. Walter Wariner, an 82-year-old man, is complaining of frequent bouts of nausea and indigestion. He also states that he has been experiencing numbness and tingling in his feet. Which of the following statements should you say to Mr. Wariner? a. "These may be signs of hypertension. You should have your blood pressure checked." b. "These may be symptoms of diabetes mellitus. You should have your blood sugar checked." c. "These are normal signs of aging. There is no need to worry." d. "These may be signs of renal failure. You should have your kidneys checked."
b. "These may be symptoms of diabetes mellitus. You should have your blood sugar checked."
17. Diabetes mellitus is the leading cause of which of the following complications? a. Encephalopathy b. End-stage renal disease c. Coronary artery disease d. Heart failure
b. End-stage renal disease
46. A patient recently diagnosed with diabetes wants to check the urine for glucose instead of using capillary blood because of the cost. Which response should the nurse make to the patient? a. "Urine testing is as reliable as finger stick testing." b. "Yes, urine testing is cheaper than glucose test strips." c. "Would you like to switch to this method of monitoring?" d. "Urine testing is best when combined with serum testing."
d. "Urine testing is best when combined with serum testing."
67. A patient with type 1 diabetes mellitus voided 4,000 mL of urine in the past 24 hours. The patient's skin turgor is poor, and the patient is reporting polyphagia and polydipsia. Which blood glucose level should the nurse expect when assessing this patient? a. 180 mg/dL b. 60 mg/dL c. 125 mg/dL d. 110 mg/dL
a. 180 mg/dL
22. Which of the following are risk factors associated with type 2 diabetes mellitus? Select all that apply. a. Weight loss b. Physical inactivity c. Blood pressure greater than or equal to 130/85 mmHg d. HDL cholesterol greater than or equal to 50 mg/dl e. Triglyceride level greater than or equal to 250 mg/dl
b. Physical inactivity c. Blood pressure greater than or equal to 130/85 mmHg e. Triglyceride level greater than or equal to 250 mg/dl
66. The nurse is teaching a patient with diabetes about the illness. The nurse knows the teaching has been effective when the patient identifies which statements as being true of pancreatic cells? Select all that apply. a. Beta cells secrete insulin. b. Cephalon cells produce creatine. c. Delta cells produce somatostatin. d. Alpha cells produce glucagon. e. Epsilon cells produce erythropoietin.
a. Beta cells secrete insulin. c. Delta cells produce somatostatin. d. Alpha cells produce glucagon.
12. The nurse is educating a group of older clients at a senior center about manifestations of diabetes mellitus. Which manifestations should the nurse include about diabetes mellitus that may be altered because of the aging process? Select all that apply. a. Decreased thirst b. Increased hunger c. Hypotension d. Peripheral neuropathy e. Urinary incontinence
a. Decreased thirst d. Peripheral neuropathy e. Urinary incontinence
10. The nurse is caring for a 70-year-old client admitted for possible type 2 diabetes mellitus. When obtaining the client's history, what conditions are potential indicators for diabetes mellitus in an older client? Select all that apply. a. Gastroparesis b. Glaucoma c. Periodontal disease d. Hypertension e. Impotence
a. Gastroparesis b. Glaucoma c. Periodontal disease e. Impotence
Which of the following are features of type 2 diabetes mellitus? Select all that apply. a. Inadequate insulin production b. Ketone production c. Complete insulin deficiency d. Complete destruction of beta cells e. Insulin resistance
a. Inadequate insulin production e. Insulin resistance
45. The nurse notes that a patient with type 2 diabetes mellitus is not prescribed aspirin 81 mg as recommended for the prevention of cardiovascular complications. What information in the patient's health history should the nurse use to understand why this medication has not been prescribed for the patient? Select all that apply. a. Patient prescribed warfarin (Coumadin) 5 mg by mouth every day. b. Patient receives a vitamin B12 injection every month. c. Patient develops a rash and urticaria when taking medications with sulfa. d. Patient treated for chronic alcoholism and liver cirrhosis the past year. e. Patient admitted for gastrointestinal bleeding 3 months ago.
a. Patient prescribed warfarin (Coumadin) 5 mg by mouth every day. d. Patient treated for chronic alcoholism and liver cirrhosis the past year. e. Patient admitted for gastrointestinal bleeding 3 months ago.
62. A patient with diabetes mellitus has albuminuria, hypertension, and edema. What should the nurse expect to be prescribed for this patient? a. Review weight loss strategies. b. Increase salt intake. c. Provide antibiotic therapy as prescribed. d. Restrict activity.
a. Review weight loss strategies.
11. A client is admitted to the medical unit for possible diabetes mellitus. Which manifestations should the nurse monitor for that indicate the client is experiencing type 2 diabetes mellitus? Select all that apply. a. Skin infection b. Blurred vision c. Ketoacidosis d. Polydipsia e. Polyuria
a. Skin infection b. Blurred vision d. Polydipsia e. Polyuria
40. A 78-year-old patient without polyuria, polydipsia, or polyphagia has a serum glucose level of 130 mg/dL. What should the nurse conclude about this patient? a. The patient will need to be assessed for other manifestations of diabetes. b. The patient has type 1 diabetes mellitus. c. The patient might have eaten a meal with high sugar content prior to the testing. d. The laboratory results might be erroneous.
a. The patient will need to be assessed for other manifestations of diabetes.
34. A patient with type 1 diabetes mellitus has a serum hematocrit level of 24%. What additional finding should the nurse report to the health care provider? a. capillary blood glucose of 60 mg/dL b. the presence of glucose in urine c. glycosylated hemoglobin of 7.0 d. the presence of albumin in urine
a. capillary blood glucose of 60 mg/dL
59. A patient with type 2 diabetes mellitus is scheduled for laparoscopic adjustable gastric banding (LAGB) surgery. What should the nurse explain to the patient about this procedure and diabetes? a. "Surgical procedures can be dangerous for patients with diabetes." b. "This procedure is more appropriate for a patient who has a diagnosis of type 1 diabetes mellitus." c. "Do you feel that a surgical weight loss procedure will cure your obesity?" d. "Evidence indicates positive outcomes for many patients with diabetes who undergo surgical weight loss procedures."
d. "Evidence indicates positive outcomes for many patients with diabetes who undergo surgical weight loss procedures."
What acute complication will the nurse monitor for in a client with type 2 diabetes mellitus? a. Diabetic ketoacidosis b. Atherosclerosis c. Hyperosmolar hyperglycemic state d. Neuropathy
c. Hyperosmolar hyperglycemic state
23. Which of the following may be a manifestation of diabetes mellitus in the older client? a. Palpitations b. Increased thirst c. Urinary incontinence d. Increased hunger
c. Urinary incontinence
