Nursing Management Diabetes Mellitus

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Question 1
Free
Multiple Choice

The nurse is caring for a client with newly diagnosed type 2 diabetes mellitus who asks the nurse what "type 2" means in relation to diabetes. Which of the following statements by the nurse about type 2 diabetes is correct?

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A

Insulin is not used to control blood glucose in clients with type 2 diabetes.

B

Complications of type 2 diabetes are less serious than those of type 1 diabetes.

C

Type 2 diabetes is usually diagnosed when the client is admitted with a hyperglycemic coma.

D

Changes in diet and exercise may be sufficient to control blood glucose levels in type 2 diabetes.

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Question 2
Free
Multiple Choice

The nurse is assessing a client for diabetes at a clinic who has a fasting plasma glucose level of 6.7 mmol/L. Which of the following information should the nurse include in the plan of care?

Choose correct answer/s
A

Self-monitoring of blood glucose.

B

Use of low doses of regular insulin.

C

Lifestyle changes to lower blood glucose.

D

Effects of oral hypoglycemic medications.

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Question 3
Free
Multiple Choice

Which of the following actions by a client with type 1 diabetes indicates that the nurse should implement teaching about exercise and glucose control?

Choose correct answer/s
A

The client always carries hard candies when engaging in exercise.

B

The client goes for a vigorous walk when the glucose is 11.1 mmol/L.

C

The client has a peanut butter sandwich before going for a bicycle ride.

D

The client increases daily exercise when ketones are present in the urine.

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Question 4
Free
Multiple Choice

The nurse is assessing a client who is experiencing the onset of symptoms of type 1 diabetes. Which of the following questions is best for the nurse to ask?

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A

"Have you lost any weight lately?"

B

"How long have you felt anorexic?"

C

"Is your urine unusually dark coloured?"

D

"Do you crave fluids containing sugar?"

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Question 5
Free
Multiple Choice

To evaluate the effectiveness of treatment for a client with type 2 diabetes who is scheduled for a follow-up visit in the clinic, which of the following tests will the nurse plan to schedule for the client?

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A

Urine dipstick for glucose

B

Oral glucose tolerance test

C

Fasting blood glucose level

D

Glycosylated hemoglobin level

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Question 6
Multiple Choice

The nurse is caring for a client who has just been diagnosed with type 2 diabetes and has a nursing diagnosis of imbalanced nutrition: more than body requirements. Which of the following client goals is most important?

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A
The client will have a glycosylated hemoglobin level of less than 7%.
B
The client will have a diet and exercise plan that results in weight loss.
C
The client will choose a diet that distributes calories throughout the day.
D
The client will state the reasons for eliminating simple sugars in the diet.
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Question 7
Multiple Choice

Aclient who has type 1 diabetes plans to take a swimming class daily at 1:00 P.M. Which of the following instructions should the nurse teach to the client?

Choose correct answer/s
A
Check glucose level before, during, and after swimming.
B
Delay eating the noon meal until after the swimming class.
C
Increase the morning dose of neutral protamine Hagedorn (NPH) insulin.
D
Time the morning insulin injection so that the peak occurs while swimming.
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Question 8
Multiple Choice

The nurse is caring for a client with newly diagnosed type 1 diabetes who has received diet instruction. Which of the following client statements indicate a need for additional instruction?

Choose correct answer/s
A
"I may have an occasional alcoholic drink if I include it in my meal plan."
B
"I will need a bedtime snack because I take an evening dose of NPH insulin."
C
"I may eat whatever I want, as long as I use enough insulin to cover the calories."
D
"I will eat meals as scheduled, even if I am not hungry, to prevent hypoglycemia."
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Question 9
Multiple Choice

Which of the following actions is most important for the nurse to take in order to assist a client with diabetes to engage in moderate daily exercise?

Choose correct answer/s
A
Remind the client that exercise will improve self-esteem.
B
Determine what type of exercise activities the client enjoys.
C
Give the client a list of activities that are moderate in intensity.
D
Teach the client about the effects of exercise on glucose level.
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Question 10
Multiple Choice

The nurse is teaching the client to administer a dose of 10 units of regular insulin and 28 units of NPH insulin. Which of the following statements by the client indicates a need for additional instruction?

Choose correct answer/s
A
"I need to rotate injection sites among my arms, legs, and abdomen each day."
B
"I will buy the 0.5 mL syringes because the line markings will be easier to see."
C
"I should draw up the regular insulin first after injecting air into the NPH bottle."
D
"I do not need to aspirate the plunger to check for blood before injecting insulin."
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Question 11
Multiple Choice

After the nurse has finished teaching a client about self-administration of the prescribed aspart insulin, which of the following client actions indicate good understanding of the teaching?

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A
The client avoids injecting the insulin into the upper abdominal area.
B
The client cleans the skin with soap and water before insulin administration.
C
The client places the insulin back in the freezer after administering the prescribed insulin dose.
D
The client pushes the plunger down and immediately removes the syringe from the injection site.
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Question 12
Multiple Choice

The nurse is caring for a client who received aspart insulin at 8:00 A.M. Which of the following times is most important for the nurse to monitor for symptoms of hypoglycemia?

Choose correct answer/s
A
9:00 A.M.
B
11:30 A.M.
C
4:00 P.M.
D
8:00 P.M.
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Question 13
Multiple Choice

Which of the following client actions indicate a good understanding of the nurse's teaching about the use of an insulin pump?

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A
The client changes the site for the insertion site every week.
B
The client programs the pump to deliver an insulin bolus after eating.
C
The client takes the pump off at bedtime and starts it again each morning.
D
The client states that diet will be less flexible when using the insulin pump.
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Question 14
Multiple Choice

The nurse is teaching about meal coverage to a client with diabetes who has just started on intensive insulin therapy. Which of the following types of insulin should the nurse discuss with the client?

Choose correct answer/s
A
Glargine
B
Lispro
C
Detemir
D
NPH
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Question 15
Multiple Choice

Which of the following information should the nurse include when teaching a client who has type 2 diabetes about glyburide?

Choose correct answer/s
A
Glyburide decreases glucagon secretion from the pancreas.
B
Glyburide stimulates insulin production and release from the pancreas.
C
Glyburide should be taken even if the morning blood glucose level is low.
D
Glyburide should not be used for 48 hours after receiving IV contrast media.
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Question 16
Multiple Choice

The nurse has completed teaching a client with type 2 diabetes about taking gliclazide. Which of the following client statements indicate a need for additional teaching?

Choose correct answer/s
A
"Other medications besides the gliclazide may affect my blood sugar."
B
"If I overeat at a meal, I will still take just the usual dose of medication."
C
"When I become ill, I may have to take insulin to control my blood sugar."
D
"My diabetes is not as likely to cause complications as if I needed to take insulin."
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Question 17
Multiple Choice

A client with type 2 diabetes that is well-controlled with metformin develops an allergic rash to an antibiotic and the health care provider prescribes prednisone. Which of the following information should the nurse anticipate while the client is takingthe prednisone?

Choose correct answer/s
A
A diet higher in calories
B
Administration of insulin
C
Development of acute hypoglycemia
D
Appearance of a rash caused by metformin-prednisone interactions.
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Question 18
Multiple Choice

The nurse is caring for a client with diabetes who received 34 units of NPH insulin at 7:00 18. The nurse is caring for a client with diabetes who received 34 units of NPH insulin at7:00 A.M. and is away from the nursing unit, awaiting diagnostic testing when lunch trays are distributed. Which of the following actions is best to prevent hypoglycemia?

Choose correct answer/s
A
Save the lunch tray to be provided upon the client's return to the unit.
B
Call the diagnostic testing area and ask that a 5% dextrose IV be started.
C
Ensure that the client drinks a glass of orange juice at noon in the diagnostic testing area.
D
Request that the client be returned to the unit to eat lunch if testing will not be completed promptly.
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Question 19
Multiple Choice

The nurse is assessing a client's technique of self-monitoring of blood glucose (SMBG) as part of diabetes management. Which of the following actions indicate a need for further teaching?

Choose correct answer/s
A
Washes the puncture site using soap and warm water.
B
Chooses a puncture site in the centre of the finger pad.
C
Hangs the arm down for a minute before puncturing the site.
D
Says the result of 6.1 mmol/L indicates good blood sugar control.
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Question 20
Multiple Choice

Which of the following actions should the nurse take first when teaching a client who is newly diagnosed with type 2 diabetes about home management of the disease?

Choose correct answer/s
A
Ask the client's family to participate in the diabetes education program.
B
Assess the client's perception of what it means to have diabetes mellitus.
C
Demonstrate how to check glucose using capillary blood glucose monitoring.
D
Discuss the need for the client to participate actively in diabetes management.
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