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Week 7
Week 7 Collaborative Care of Diabetes
| Question | Answer |
|---|---|
| Which laboratory finding warrants a repeat test to confirm a diagnosis of diabetes? | Random blood glucose value of 250 mg/dL |
| Which instruction should the nurse give to a patient who is scheduled for a fasting blood glucose test? | “Do not eat or drink anything for 8 hours before the test.” |
| Which diagnostic test result will the nurse review to evaluate a patient’s blood glucose control over an extended period? | Glycosylated hemoglobin (HgbA1c) - A glycosylated hemoglobin (HgbA1c) value indicates blood glucose control over time (approximately 3 months) by measuring the percentage of glycosylated hemoglobin molecules. |
| Which dietary instruction should the nurse include when reviewing dietary needs with a patient newly diagnosed with diabetes? | “Consume 45 to 60 grams of carbohydrates per meal.” |
| The patient with new-onset type 2 diabetes asks the nurse about ways to lose weight. Which instruction should the nurse include in patient education? | Use portion control |
| Which source of fat should the nurse instruct the patient with diabetes to include in the diet at least twice a week? | Fish |
| Which actions should the nurse take when administration of NPH and regular insulin is required for a patient with diabetes? | 1. Withdraw the regular insulin first, then the NPH, in the same syringe. 2. Assess the patient’s capillary blood glucose level before the injection. 3. Have a second nurse check the insulin type and dosage before administration. |
| The nurse is caring for a patient with diabetes who underwent magnetic resonance imaging with and without intravenous (IV) contrast dye yesterday. Which medication should the nurse withhold? | Metformin |
| A patient with diabetes asks the nurse about the option of using inhaled insulin because of a fear of self-administered injections. Which finding in the medical record would prevent the patient using this form of insulin? | STobacco use ( 1 pack of cigarettes per day)- An inhaled form of insulin is contraindicated for patients who smoke because it can lead to bronchospasms. |
| The nurse is caring for a patient with diabetes who is also receiving treatment for chronic obstructive pulmonary disease. The nurse should obtain capillary blood glucose levels based on documentation of which medication in the patient’s chart? | Prednisone |
| A patient reports a new onset of increased thirst, hunger, and frequent urination. Which action should the nurse take first? | Obtain a random plasma glucose level. |
| A nurse is preparing a patient with suspected diabetes for a fasting blood glucose test. The nurse should ask the patient about which factors? | 1. Recent acute illness 2. History of alcohol use 3. History of recent exercise |
| The nurse is providing patient education to a high school athlete with diabetes who was seen in the emergency department after a syncopal episode during a basketball game. Which teaching interventions are appropriate for the nurse to provide? | 1. “Carry a source of quick-acting carbohydrate with you.” 2. “Obtain a capillary blood glucose level before you exercise.” |
| Which subjective assessment finding indicates a need for further patient education about reducing the risk of developing complications from diabetes? | Reports walking barefoot only when it is warm outside |
| A nurse is providing dietary teaching to a patient with diabetes. Which patient action indicates a good understanding of dietary restrictions? | Using artificial sweeteners for beverages |
| A 16-year-old patient with diabetes reports to the nurse that morning blood glucose levels have been averaging around 200 mg/dL but are within an acceptable range the rest of the day. Which situation should the nurse suspect? | The patient is experiencing the dawn phenomenon. |
| A patient with newly diagnosed type 1 diabetes tells the nurse that he or she likes to go camping, but is now afraid to go because of insulin needs. Which information should the nurse provide to the patient? | Insulin can be stored at room temperature. |
| The nurse administers a dose of NPH insulin to a patient at 8:00 am. At which time should the nurse provide a snack or meal? | 12:00 pm |
Created by:
Brandi Sizemore
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