Diabetes Mellitus Practice Questions
f9 f9 f9
Af9newlyf9diagnosedf9DMf9Typef9If9clientf9hasf9beenf9stabilizedf9withf9dailyf9i
nsulinf9injections.f9Af9nursef9preparesf9af9dischargef9teachingf9planf9regardin
gf9thef9insulinf9andf9plansf9tof9reinforcef9whichf9off9thef9followingf9concenpts?
a.f9alwaysf9keepf9insulinf9vialsf9refrigeratedf9
b.f9ketonesf9inf9thef9urinef9singnifyf9af9needf9forf9lessf9insulin
c.f9increasef9thef9amountf9off9insulinf9beforef9unusualf9exercise
d.f9systematicallyf9rotatef9insulinf9injectionsf9withinf9onef9anatomicf9sitef9-
f9D.f9systematicallyf9rotatef9insulinf9injectionsf9withinf9onef9anatomicf9site
Af9clientf9withf9af9diagnosisf9off9DKAf9isf9beingf9treatedf9inf9anf9emergencyf9ro
om.f9Whichf9findingf9wouldf9af9nursef9expectf9tof9notef9asf9af9confirmingf9diag
nosis?
a.f9comatosef9state
b.f9decreasedf9urinef9output
c.f9increasedf9respirationf9andf9increasedf9pH
d.f9elevatedf9bloodf9glucosef9levelsf9andf9lowf9plasmaf9bicarbonatef9levelf9-
f9D.f9elevatedf9bloodf9glucosef9levelf9andf9lowf9plasmaf9bicarbf9level
Af9clientf9withf9DMf9demonstratesf9acutef9anxietyf9whenf9firstf9admittedf9forf9
treatmentf9off9hyperglycemia.f9Thef9appropriatef9interventionf9tof9decreasef9t
hef9client'sf9anxietyf9isf9to:
, a.f9administerf9af9sedative
b.f9conveyf9empathy,f9trust,f9andf9respectf9towardsf9thef9client
c.f9ignoref9thef9signsf9andf9symptomsf9off9anxietyf9sof9thatf9theyf9willf9soonf9di
sappear
d.f9makef9suref9thatf9thef9clientf9knowsf9allf9thef9correctf9medicalf9termsf9-
f9B.f9conveyf9empathy,f9trust,f9andf9respectf9towardf9thef9client
Af9nursef9teachesf9af9clientf9withf9DMf9aboutf9differentiatingf9betweenf9hypo
glycemiaf9andf9ketoacidosis.f9Thef9clientf9demonstratesf9anf9understandingf9
off9thef9teachingf9byf9statingf9thatf9glucosef9willf9bef9takenf9iff9whichf9sympto
mf9develops?
a.f9polyuria
b.f9shakiness
c.f9blurredf9vision
d.f9fruityf9breathf9odorf9-f9B.f9shakiness
Af9clientf9isf9admittedf9withf9af9diagnosisf9off9DKA.f9Thef9initialf9bloodf9gluco
sef9levelf9wasf9950f9mg/dL.f9Anf9IVf9infusionf9off9regularf9insulinf9isf9initiated
,f9alongf9withf9IVf9rehydrationf9withf9normalf9saline.f9Thef9serumf9glucosef9le
velf9isf9nowf9240f9mg/dL.f9Thef9nursef9wouldf9nextf9preparef9tof9administerf9w
hichf9off9thef9following?
a.f9ampulef950%f9dextrose
b.f9NPHf9insulinf9subcut
c.f9IVf9fluidsf95%f9dextrose
f9 f9 f9
Af9newlyf9diagnosedf9DMf9Typef9If9clientf9hasf9beenf9stabilizedf9withf9dailyf9i
nsulinf9injections.f9Af9nursef9preparesf9af9dischargef9teachingf9planf9regardin
gf9thef9insulinf9andf9plansf9tof9reinforcef9whichf9off9thef9followingf9concenpts?
a.f9alwaysf9keepf9insulinf9vialsf9refrigeratedf9
b.f9ketonesf9inf9thef9urinef9singnifyf9af9needf9forf9lessf9insulin
c.f9increasef9thef9amountf9off9insulinf9beforef9unusualf9exercise
d.f9systematicallyf9rotatef9insulinf9injectionsf9withinf9onef9anatomicf9sitef9-
f9D.f9systematicallyf9rotatef9insulinf9injectionsf9withinf9onef9anatomicf9site
Af9clientf9withf9af9diagnosisf9off9DKAf9isf9beingf9treatedf9inf9anf9emergencyf9ro
om.f9Whichf9findingf9wouldf9af9nursef9expectf9tof9notef9asf9af9confirmingf9diag
nosis?
a.f9comatosef9state
b.f9decreasedf9urinef9output
c.f9increasedf9respirationf9andf9increasedf9pH
d.f9elevatedf9bloodf9glucosef9levelsf9andf9lowf9plasmaf9bicarbonatef9levelf9-
f9D.f9elevatedf9bloodf9glucosef9levelf9andf9lowf9plasmaf9bicarbf9level
Af9clientf9withf9DMf9demonstratesf9acutef9anxietyf9whenf9firstf9admittedf9forf9
treatmentf9off9hyperglycemia.f9Thef9appropriatef9interventionf9tof9decreasef9t
hef9client'sf9anxietyf9isf9to:
, a.f9administerf9af9sedative
b.f9conveyf9empathy,f9trust,f9andf9respectf9towardsf9thef9client
c.f9ignoref9thef9signsf9andf9symptomsf9off9anxietyf9sof9thatf9theyf9willf9soonf9di
sappear
d.f9makef9suref9thatf9thef9clientf9knowsf9allf9thef9correctf9medicalf9termsf9-
f9B.f9conveyf9empathy,f9trust,f9andf9respectf9towardf9thef9client
Af9nursef9teachesf9af9clientf9withf9DMf9aboutf9differentiatingf9betweenf9hypo
glycemiaf9andf9ketoacidosis.f9Thef9clientf9demonstratesf9anf9understandingf9
off9thef9teachingf9byf9statingf9thatf9glucosef9willf9bef9takenf9iff9whichf9sympto
mf9develops?
a.f9polyuria
b.f9shakiness
c.f9blurredf9vision
d.f9fruityf9breathf9odorf9-f9B.f9shakiness
Af9clientf9isf9admittedf9withf9af9diagnosisf9off9DKA.f9Thef9initialf9bloodf9gluco
sef9levelf9wasf9950f9mg/dL.f9Anf9IVf9infusionf9off9regularf9insulinf9isf9initiated
,f9alongf9withf9IVf9rehydrationf9withf9normalf9saline.f9Thef9serumf9glucosef9le
velf9isf9nowf9240f9mg/dL.f9Thef9nursef9wouldf9nextf9preparef9tof9administerf9w
hichf9off9thef9following?
a.f9ampulef950%f9dextrose
b.f9NPHf9insulinf9subcut
c.f9IVf9fluidsf95%f9dextrose
