ATI Skills Module 3.0- Diabetes Mellitus Management Exam 2024

ATI Skills Module 3.0- Diabetes Mellitus Management Exam 2024 A nurse is teaching a client who has type 1 diabetes mellitus about the peak time of neutral protamine Hagedorn (NPH) insulin. Which of the following statements by the client indicates an understanding of the teaching? A. "NPH insulin peaks in 1 to 5 hours" B. "NPH insulin is peakless" C. "NPH insulin peaks in 6 to 14 hours" D. "NHP insulin peaks in 12 to 24 hours" - Ans ️️ C. "NPH insulin peaks in 6 to 14 hours" Rationale: NPH insulin has an onset of 60-120 min, peaks in 6-14 hr, and has a duration of 16-24 hr. A nurse is caring for a client who has type 1 diabetes mellitus and reports feeling anxious and having palpitations. the glucometer reads 50mg/dL. Which of the following actions should the nurse take? A. Give client 1tsp honey B. Give 4oz apple juice C. Give 4oz skim milk D. give one or two tablets of glucose - Ans ️️ B. Give 4oz apple juice Rationale: After confirming hypoglycemia, the nurse should give the client 15 to 20 g of rapid- acting, concentrated carbohydrate source, such as 4 to 6 oz of fruit juice, 8 oz of skim milk, 1 tbsp of honey, or commercially prepared glucose tablets per package instructions. A nurse is reviewing self-administration of insulin using a pre-filled pen with a client who started using the pen the previous week. The client asks what can be done to help reduce injection pain. Which of the following instructions should the nurse give the client? A. agitate the syringe slightly before injection B. store the pens with the needle pointing upward C. insert the needle slowly. D. Keep the pen at room temperature for a few minutes. - Ans ️️ D. Keep the pen at room temperature for a few minutes. Rationale: Injecting room-temperature insulin is less painful than injecting cold insulin. A nurse is teaching a client who has a new diagnosis of type 2 diabetes mellitus about metformin. The nurse should explain that this type of medication works by which of the following mechanism? A. Increasing insulin secretion by the pancreas B. Delaying carbohydrate digestion C. Increasing the cellular response to insulin D. Reducing hepatic glucose production - Ans ️️ D. Reducing hepatic glucose production Rationale: Biguanides reduce hepatic glucose production while increasing insulin action on muscle glucose upta