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1. Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is correct? ANS: C 3 A 48-year-old male patient screened for diabetes at a clinic has a fasting plasma glucose ANS: C 4 A 28-year-old male patient with type 1 diabetes
reports how he manages his exercise ANS: D 5 The nurse is assessing a 22-year-old patient experiencing the onset of symptoms of type ANS: C 6 A patient with type 2 diabetes is scheduled for a follow-up visit in the clinic several ANS: D 7 A 55-year-old female patient with type 2 diabetes has a nursing diagnosis of imbalanced ANS: A 8 A 38-year-old patient who has type 1 diabetes plans to swim laps daily at 1:00 PM. The ANS: A 9 The nurse determines a need for additional instruction when the patient with newly ANS: C 10 In order to assist an older diabetic patient to engage in moderate daily exercise, which ANS: A 11 Which statement by the patient indicates a need for additional instruction in ANS: A 12 Which patient action indicates good understanding of the nurse’s teaching about ANS: B 13 A patient receives aspart (NovoLog) insulin at 8:00 AM. Which time will it be most ANS: A 14 Which patient action indicates a good understanding of the nurse’s teaching about the ANS: A 15 A 32-year-old patient with diabetes is starting on intensive insulin therapy. Which type ANS: A 16 Which information will the nurse include when teaching a 50-year-old patient who has ANS: B 17 The nurse has been teaching a patient with type 2 diabetes about managing blood ANS: D 18 When a patient who takes metformin (Glucophage) to manage type 2 diabetes develops ANS: C 19 A hospitalized
diabetic patient received 38 U of NPH insulin at 7:00 AM. At 1:00 PM, ANS: D 20 The nurse identifies a need for additional teaching when the patient who is selfmonitoring ANS: B 21 The nurse is preparing to teach a 43-year-old man who is newly diagnosed with type 2 ANS: B 22 An unresponsive patient with type 2 diabetes is brought to the emergency department ANS: B 23 A 26-year-old female with type 1 diabetes develops a sore throat and runny nose after ANS: C 24 The health care provider suspects the Somogyi effect in a 50-year-old patient whose ANS: C 25 Which action should the nurse take after a 36-year-old patient treated with ANS: B 26 Which question during the assessment of a diabetic patient will help the nurse identify ANS: A 27 Which information
will the nurse include in teaching a female patient who has ANS: A 28 Which finding indicates a need to contact the health care provider before the nurse ANS: D 29 A diabetic patient who has reported burning foot pain at night receives a new ANS: B 30 Which information is most important for the nurse to report to the health care provider ANS: C
31 Which action by a patient indicates that the home health nurse’s teaching about
ANS: D 32 A 26-year-old patient with diabetes rides a bicycle to and from work every day. Which ANS: C 33 The nurse is interviewing a new patient with diabetes who receives rosiglitazone ANS: D 34 The nurse is taking a health history from a 29-year-old pregnant patient at the first ANS: B 35 A 27-year-old patient admitted with diabetic ketoacidosis (DKA) has a serum glucose ANS: A 36 A 54-year-old patient is admitted with diabetic ketoacidosis. Which admission order ANS: A 37 A female patient is scheduled for an oral glucose tolerance test. Which information ANS:
A 38 A patient who was admitted with diabetic ketoacidosis secondary to a urinary tract ANS: C 39 Which laboratory value reported to the nurse by the unlicensed assistive personnel ANS: B 40 When a patient with type 2 diabetes is admitted for a cholecystectomy, which nursing ANS: C 41 An active 28-year-old male with type 1 diabetes is being seen in the endocrine clinic. ANS: B 42 A
34-year-old has a new diagnosis of type 2 diabetes. The nurse will discuss the need ANS: B 43 After the nurse has finished teaching a patient who has a new prescription for ANS: C 44 A few weeks after an 82-year-old with a new diagnosis of type 2 diabetes has been ANS: C 45 The nurse has administered 4 oz of orange juice to an alert patient whose blood ANS: A 46 Which nursing action can the nurse delegate to unlicensed assistive personnel (UAP) ANS: A 47 After change-of-shift report, which patient will the nurse assess first? ANS: C 48 After change-of-shift report, which patient should the nurse assess first? ANS: B 49 To monitor for complications in a patient with type 2 diabetes, which tests will the nurse ANS: B, C, D, F 50 In which order will the nurse take these steps to prepare NPH 20 units and regular ANS: BRUNNER & SUDDARTH 14TH ED 52 A community health nurse has witnessed significant shifts in patterns of disease over the course of a Ans: A 53 A nurse has been working with Mrs. Griffin, a 71-year-old patient whose poorly controlled type 1 diabetes has led to numerous health problems. Over the past several years Mrs. Griffin has had several admissions to the hospital medical unit, and the nurse has often carried out health promotion interventions. Who is ultimately responsible for maintaining and promoting Mrs. Griffins health?
Ans: D 54 A 20-year-old man newly diagnosed with type 1 diabetes needs to learn how to self-administer insulin. A) Patients expected lifespan Ans: D 55 You are the oncoming nurse and you have just taken end-of-shift report on your patients. One of your Ans: A 56 You are the clinic nurse providing patient education to a teenage girl who was diagnosed 6 months ago Ans: A, D, E 57 Nurses who are providing patient education often use motivators for learning with patients who are Ans: A 58 You are taking a health history on an adult patient who is new to the clinic. While performing your Ans: A 59 you are the nurse caring for a patient who is Native American who arrives at the clinic for treatment Ans: D 60 You are the nurse caring for a
72-year-old woman who is recovering from a hemicolectomy on the Ans: D 61 The nurse is admitting a Native American patient
with uncontrolled hypertension and type 1 diabetes to Ans: D 62 A medical-surgical nurse is teaching a patient about the health implications of her recently diagnosed Ans: B 63 A patient has recently been diagnosed with type 2 diabetes. The patient is clinically obese and has a Ans: D 64 You are caring for a
young woman who has Down syndrome and who has just been diagnosed with type Ans: D 65 You are presenting patient teaching to a 48-year-old man who was just diagnosed with type 2 diabetes. Ans: C 66 The
nurse admitting a patient who is insulin dependent to the same-day surgical suite for carpal tunnel Ans: D 67 The nurse is planning the care of a patient who has type 1 diabetes and who will be undergoing knee Ans: A, C, D 68 The clinic nurse is caring for a 57-year-old client who reports experiencing leg pain whenever she walks Ans: A Feedback: The patient with peripheral vascular disease or diabetes should receive education or reinforcement about skin and foot care. Intermittent claudication and other chronic peripheral vascular diseases reduce oxygenation to the feet, making them susceptible to injury and poor healing; therefore, meticulous foot care is essential. The patient should stop smokingnot just cut downbecause nicotine is a vasoconstrictor. Daily walking benefits the patient with intermittent claudication. Increased protein intake will not alleviate the patients symptoms. 69 A patient with poorly controlled diabetes
has developed end-stage renal failure and consequent anemia. Ans: B 70 A patient with type 1 diabetes has told the nurse that his most recent urine test for ketones was positive. Ans: C 71 A patient presents to the clinic complaining of
symptoms that suggest diabetes. What criteria would Ans: A 72 A patient newly diagnosed with type 2 diabetes is attending a nutrition class. What general guideline Ans: C 73 A nurse is providing health education to an adolescent newly diagnosed with type 1 diabetes mellitus Ans: C 74 A medical nurse is caring for a patient with type 1 diabetes. The patients medication administration Ans: B 75 A patient has just been diagnosed with type 2 diabetes. The
physician has prescribed an oral antidiabetic Ans: B 76 A diabetes nurse educator is teaching a group of patients with type 1 diabetes about sick day rules. What Ans: A
77 The nurse is discussing macrovascular complications of diabetes with a patient. The nurse would address Ans:
B 78 A school nurse is teaching a group of high school students about risk factors for diabetes. Which of the Ans: D 79 A 15-year-old
child is brought to the emergency department with symptoms of hyperglycemia and is Ans:
A 80 A newly admitted patient with type 1 diabetes asks the nurse what caused her
diabetes. When the nurse Ans: D 81 An occupational health nurse is screening a group of workers for diabetes. What statement should the Ans: B 82 A diabetes nurse educator is presenting the American Diabetes Association (ADA) recommendations for Ans: D 83 A diabetes educator is teaching a patient about type 2 diabetes. The educator recognizes that the patient Ans: C 84 An older adult patient with type 2 diabetes is brought to the emergency department by his daughter. The Ans:
D 85 A nurse is caring for a patient with type 1 diabetes who is being discharged home tomorrow. What is the Ans: B 86 An elderly patient comes to the clinic with her daughter. The patient is a diabetic and is
concerned about Ans: B 87 A diabetic educator is discussing sick day rules with a newly diagnosed type 1 diabetic. The educator is Ans: A 88 Which of the following
patients with type 1 diabetes is most likely to experience adequate glucose Ans: C 89 A 28-year-old pregnant woman is spilling sugar in her urine. The physician orders a glucose tolerance Ans: C 90 A medical nurse is aware of the need to screen specific patients for their risk of hyperglycemic Ans: D 91 A nurse is caring for a patient newly diagnosed with type 1 diabetes. The nurse is
educating the patient Ans: A 92 A patient with type 2 diabetes achieves adequate glycemic control through diet and exercise. Upon being Ans:
B 93 A physician has explained to a patient that he has developed diabetic neuropathy
in his right foot. Later Ans: C 94 A patient with type 2 diabetes has been managing his blood glucose levels using diet and metformin Ans: D 95 A patient with a longstanding diagnosis of type 1 diabetes has a history of poor glycemic control. The Ans: A 96 A patient has been brought to the emergency department by paramedics after being found unconscious. Ans: A 97 A diabetic nurse is working for the summer at a
camp for adolescents with diabetes. When providing Ans: A 98 A nurse is teaching basic survival skills to a patient newly diagnosed with type 1 diabetes. What topic Ans: D 99 A nurse is
conducting a class on how to self-manage insulin regimens. A patient asks how long a vial of Ans: A 100 A patient has received a diagnosis of type 2 diabetes. The diabetes nurse has made contact with the Ans: D 101 A student with diabetes tells the school nurse that he is feeling nervous and hungry. The nurse assesses Ans: C 102 A patient with a history of type 1 diabetes has just been admitted to the critical care unit (CCU) for Ans: B 103 A patient has been living with type 2 diabetes for several years, and the nurse realizes that the patient is Ans: A 104 A patient with type 1 diabetes mellitus is seeing the nurse to review foot care. What would be a priority Ans: C 105 A diabetes nurse is assessing a patients knowledge of self-care skills. What would be the most Ans: B 106 The most recent blood work of a patient with a longstanding diagnosis of type 1 diabetes has shown the Ans: A 107 A nurse is assessing a patient who has diabetes for the presence of peripheral neuropathy. The nurse Ans: D 108 A diabetic patient calls the clinic complaining of having a flu bug. The nurse tells him to take his regular Ans: B 109 A patient is brought to the emergency department by the paramedics. The patient is a type 2 diabetic and Ans: B, C, D, E 112 A nurse is teaching a client with diabetes mellitus who asks, Why is it necessary to maintain my blood ANS: B
113 A nurse reviews laboratory results for a client with diabetes mellitus who presents with polyuria, lethargy, ANS: D 114 After teaching a young adult client
who is newly diagnosed with type 1 diabetes mellitus, the nurse assesses ANS: D 115 A nurse assesses a client who has a 15-year history of diabetes and notes decreased tactile sensation in both ANS: C 116 A nurse cares for a client who has a family history of diabetes mellitus. The client states, My father has type ANS: A 117 A nurse teaches a client who is diagnosed with diabetes mellitus. Which statement should the nurse include ANS: A 118 A nurse assesses clients who are at risk for diabetes mellitus. Which client is at greatest risk?
ANS: D 119 A nurse teaches a client about self-monitoring of blood glucose levels. Which statement should the nurse ANS: B 120 A nurse teaches a client with type 2 diabetes mellitus who is prescribed glipizide (Glucotrol). Which ANS: B 121 After teaching a client with type 2 diabetes mellitus who is prescribed nateglinide (Starlix), the nurse ANS: D 122 A nurse cares for a client who is prescribed pioglitazone (Actos).
After 6 months of therapy, the client ANS: B 123 A nurse cares for a client with diabetes mellitus who asks, Why do I need to administer more than one ANS: B 124 After teaching a client with diabetes mellitus to inject insulin, the nurse assesses the clients understanding. ANS: A 125 A nurse assesses a client with diabetes mellitus and notes the client only responds to a sternal rub by ANS: A 126 A nurse cares for a client with diabetes mellitus who is visually impaired. The client asks, Can I ask my : A 127 A nurse teaches a client who is prescribed an insulin pump. Which statement should the nurse
include in ANS: D 128 After teaching a client who has diabetes mellitus and proliferative retinopathy, nephropathy, and peripheral ANS: D 129 An emergency department nurse
assesses a client with ketoacidosis. Which clinical manifestation should ANS: A 130 A nurse assesses a client who has diabetes
mellitus. Which arterial blood gas values should the nurse ANS: B 131 A nurse cares for a client experiencing diabetic
ketoacidosis who presents with Kussmaul respirations. d. Administration of intravenous insulin ANS: D 132 A nurse cares for a client who has type 1 diabetes mellitus. The client asks, Is it okay for me to have an ANS: D 133 A nurse teaches a client with type 1 diabetes mellitus. Which statement should the nurse include in this ANS: D 134 A nurse cares for a client who is diagnosed with acute rejection 2 months after receiving a simultaneous ANS: B 135 After teaching a client who
is recovering from pancreas transplantation, the nurse assesses the clients ANS:
A 136 A nurse assesses a client with diabetes mellitus 3 hours after a surgical procedure and notes the clients ANS: C 137 A preoperative nurse assesses a client who has type 1 diabetes mellitus prior to a surgical procedure. The ANS: A 138 A nurse teaches a client with diabetes mellitus who is experiencing numbness and reduced sensation. Which ANS: D 139 A nurse reviews the medication list of a client with a 20-year history of diabetes mellitus. The
client holds ANS: B 140 A nurse assesses a client with diabetes mellitus. Which clinical
manifestation should alert the nurse to ANS: B 141 A nurse develops a dietary plan for a client with diabetes mellitus and new-onset microalbuminuria. Which ANS: B
142 A nurse assesses a client who has diabetes mellitus and notes the client is awake and alert, but shaky, ANS: A 143 A nurse reviews the laboratory results of a client who is receiving intravenous insulin. Which should alert ANS: D 144 A nurse teaches a client with diabetes mellitus about sick day management. Which statement should the ANS: B 145 A nurse assesses a client who is being treated for hyperglycemic-hyperosmolar state (HHS). Which clinical ANS: C 146 A nurse cares for a client who has diabetes mellitus. The nurse administers 6 units of regular insulin and 10 NS:
B 147 After teaching a client with type 2 diabetes mellitus, the nurse assesses the clients understanding. Which ANS: B 148 hen teaching a client recently diagnosed with type 1 diabetes mellitus, the client states, I will never be ANS: D 149 A nurse assesses a client with diabetes mellitus who self-administers subcutaneous insulin. The nurse notes ANS: D 150 A nurse reviews the medication list of a client recovering from a computed tomography (CT) scan with IV ANS: D 151 After teaching a client who is newly diagnosed with type 2 diabetes mellitus, the
nurse assesses the clients ANS:
C 152 A nurse reviews laboratory results for a client with diabetes mellitus who is prescribed an intensified insulin ANS: B 153 A nurse prepares to administer insulin to a client at 1800. The clients medication administration record ANS: A 154 A nurse prepares to administer prescribed regular and NPH insulin. Place the nurses actions in the correct ANS: B 155 44.A nurse reviews the chart and new prescriptions for a client with diabetic ketoacidosis:
ANS: B 156 At 4:45 p.m., a nurse assesses a client with diabetes mellitus who is recovering from an abdominal d. Provide a glass of orange juice and encourage the client to eat dinner ANS: C 157 A nurse assesses clients at a health fair. Which clients should the nurse counsel to be tested for diabetes? ANS: A, D, E, F 158 A nurse assesses a client who is experiencing diabetic ketoacidosis (DKA). For which manifestations should ANS: A, C, E 159 A nurse teaches a client with diabetes mellitus about
foot care. Which statements should the nurse include in ANS: A, C 160 nurse provides diabetic education at a public health fair. Which disorders should the nurse include as ANS: A, B, C 161 A nurse collaborates with the interdisciplinary team to develop a plan of care for a client who is newly ANS: A, B, D When teaching a client with diabetes about monitoring for episodes of hypoglycemia which symptoms would the nurse include in the teaching plan?Hypoglycemia is a condition occurring in diabetic patients with a blood glucose of less than 4 mmol/L.. Cold, clammy skin.. Weakness, faintness, tremors.. Headache, irritability, dullness.. Hunger, nausea.. Tachycardia, palpitations.. Which symptoms indicates that a patient with newly diagnosed type 2 diabetes mellitus is experiencing hyperglycemia?Type 2 DM is the most common form of DM. The symptoms that commonly indicate hyperglycemia are polyuria, polydipsia, weight loss, fatigue, weakness, blurry vision, frequent skin infections, and slow healing of skin lesions after minor trauma.
What is the overall teaching goal with a patient newly diagnosed with type 1 DM?The goal is to keep the blood sugar level as close to normal as possible to delay or prevent complications. Generally, the goal is to keep the daytime blood sugar levels before meals between 80 and 130 mg/dL (4.44 to 7.2 mmol/L). After-meal numbers should be no higher than 180 mg/dL (10 mmol/L) two hours after eating.
What should the health educator tell a client with diabetes to carry to treat hypoglycemia?Treating hypoglycemia if you have diabetes
Fast-acting options include: Glucose tablets (take 4 tablets). Several pieces of hard candy.
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