Med-Surg- ATI skill module 3.0-Diabetes mellitus management

A nurse is teaching a client who has type 1 diabetes mellitus about the use of an insulin pump. Which of the following information should the nurse include in the teaching? A. The pump should remain in place while bathing B. Insulin is injected intermittently based on the client's blood glucose level C. The pump using intermediate-acting insulin D. The risk for developing dka can be increased with the use of an insulin pump - d. The risk for developing dka can be increased with the use of an insulin pump Malfunction of the pump from low battery power occlusion of the tubing or needles or lack of insulin in the pump increase the risk of dka, particularly if the client is not aware of it. 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 4ox skim milk D. Give one or two tablets of glucose - b- give 4oz of apple juice After confirming hypoglycemia, the nurse should give the client 15 to 20g of rapid acting, concentrated carbohydrate source, such as 4 to 6oz of fruit juice, 8oz of skim milk or 1 tbsp. Of honey, or commercially prepared glucose tablets per package instructions. A nurse is reviewing the results of the routine laboratory tests performed as part of a client's annual physical examination. Which of the following values indicates a fasting blood glucose measurement that is outside the expected reference range? A. 78 mg/dl B. 118 mg/dl C. 85 mg/dl D. 104 mg/dl - b. 118 mg/dl The result exceeds the expected reference range for a fasting blood glucose measurement, which is generally between 74 and 106 mg/dl A nurse is caring for a client who has type 1 diabetes mellitus and is in need of a long-acting insulin preparation. The nurse anticipates receiving a prescription for which of the following insulin? A. Insulin glargine B. Insulin aspart C. Insulin glulisine D. Insulin lispro - a. Insulin glargine Long acting insulin, such as insulin glargine, is intended to provide basal glucose control. The dosage is typically once daily at the same time each day. 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" - c. "nph insulin peaks in 6 to 14 hours" Nph insulin has an onset of 60 to 120 minutes, peaks in 6 to 14 hours, and has a duration of 24 hours 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 - d. Reducing hepatic glucose production Biguanides reduce hepatic glucose production while increasing insulin action on muscle glucose uptake.