white diabetes exam
a nurse is preparing to administer morning insulin to a client who has a prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneous daily. what is the total number of units of insulin that the nurse should prepare in the insulin syringe?
42 units
the nurse is caring for a patient suspected of having ketoacidosis which manifestations are characteristic with early ketoacidosis?
fruity breath polyuria nausea thirst
a nurse is collecting data from a client who has diabetes mellitus the client is confused, flushed, and has an acetone odor on his breath. the nurse should anticipate a prescription for which of the following types of insulins?
IV regular insulin
a nurse is preparing to administer insulin lispro (rapid acting) to a client who has type 1 diabetes mellitus which of the following actions should the nurse plan to take?
administer 15 mins before a meal
a nurse is preparing to administer subcutaneous regular insulin to a client before he eats breakfast at 0800 which of the following actions should the nurse take?
administer 30 mins before breakfast
a nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about self care during illness which of the following instructions should the nurse include in the teaching?
administer usual daily dose of insulin
the nurse is counceling an overweight noncompliant 30 year old female with type 2 diabetes which change is the most important for the nurse to suggest?
begin an exercise program and lose weight
a nurse is unable to read a new prescription written by a provider which of the following actions should the nurse take?
call the dr for clarification
a nurse is caring for a client who has type 1 diabetes mellitus and is not adhering to guidelines for therapy which of the following factors should the nurse consider as contributing to the nonadherance? SATA
dexterity culture motivation
a nurse is teaching a newly licensed nurse about insulin storage which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
discard 28 days after opening
a nurse is reinforcing teaching with a client who is to self administer regular insulin (clear) and NPH insulin (cloudy) from the same syringe which of the following instructions should the nurse provide?
discard regular insulin if it appears cloudy
a nurse is reinforcing teaching for a client who has diabetes mellitus and has a prescription for insulin detemir injections once daily which of the following statements by the client indicates an understanding of the teaching?
inject detemir in the evening before bedtime
when discussing exercise programs with the diabetic which instructions is important for the nurse to include? SATA
keep a quick source of glucose readily available when exercising delay exercise until glucose is controlled begin slowly and build up to 30 or 45 mins only use abdominal injection site when exercising
a newly licensed nurse has obtained a capillary blood glucose level from a client that has produced innacurate results and reports this to the charge nurse. which of the following actions should the charge nurse take?
repeat the test
a nurse is reinforcing teaching about insulin injections with a client who is newly diagnosed with type 1 diabetes mellitus which of the following information should the nurse include about rotating sites?
rotate sites to keep insulin levels consistent
the nurse is discussing insulin administration with an assigned patient. the patient reports that she prefers to use only certain sites for insulin injections and questions the need to rotate sites which response by the nurse is most appropriate?
rotating helps enhance insulin absorption
the nurse watches a patient perform an insulin injection which observations indicate that the patient needs additional instructions? SATA
rubs injection site after administration draws up cloudy then clear shakes the insulin bottle
a nurse is reinforcing teaching for a client who has type 2 diabetes mellitus and is prescribed glycozide (oral) the client should be taught that glycozide works in which of the following ways?
stimulates pancreas to release adequate insulin
which statement explains the reason for weight loss in type 1 diabetics? SATA
stress of disease metabolization of body fats loss of body fluids
a nurse is performing teaching with a client who has diabetes mellitus about using a glucometer to monitor her glucose levels. which of the following actions should the nurse identify as the indication that the client understands the instructions?
use the side of the finger
