Chapter 57--Diabetes Mellitus: Nursing Management

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Chapter 57--Diabetes Mellitus: Nursing Management MULTIPLE CHOICE 1. A client is diagnosed with the type of diabetes in which the plasma beta cells fail to respond to insulin. Which type of diabete ... s is this client experiencing? 1. Gestational diabetes 2. Impaired glucose tolerance 3. Type 1 diabetes mellitus 4. Type 2 diabetes mellitus PTS: 1 DIF: Analyze REF: Type 1 Diabetes 2. The nurse has instructed a client about type 2 diabetes mellitus. Which of the following statements would indicate the client understands the instructions? 1. “It happens to everyone who has gained weight.” 2. “I have to watch what I eat and exercise.” 3. “I will never have to take insulin.” 4. “The cells that make insulin were destroyed.” PTS: 1 DIF: Analyze REF: Type 2 Diabetes; Planning and Implementation 3. The nurse should instruct a client that the length of time insulin can be stored at room temperature is: 1. 2 weeks. 2. 3 weeks. 3. 4 weeks. 4. 5 weeks. PTS: 1 DIF: Apply REF: Insulin 4. The nurse is preparing short-acting and long-acting insulin for administration to a client. The purpose for the client’s being prescribed these types of insulin would be to: 1. make it easier for the client to self-administer the insulin. 2. reduce the client’s appetite. 3. mimic the body’s own insulin pattern. 4. help reduce the client’s body weight. PTS: 1 DIF: Analyze REF: Insulin 5. A client is prescribed insulin to be given through an intravenous access line. The nurse realizes that which of the following insulins can be administered intravenously? 1. Glargine 2. Lispro 3. NPH 4. Regular PTS: 1 DIF: Analyze REF: Insulin 6. Which of the following should the nurse instruct a client when teaching how to self-administer insulin? 1. The insulin bottle must be shaken. 2. The long-acting insulin is clear. 3. Refrigerated insulin is best for injection. 4. The blood glucose level should be checked prior to administration. . PTS: 1 DIF: Apply REF: Insulin 7. A client should not be prescribed tolazamide if the client is sensitive to: 1. penicillin. 2. shellfish. 3. strawberries. 4. hypoglycemia PTS: 1 DIF: Apply REF: Oral Medications 8. A client is prescribed meglitinide as oral treatment for type 2 diabetes mellitus. Which of the following should the nurse instruct as a possible side effect of this medication? 1. Diarrhea 2. Constipation 3. Flatulence 4. Hunger PTS: 1 DIF: Apply REF: Oral Medications 9. A client diagnosed with type 1 diabetes mellitus administers a dose of NPH insulin at 7:00 a.m. At which of the following times would this client exhibit hypoglycemia? 1. 0800 2. 0900 3. 1000 4. 1400 10. The nurse is instructing a client diagnosed with type 2 diabetes mellitus on dietary intake. Which of the following statements indicates that the client understands the instructions? 1. “It’s okay to skip a meal if I make it up later.” 2. “Keeping to the diet plan will keep my blood sugars at a regular level.” 3. “When I am in a hurry, I should take my medications without testing.” 4. “When I go out to dinner, it’s okay to share a couple of bottles of wine.” PTS: 1 DIF: Analyze REF: Controlling Diabetes (Secondary Prevention) 11. The nurse is instructing a client diagnosed with type 2 diabetes mellitus on diagnostic tests used to evaluate the control of the disorder. The nurse should instruct the client on which of the following diagnostic tests that will provide this information? 1. Fasting plasma glucose 2. Glycosylated hemoglobin 3. Random plasma glucose 4. Two-hour oral glucose tolerance test PTS: 1 DIF: Apply REF: Diagnostic Tests 12. The nurse is instructing a client on the speed in which some insulins take effect. During these instructions, the nurse should include that which of the following insulins has the fastest peak? 1. Glargine 2. Lispro 3. NPH 4. Regular PTS: 1 DIF: Apply REF: Table 57-6 Types of Insulin 13. A client is instructed to rotate the sites of insulin injections because it will help prevent: 1. a decrease in absorption. 2. an allergic reaction. 3. lipodystrophy. 4. skin breakdown. PTS: 1 DIF: Apply REF: Insulin 14. When discussing exercise with a client diagnosed with type 2 diabetes mellitus, the client is correct in stating: 1. “I will exercise when I can.” 2. “I will exercise once a week for 30 minutes.” 3. “I will try to exercise every day.” 4. “I should exercise for at least 60 minutes when I exercise.” PTS: 1 DIF: Analyze REF: Exercise 15. A client diagnosed with type 2 diabetes mellitus becomes diaphoretic and irritable during exercise. The blood glucose level at this time is 53 mg/dL. Which of the following should the client be instructed to do when this occurs? 1. Ingest 5 to 10 g of a simple carbohydrate. 2. Ingest 10 to 15 g of a simple carbohydrate. 3. Ingest 15 to 25 g of a simple carbohydrate. 4. Call paramedics. PTS: 1 DIF: Apply REF: Exercise 16. The nurse is instructing a client diagnosed with type 2 diabetes mellitus on daily foot care. Which of the following statements indicate the client needs further instruction? 1. “I will check my feet every day.” 2. “I will cut my toenails with scissors.” 3. “I will keep my appointments with my podiatrist.” 4. “I will make sure my shoes fit.” PTS: 1 DIF: Analyze REF: Peripheral Vascular Complications of the Lower Extremities: Planning and Implementation MULTIPLE RESPONSE 1. The nurse is assessing a client diagnosed with type 2 diabetes mellitus for symptoms associated with diabetic ketoacidosis. Which of the following will the nurse most likely assess in this client? (Select all that apply.) 1. Dehydration 2. Fruity breath odor 3. Hypertension 4. Bradycardia 5. Kussmaul breathing 6. Abdominal pain PTS: 1 DIF: Apply REF: Diabetic Ketoacidosis: Assessment with Clinical Manifestations 2. An elderly client being treated for type 2 diabetes mellitus begins to experience lethargy, weakness, and polyuria while recovering from cataract surgery. The nurse would suspect the client is developing hyperosmolar hyperglycemic nonketotic syndrome when which of the following is assessed? (Select all that apply.) 1. Blood glucose level 450 mg/dL 2. No ketones in the urine 3. Serum sodium 145 mEq/L 4. Serum osmolality 320 mOsm/kg 5. Blood pressure 120/68 mmHg 6. Heart rate 78 beats per minute PTS: 1 DIF: Analyze REF: Hyperosmolar Hyperglycemic Nonketotic Syndrome: Assessment with Clinical Manifestations 3. The nurse is instructing a client diagnosed with type 2 diabetes mellitus on activities to reduce the onset of macrovascular complications. Which of the following should the nurse include in these instructions? (Select all that apply.) 1. Attain a normal body weight 2. Stop smoking 3. Increase activity 4. Keep blood pressure under control 5. Decrease fat intake 6. Ingest alcohol every day PTS: 1 DIF: Apply REF: Angiopathy or Vessel Disease 4. A client is being evaluated for the diagnosis of gastroparesis. Which of the following will the nurse most likely assess in this client? (Select all that apply.) 1. Constipation 2. Gastroesophageal reflux 3. Feelings of fullness 4. Vomiting 5. Nausea 6. Anorexia . PTS: 1 DIF: Analyze REF: Autonomic Neuropathies [Show More]

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