NSG 170 Exam 1 (glucose regulation)
Questions and Answers
Which lab value supports the presence of diabetic ketoacidosis in a client with T1D?
dec serum glucose
dec serum calcium levels
inc BUN levels
inc serum bicarbonate levels - ANSWER-inc BUN levels (bc of dehydration)
Which common cause of DKA would consider when caring for a postoperative client
with diabetes?
emotional stress
presence of infection
inc insulin dose
inadequate food intake - ANSWER-presence of infection
Which statement is accurate when teaching a client with diabetes about foot care?
remove any corns on your feet
wear shoes that are a size larger than your feet
examine your feet weekly for potential sores
wear synthetic fiber socks when exercising - ANSWER-wear synthetic fiber socks when
exercising
Which factor may have precipitated ketoacidosis in a client with T1D who has been
adhering to a prescribed insulin regimen?
increase exercise
dec food intake
working night shift
upper respiratory infection - ANSWER-upper respiratory infection
A client with T1D has hot dry flushed skin; fruity odor to breath; and is having Kussmaul
respirations. Which complication does the nurse suspect that the client is experiencing?
ketoacidosis
somogyi phenomenon
hypersomolar nonketotic coma
hypoglycemic reaction - ANSWER-ketoacidosis
, Which outcome is the best indication that a client with T1D is successfully managing the
disease?
reduction in excess body weight
stabilization of serum glucose
demonstrated knowledge of the diease
adherence to the prescription for insulin - ANSWER-stabilization of serum glucose
Which nursing intervention is appropriate when a client is FIRST admitted with
hyperglycemic hyperosmolar nonketotic syndrome (HHNS)?
providing oxygen
encouraging carbs
administering fluid replacement
teaching facts about dietary principles - ANSWER-administering fluid replacement
Which is the primary fluid shift that occurs with diabetes mellitus?
intravascular to interstitial because of glycosuria
interstitial to extrecellular because of hypoproteinemia
intracellular to intravascular because of hyperosmolarity
intracellular to intravascular because of inc hydrostatic pressure - ANSWER-intracellular
to intravascular because of hyperosmolarity
Which result would the nurse expect to see on the ECG traging monitor when. a client
had DKA and a K+ of 5.4 mEq/L?
abnormal P waves and depressed T waves
peaked T waves and widened QRS complexes
abnormal Q waves and prolonged ST segments
peaked P waves and an inc number of T waves - ANSWER-peaked T waves and
widened QRS complexes
Which results would be expected when assessing the lab values of a client with T2D?
ketones in blood but not in urine
glucose in urine but not in blood
urine and blood positive for glucose and ketones
urine negative for ketones and positive glucose in blood - ANSWER-urine negative for
ketones and positive glucose in blood
Which initial intervention would the nurse expect the primary HCP to order for a client
admitted to the hospital with a dx of DKA?
IV fluids
Questions and Answers
Which lab value supports the presence of diabetic ketoacidosis in a client with T1D?
dec serum glucose
dec serum calcium levels
inc BUN levels
inc serum bicarbonate levels - ANSWER-inc BUN levels (bc of dehydration)
Which common cause of DKA would consider when caring for a postoperative client
with diabetes?
emotional stress
presence of infection
inc insulin dose
inadequate food intake - ANSWER-presence of infection
Which statement is accurate when teaching a client with diabetes about foot care?
remove any corns on your feet
wear shoes that are a size larger than your feet
examine your feet weekly for potential sores
wear synthetic fiber socks when exercising - ANSWER-wear synthetic fiber socks when
exercising
Which factor may have precipitated ketoacidosis in a client with T1D who has been
adhering to a prescribed insulin regimen?
increase exercise
dec food intake
working night shift
upper respiratory infection - ANSWER-upper respiratory infection
A client with T1D has hot dry flushed skin; fruity odor to breath; and is having Kussmaul
respirations. Which complication does the nurse suspect that the client is experiencing?
ketoacidosis
somogyi phenomenon
hypersomolar nonketotic coma
hypoglycemic reaction - ANSWER-ketoacidosis
, Which outcome is the best indication that a client with T1D is successfully managing the
disease?
reduction in excess body weight
stabilization of serum glucose
demonstrated knowledge of the diease
adherence to the prescription for insulin - ANSWER-stabilization of serum glucose
Which nursing intervention is appropriate when a client is FIRST admitted with
hyperglycemic hyperosmolar nonketotic syndrome (HHNS)?
providing oxygen
encouraging carbs
administering fluid replacement
teaching facts about dietary principles - ANSWER-administering fluid replacement
Which is the primary fluid shift that occurs with diabetes mellitus?
intravascular to interstitial because of glycosuria
interstitial to extrecellular because of hypoproteinemia
intracellular to intravascular because of hyperosmolarity
intracellular to intravascular because of inc hydrostatic pressure - ANSWER-intracellular
to intravascular because of hyperosmolarity
Which result would the nurse expect to see on the ECG traging monitor when. a client
had DKA and a K+ of 5.4 mEq/L?
abnormal P waves and depressed T waves
peaked T waves and widened QRS complexes
abnormal Q waves and prolonged ST segments
peaked P waves and an inc number of T waves - ANSWER-peaked T waves and
widened QRS complexes
Which results would be expected when assessing the lab values of a client with T2D?
ketones in blood but not in urine
glucose in urine but not in blood
urine and blood positive for glucose and ketones
urine negative for ketones and positive glucose in blood - ANSWER-urine negative for
ketones and positive glucose in blood
Which initial intervention would the nurse expect the primary HCP to order for a client
admitted to the hospital with a dx of DKA?
IV fluids
