Management Of Clients With Diabetes Mellitus

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Question 1
Free
Multiple Choice

As a cost-saving measure, the hospital administration wants to delete everything but 3- ml and 10-ml syringes from floor stock. The best response by the nurse manager on the endocrine floor would be to

Choose correct answer/s
A

agree with the plan because 3-ml syringes have 0.1-ml measurement marks.

B

conduct a literature search to determine the best practice in this area.

C

object but plan education to teach the staff how to give insulin with a 3-ml syringe.

D

object, pointing out that insulin can only be given in an insulin syringe.

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Question 2
Free
Multiple Choice

The nurse participating in a screening program for persons at risk for diabetes should have a high index of suspicion for a(n)

Choose correct answer/s
A

44-year-old man who is 6 feet tall and weighs 190 pounds.

B

adolescent whose mother has type 2 diabetes.

C

young man complaining of weight loss and joint pain.

D

young woman who has had two babies weighing 7 pounds each.

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Question 3
Free
Multiple Choice

A client with diabetes mellitus recently discharged from the hospital calls the nursing unit to report that she is nauseated and cannot remember what she has to do about her insulin injection. The nurse should remind the client to

Choose correct answer/s
A

call the physician at once.

B

omit her insulin until she is able to eat her normal diet.

C

review the material she was given at the hospital.

D

take her insulin and monitor her blood sugar frequently.

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Question 4
Free
Multiple Choice

Evaluating a young man with type 1 diabetes, the nurse would consider a classic clinical manifestation of diabetes to be the client's

Choose correct answer/s
A

excessive thirst.

B

gradual weight gain.

C

overwhelming fatigue.

D

recurrent blurred vision.

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Question 5
Free
Multiple Choice

The nurse evaluating the laboratory studies of a 46-year-old client would recognize that the laboratory report most suggestive of the presence of diabetes mellitus is

Choose correct answer/s
A

a glucose tolerance test that takes 2 hours to return to normal.

B

fasting blood glucose level of 151 mg/dl.

C

high urine ketone levels with +2 glycosuria.

D

random ("casual") blood glucose level of 80 mg.

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Question 6
Multiple Choice

The nurse explains to a client that the results of a glycosylated hemoglobin study provide information about the client's control of blood sugar over the last

Choose correct answer/s
A
week.
B
month.
C
3 months.
D
6 months.
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Question 7
Multiple Choice

In a teaching plan about dietary concerns for a diabetic client, the nurse would include that the new guidelines for the percentage of calories from carbohydrates is

Choose correct answer/s
A
10%.
B
25%.
C
60%.
D
75%.
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Question 8
Multiple Choice

The nurse teaching a type 2 diabetic client how to manage the disease while on a prescribed diet and taking an oral antidiabetic agent would recognize that the client has an accurate understanding of diabetes management when the client states

Choose correct answer/s
A
"I can use oral medications as long as my pancreas can still produce insulin."
B
"I must decrease my total daily fat intake to less than 45% of my total calories."
C
"I must exercise at least 1 hour daily to help bring down my sugar."
D
"I'm really happy I can take insulin pills; it's much easier than an injection."
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Question 9
Multiple Choice

The nurse tells a client that the regular insulin the client has taken this morning will begin to act in

Choose correct answer/s
A
a few minutes.
B
30 minutes to 1 hour.
C
2 to 4 hours.
D
6 to 8 hours.
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Question 10
Multiple Choice

A client who is newly diagnosed with diabetes is in the hospital for initial management of the disease. The nurse is administering an injection of NPH insulin at 7 AM. While the nurse is in the room, the client asks if s/he can go to the cafeteria with family around 2 PM, when they visit. The best response by the nurse is

Choose correct answer/s
A
"No, I'd rather you wait until after 5, then you can go."
B
"No, we need to monitor everything you eat for the next few days."
C
"Sure, just be certain you don't eat or drink anything while you're there."
D
"That's fine; let's talk about what kind of snack you can get there."
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Question 11
Multiple Choice

A nurse warns a newly-admitted diabetic client that to avoid injury related to a common diabetic complication, the client should

Choose correct answer/s
A
always call for help before getting up.
B
keep needed items within easy reach.
C
only ambulate with assistance.
D
wear house shoes while out of bed.
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Question 12
Multiple Choice

A client frustrated with self-monitoring his blood glucose levels tells the nurse he wants an insulin pump. The nurse's most helpful response would be

Choose correct answer/s
A
"Pumps don't monitor blood glucose levels. You will still need to do that yourself."
B
"The pump must be calibrated several times a day, but you will not need to monitor your blood glucose levels anymore."
C
"Pumps are still experimental, and there are many problems associated with them."
D
"If you are willing to make a commitment to good aseptic technique, you should like the pump."
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Question 13
Multiple Choice

The nurse caring for a client with a history of experiencing the Somogyi effect would monitor the client's blood sugar level between

Choose correct answer/s
A
2 AM and 7 AM.
B
10 AM and 3 PM.
C
12 PM and 6 PM.
D
5 PM and 12 AM.
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Question 14
Multiple Choice

The nurse counseling a client with diabetes about establishing an exercise program would encourage

Choose correct answer/s
A
playing tennis.
B
running.
C
swimming.
D
walking.
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Question 15
Multiple Choice

A diabetic client had gallbladder surgery 2 days ago. The nurse changing the dressing should use which intervention specifically related to the client's diabetes?

Choose correct answer/s
A
Dispose of the soiled dressings in an appropriate manner.
B
Use strict aseptic technique to avoid infection.
C
Record the amount, type, and characteristics of the drainage.
D
Only use paper tape to avoid skin injury.
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Question 16
Multiple Choice

The nurse caring for a client admitted for treatment of diabetic ketoacidosis (DKA) assesses Kussmaul's respirations, which are

Choose correct answer/s
A
fast and deep.
B
irregular and gasping.
C
rapid and short.
D
slow and shallow.
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Question 17
Multiple Choice

The nurse must carefully monitor the client who is being aggressively treated for DKA for the common, immediate complication of

Choose correct answer/s
A
dehydration.
B
premature ventricular contractions.
C
pulmonary infarction.
D
respiratory tract infection.
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Question 18
Multiple Choice

The nurse is preparing to care for a client with DKA being admitted from the emergency department (ED). The nurse would anticipate using an intravenous (IV) solution of

Choose correct answer/s
A
half-strength saline.
B
isotonic saline.
C
Ringer's solution.
D
serum albumin.
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Question 19
Multiple Choice

A client admitted to the hospital 3 hours ago for treatment of acidosis has an order for parenteral potassium in his IV infusion. Before hanging the potassium, the nurse would assess for

Choose correct answer/s
A
chest pain.
B
elevation in blood glucose level.
C
tachypnea.
D
urine output.
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Question 20
Multiple Choice

For a client with DKA receiving insulin to correct hyperglycemia, the nurse knows that the most appropriate route of administration would be

Choose correct answer/s
A
intradermal.
B
intramuscular.
C
intravenous.
D
subcutaneous.
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