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Week 7
Week 7 Nursing Management of Diabetes
| Question | Answer |
|---|---|
| Which action should the nurse take first when a patient’s capillary blood glucose reading is 63 mg/dL? | Give the patient a snack that equals 15 g of carbohydrates. |
| After the initial assessment of a new patient, the nurse notices a fruity smell on the patient’s breath and rapid, deep breathing. Which actions should the nurse take to address these symptoms? | 1. Notify the health care provider 2. Check the patient's a high-carbohydrate snack |
| A nurse is caring for a newly admitted patient with type 1 diabetes. Which assessment finding would cause the nurse to implement interventions for hyperglycemia? | Dry mouth |
| A patient with type 2 diabetes calls the health care provider’s office and reports having the flu. Which instructions should the nurse give the patient? | 1. Continue taking your insulin and/or oral agent 2. Increases oral fluid intake to prevent dehydration. 3. Increase your carbohydrate intake to prevent further nausea. |
| Which statement made by a patient with new-onset type 1 diabetes indicates a need for further education? | “I will use the pad of my finger to obtain blood for a blood glucose level.” |
| The home health nurse visits a patient with a new diagnosis of type 2 diabetes. Which patient finding would prompt the nurse to provide further education? | Consistently skipping meals |
| A patient with diabetes is admitted to the hospital for a colon resection as treatment for cancer. Which actions should the nurse include in the plan of care to manage the patient’s diabetes? | 1. Administer insulin subcutaneously as prescribed. 2. Provide foot care every shift and assess for ulcers.3. Assess the abdominal incision for signs of infection. |
| Which interventions should the nurse perform for a patient with diabetes who appears confused and responds to questions with irritation? | 1. Give the patient a snack 2. Check the patients blood glucose level. |
| The nurse is caring for a patient admitted to the hospital with no history of diabetes but who has a blood glucose level consistently greater than 200 mg/dL. Which action should the nurse take? | Review the patient’s current medication list. |
| The nurse is educating a patient with type 1 diabetes about disease self-management. Which statement indicates the patient understands the instructions given? | “I will record my blood glucose levels in a log book and bring these to my appointments.” |
| The nurse is educating a patient about proper foot care. Which statement made by the patient indicates a need for further teaching? | “I will soak my feet in Epsom salts every night.” |
| Which instruction should the nurse include when teaching a patient with type 1 diabetes about self-management? | “Keep your fasting blood glucose level below 125 mg/dL.” |
Created by:
Brandi Sizemore
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