DIABETES WEEK 5 LIPPINCOTT

After teaching a client with type 1 diabetes who is scheduled to undergo an islet cell transplant, which client statement indicates successful teaching? "This transplant will provide me with a cure for my diabetes." "They'll need to create a connection from the pancreas to allow enzymes to drain." "I will receive a whole organ with extra cells to produce insulin." "I might need insulin later on but probably not as much or as often."

"I might need insulin later on but probably not as much or as often."

What is the duration of regular insulin? 4 to 6 hours 3 to 5 hours 12 to 16 hours 24 hours

4-6

A client with type 1 diabetes presents with a decreased level of consciousness and a fingerstick glucose level of 39 mg/dl. Their family reports that they have been skipping meals in an effort to lose weight. Which nursing intervention is most appropriate? Administering a 500-ml bolus of normal saline solution Administering 1 ampule of 50% dextrose solution, per health care provider's order Observing the client for 1 hour, then rechecking the fingerstick glucose level Inserting a feeding tube and providing tube feedings

Administering 1 ampule of 50% dextrose solution, per health care provider's orde

Which would be included in the teaching plan for a client diagnosed with diabetes mellitus? An elevated blood glucose concentration contributes to complications of diabetes, such as diminished vision. Sugar is found only in dessert foods. Once insulin injections are started in the treatment of type 2 diabetes, they can never be discontinued. The only diet change needed in the treatment of diabetes is to stop eating suga

An elevated blood glucose concentration contributes to complications of diabetes, such as diminished vision.

client is admitted to the health care center with abdominal pain, nausea, and vomiting. The medical reports indicate a history of type 1 diabetes. The nurse suspects the client's symptoms to be those of diabetic ketoacidosis (DKA). Which action will help the nurse confirm the diagnosis? Assess for excessive sweating Assess the client's breath odor the client's ability to take a deep breath Assess the client's ability to move all extremities

Assess the client's breath odor

nurse educates a group of clients with diabetes mellitus on the prevention of diabetic nephropathy. Which of the following suggestions would be most important? Control blood glucose levels. Take the antidiabetic drugs regularly. Drink plenty of fluids. Eat a high-fiber diet.

Control blood glucose levels.

A nurse is preparing a client with type 1 diabetes for discharge. The client can care for themselves; however, the client had a problem with unstable blood glucose levels in the past. Based on the client's history, they should be referred to which health care worker? Social worker Dietitian Psychiatrist Home health nurse

Dietitian

nurse is inspecting the feet of a client with diabetes and finds a tack sticking in the sole of one foot. The client denies feeling anything unusual in the foot. Which is the best rationale for this finding? Motor neuropathy causes muscles to weaken and atrophy. In diabetes, the autonomic nerves are affected. High blood sugar decreases blood circulation to nerves. Nephropathy is a common complication of diabetes mellitus

High blood sugar decreases blood circulation to nerves

client with diabetes mellitus is receiving an oral antidiabetic agent. The nurse observes for which condition when caring for this client? Polydipsia Blurred vision Hypoglycemia Polyuria

Hypoglycemia

Which statement is correct regarding glargine insulin? Its peak action occurs in 2 to 3 hours. It is given twice daily. It cannot be mixed with any other type of insulin. It is absorbed rapidly.

It cannot be mixed with any other type of insulin.

A client with diabetes is receiving an oral antidiabetic agent that acts to help the tissues use available insulin more efficiently. Which of the following agents would the nurse expect to administer? Metformin Glyburide Repaglinide Glipizide

MetforminMetformin

client who is diagnosed with type 1 diabetes would be expected to: Receive daily doses of a hypoglycemic agent. Need exogenous insulin. Have no damage to the islet cells of the pancreas. Be restricted to an American Diabetic Association die

Need exogenous insulin.

An older adult client that has type 2 diabetes comes to the emergency department with second-degree burns to the bottom of both feet and states, "I didn't feel too hot but my feet must have been too close to the heater." What does the nurse understand is most likely the reason for the decrease in temperature sensation? Peripheral neuropathy Sudomotor neuropathy A faulty heater Autonomic neuropathy

Peripheral neuropathy

What is the only insulin that can be given intravenously? Lantus NPH Ultralente Regular

Regular

client has been newly diagnosed with type 2 diabetes, and the nurse is assisting with the development of a meal plan. What step should be taken into consideration prior to making the meal plan? Determining whether the client is on insulin or taking oral antidiabetic medication Reviewing the client's diet history to identify eating habits and lifestyle and cultural eating patterns Making sure that the client is aware that quantity of foods will be limited Ensuring that the client understands that some favorite foods may not be allowed on the meal plan and substitutes will need to be found

Reviewing the client's diet history to identify eating habits and lifestyle and cultural eating patterns