Final Exam Diabetes
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| In preparing the staff in-service for a presentation about diabetes the nurse includes which information | show 🗑
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| show | which is the nurses best response
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| In monitoring client w/ hypoglycemia, the nurse recognizes which action of glucagon | show 🗑
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| the nurse Correlates polyuria seen in clients with untreated diabetes w/ which physiologic response | show 🗑
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| The nurse correlates which assessment finding in the client with diabetes w/ decreasing renal function | show 🗑
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| A client Newly dx w type 1 diabetes who wears glasses and has myopia asks the nurse how frequently should he see the ophthalmologist, what is the nurses best response | show 🗑
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| show | Examine the client’s feet for signs of injury
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| show | You have a greater susceptibility for developing diabetes 1 & 20 to 50 chance
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| To delay the onset of macrovascular and microvascular complications in the diabetic client, the nurse stresses which action | show 🗑
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| The nurse recognizes which client for being as greatest risk undiagnosed w/ diabetes | show 🗑
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| A client whose mother has Type 2 diabetes asks the nurse what are the chances of developing type 2 diabetes because of her mothers disease. What is the nurse’s best response | show 🗑
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| The nurse includes which information when teaching the newly diagnosed w/ type 1 dm about when to measure for urine ketone bodies | show 🗑
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| Client w/ type 2 is prescribed to take oral sulfonylurea agent, to control blood glucose levels, which precaution does the nurse need to include in the teaching plan r/t this medication | show 🗑
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| show | Glucovance contains a combination of glyburide and metformin
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| show | Ill take this medicine 15 minutes before I eat.
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| The client has been taking (Actose)-Proglitazone for 6 months and reports to the nurse that his urine has become darker since starting medication, which is the nurse’s first action | show 🗑
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| show | Which is the nurses best response
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| show | The abdominal site is best because it is closest to the pancreas (it is best because of better absorption)
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| The client who has been using insulin control for 20 yrs has a spongy swelling at the site used most frequently for the site of insulin injection, which is the nurses best action | show 🗑
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| show | Draw up and inject the insulin glargine first and then draw up and inject the dose of regular insulin
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| show | the client is demonstrating good control of blood glucose (hgba1c: 4-6%) (prandial: below 200)
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| show | yes prefilled syringes can be stored for up to 3 weeks in the refrigerator in a vertical position with the needle pointing up
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| To prevent complications of infection r/t infusion pumps what should the nurse teach the client | show 🗑
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| show | “ I should try to keep my diet free from carbohydrates”
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| show | Decrease your fiber now and then gradually add high fiber back into diet
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| The nurse recommends the pen type injector insulin delivery system for the type of client w. which clinical presentation | show 🗑
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| The nurse teaches which action to the diabetic client who self injects insulin to prevent or limit local irritation at the injection site | show 🗑
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| show | Fats- diabetes leads to hyperlipidemia= arterial sclerosis & vascular insufficiency
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| A client w diabetes has proliferative retinopathy, nephropathy and peripheral neuropathy, what should the nurse teach this client about exercise | show 🗑
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| The nurse assess for which clinical manifestation in the client w/ uncontrollable diabetes and ketoacidosis | show 🗑
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| The nurse determines of which of the ABG values are consistent w/ ketoacidosis in client w/ diabetes | show 🗑
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| Which priority intervention does the nurse take when pt has Kussmaul respirations as a result of diabetic ketoacidosis | show 🗑
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| The client w/ type 1 diabetes asks whether an occasional glass of wine is allowed Which is the nurse’s best response | show 🗑
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| show | Malnutrition
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| The nurse teaches the newly dx’s client w/ type 1 diabetes that insulin needs can be decreased by what action | show 🗑
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| Which finding in the client w/ diabetes indicates that exercise should be avoided at this time | show 🗑
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| show | you can have an acute episode, but doesn’t mean it’s failed- (answer): you should keep in mind that 1 acute rejection episode does not mean you will lose the new organs those episodes can be reversed w/ the right treatment
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| Which statement by the client getting ready for d/c after pancreas transplantation indicates the need for further teaching about the prescribed drug regimen | show 🗑
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| The nurse correlates w/ which lab value w/ inadequate function of a transplanted pancreas | show 🗑
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| 3 hours after surgery the nurse notes that the breath of the client w.type 1 diabetes has a fruity odor. Which is the nurses best 1st action | show 🗑
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| show | Document the findings as the only action
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| show | Use a bath thermometer to test the water temperature-(examination of the feet does not PREVENT the injury. Inspecting for injury does not prevent it)
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| show | What is the nurses best response
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| the nurse monitors for which clinical manifestation of decreased renal function in the client with a history of diabetes | show 🗑
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| For the diabetic client w/ microalbuminuria teaches the client to decrease which part of their dietary intake | show 🗑
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| show | even if i feel completely well, i should take the medication until it is gone
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| show | administer an additional 1/2 cup of orange juice
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| show | position the client on his/her side
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| The nurse monitors which lab disorder in a client receiving IV insulin for hyperglycemia | show 🗑
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| what instruction should the nurse emphasize when teaching the diabetic client about how to alter diabetes management during a period of illness that includes nausea and vomiting | show 🗑
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| show | There is enough insulin produced by type 2 diabetes to prevent fat catabolism but not enough to prevent hyperglycemia
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| Which clinical manifestation indicates to the nurse that the therapy for the client w/hyperglycemic, hyperosmolar, nonketotic syndrome HHNS needs to be adjusted | show 🗑
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| The nurse administered 6 units of regular insulin and 10 of NPH @ 7am how many units did she give | show 🗑
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| show | 4pm- the peak of NPH (rationale): NPH is immediate acting w/ an onset of 1.5 hrs. and peaks between 4-12 hours, duration of 22 hours
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| Which statement by the client w/ diabetes need further teaching about wearing a medical alert bracelet | show 🗑
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| The nurse monitors for which clinical manifestations in the diabetic client admitted w/ DKA | show 🗑
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| Which statement by the client recently dx w/type 2 indicates understanding in the importance of maintaining weight within the prescribed range | show 🗑
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| show | clients with diabetes need to be seen at least annually to monitor for long term complications including visual changes microalbuminuria and lipid analysis
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| A client recently dx’s w. type 1 diabetes tell the nurse I don’t know if I will be able to stick myself w/ a needle. What is the nurses best response | show 🗑
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| The nurse is d/c a client who has recently been dx’s w/ type 1 and refers the client to the American Diabetes Assoc. Which statement by the client indicates an understanding of the resources available fr. this organization | show 🗑
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