Diabetes, DKA, HHNS NCLEX REVIEW | Questions with 100% Correct Answers | Latest Update 2024 | Verified

Diabetes, DKA, HHNS NCLEX REVIEW | Questions with 100% Correct Answers | Latest Update 2024 | Verified An 18-year-old female client, 5′4′′tall, weighing 113 kg, comes to the clinic for a non healing wound on her lower leg, which she has had for two (2) weeks. Which disease process should the nurse suspect the client has developed? 1. Type 1 diabetes.' 2. Type 2 diabetes. 3. Gestational diabetes. 4. Acanthosis nigricans. - 2. Type 2 diabetes is a disorder usually occurring around the age of 40, but it is now being detected in children and young adults as a result of obesity and sedentary lifestyles. Non healing wounds are a hallmark sign of type 2 diabetes.This client weighs 248.6 pounds and is short. The client diagnosed with type 1 diabetes has a glycosylated hemoglobin (A1c) of 8.1%. Which interpretation should the nurse make based on this result? 1. This result is below normal levels. 2. This result is within acceptable levels. 3. This result is above recommended levels. 4. This result is dangerously high. - 3. This result parallels a serum blood glucose level of approximately 180 to200 mg/dL. An A1c is a blood test reflecting average blood glucose levels over a period of three (3) months; clients with elevated blood glucose levels are at risk for developing long-term complications. The nurse administered 28 units of Humulin N, an intermediate-acting insulin, to a client diagnosed with type 1 diabetes at 1600. Which intervention should the nurse implement? 1. Ensure the client eats the bedtime snack. 2. Determine how much food the client ate at lunch. 3. Perform a glucometer reading at 0700. 4. Offer the client protein after administering insulin. - 1. Humulin N peaks in 6 to 8 hours, making the client at risk for hypoglycemia around midnight, which is why the client should receive a bedtime snack.This snack will prevent nighttime hypoglycemia. The client diagnosed with type 1 diabetes is receiving Humalog, a rapid-acting insulin,by sliding scale. The order reads blood glucose level: 150, zero (0) units; 151 to 200,three (3) units; 201 to 250, six (6) units; 251, contact health-care provider. The UAP reports to the nurse the client's glucometer reading is 189. How much insulin should the nurse administer to the client? - Three (3) units. The client's result is 189, which is between151 and 200, so the nurse should administer3 units of Humalog insulin subcutaneously The nurse is discussing the importance of exercising with a client diagnosed with type 2 diabetes whose diabetes is well controlled with diet and exercise. Which information should the nurse include in the teaching about diabetes? 1. Eat a simple carbohydrate snack before exercising. 2. Carry peanut butter crackers when exercising. 3. Encourage the client to walk 20 minutes three (3) times a week. 4. Perform warm up and cool-down exercises. - 4. All clients who exercise should perform warmup and cool-down exercises to help prevent muscle strain and injury. The nurse is assessing the feet of a client with long-term type 2 diabetes. Which assessment data warrant immediate intervention by the nurse? 1. The client has crumbling toenails. 2. The client has athlete's foot. 3. The client has a necrotic big toe. 4. The client has thickened toenails. - 3.A necrotic big toe indicates "dead" tis-sue. The client does not feel pain, does not realize the injury, and does not seek treatment. Increased blood glucose levels decrease the oxygen supply needed to heal the w