Exam 3 NUR 170
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1. A client recently admitted with new-onset type 2 diabetes will be discharged
with a meter for self-monitoring of blood glucose (SMBG) levels. When is the
best time for the nurse to explain to the client the proper use of the glucose
monitor?: While performing the test in the hospital
2. An intensive care client with diabetic ketoacidosis (DKA) is receiving an
insulin infusion. When the cardiac monitor shows ventricular ectopy, which
assessment will the nurse make?: Potassium level
3. A client with type 2 diabetes who is taking metformin (Glucophage) is seen
in the diabetic clinic. The fasting blood glucose is 108 mg/dL (6.0 mmol/L), and
the glycosylated hemoglobin (HbA1C) is 8.2%. Which action will the nurse take
next?: Ask the client about current dietary intake and medication use.
4. The nurse is providing discharge teaching to a client with type 2 diabetes
and peripheral neuropathy. Which statement by the client indicates a need for
further teaching about injury prevention?: "I can break in my shoes by wearing
them all day."
5. A client with type 1 diabetes arrives in the emergency department breathing
deeply and stating, "I can't catch my breath." The client's vital signs are: T
98.4°F (36.9°C), P 112 beats/min, R 38 breaths/min, BP 91/54 mm Hg, and O2
saturation 99% on room air. Which action will the nurse take first?: Check the
blood glucose.
6. The clinic nurse is providing teaching to a client with newly diagnosed
diabetes. Which statement by the client indicates a correct understanding
about the need to wear a MedicAlert bracelet?: "If I become hypoglycemic, I could
become unconscious."
7. The nurse in the endocrine clinic is reviewing type 1 and type 2 diabetes
with a group of nursing students. Which explanation by the students indicates
their understanding of the types of diabetes?: Those with type 2 diabetes make
insulin, but in inadequate amounts.
8. Which nursing action will the home health nurse delegate to a home health
aide who is making daily visits to a client with newly diagnosed type 2
diabetes?: Assist the client with washing the feet and applying moisturizing lotion.
9. The nurse has just taken change-of-shift report on a group of clients on the
medical-surgical unit. Which client does the nurse assess first?: Client taking
glyburide (Diabeta) who is dizzy and sweaty
10. Which is the best referral that the community health nurse can suggest
to a client who has been newly diagnosed with diabetes?: American Diabetes
Association (ADA)
11. A client expresses fear and anxiety over the life changes associated with
diabetes, stating, "I am scared I can't do it all and I will get sick and be a burden
, Exam 3 NUR 170
Study online at https://quizlet.com/_90afhj
on my family." What is the nurse's best response?: "Let's tackle it piece by piece.
What is most scary to you?"
12. A client with type 2 diabetes controlled with Metformin is recovering from
surgery. The primary health care provider has placed the client on insulin in
addition to the metformin. What is the nurse's best response about why the
client needs to take insulin?: Stress, such as surgery, increases blood glucose
levels. You'll need insulin to control your blood glucose temporarily."
13. A client newly diagnosed with diabetes is not ready to learn diabetes con-
trol during the hospital stay. Which information is the priority for the nurse to
teach the client and the client's family?: Causes and treatment of hypoglycemia
Insulin administration
14. The nurse is teaching a client with newly diagnosed type 2 diabetes about
the importance of weight control. Which comment by the client indicates a
need for further teaching?: "I will begin exercising for at least an hour a day."
15. Which of these clients with diabetes will the endocrine unit charge nurse
assign to an RN who has floated from the labor/delivery unit?: A client who
needs blood glucose monitoring and insulin before each meal
16. The nurse working on a medical surgical endocrine unit has just received
change-of-shift report. Which client will the nurse see first?: Client with type 1
diabetes whose insulin pump is beeping "occlusion"
17. The nurse is teaching a client about the manifestations and emergency
management of hypoglycemia. Which response by the client indicates a cor-
rect understanding of what to do if the client feels hungry and shaky?: "I will
eat three graham crackers."
18. The nurse caring for four clients with diabetes has these activities to
perform. Which activity is appropriate to delegate to unlicensed assistive
personnel (UAP)?: Perform a blood glucose check on a client who requires insulin.
19. A client with typically well controlled diabetes has a glycosylated hemo-
globin (HbA1C) level of 9.4%. Which response by the nurse is most appropri-
ate?: "Have you been doing something differently?
20. The nurse is performing an admission assessment on a 52-year-old
client admitted with type 2 diabetes.Physical AssessmentDiagnostic Finding-
sProvider PrescriptionsLungs clearGlucose 179 mg/dL (9.9 mmol/L)Regular
insulin 8 units if blood glucose 250 to 275 mg/dL (13.9 to 15.3 mmol/L)Right
great toe mottled and cold to touchHemoglobin A1c 6.9%Regular insulin 10
units if glucose 275 to 300 mg/dL (15.3 to 16.7 mmol/L)Client states wears eye-
glasses to readAfter completing the above assessment, which complication
of diabetes does the nurse report to the primary health care provider?: De-
creased peripheral perfusion
Study online at https://quizlet.com/_90afhj
1. A client recently admitted with new-onset type 2 diabetes will be discharged
with a meter for self-monitoring of blood glucose (SMBG) levels. When is the
best time for the nurse to explain to the client the proper use of the glucose
monitor?: While performing the test in the hospital
2. An intensive care client with diabetic ketoacidosis (DKA) is receiving an
insulin infusion. When the cardiac monitor shows ventricular ectopy, which
assessment will the nurse make?: Potassium level
3. A client with type 2 diabetes who is taking metformin (Glucophage) is seen
in the diabetic clinic. The fasting blood glucose is 108 mg/dL (6.0 mmol/L), and
the glycosylated hemoglobin (HbA1C) is 8.2%. Which action will the nurse take
next?: Ask the client about current dietary intake and medication use.
4. The nurse is providing discharge teaching to a client with type 2 diabetes
and peripheral neuropathy. Which statement by the client indicates a need for
further teaching about injury prevention?: "I can break in my shoes by wearing
them all day."
5. A client with type 1 diabetes arrives in the emergency department breathing
deeply and stating, "I can't catch my breath." The client's vital signs are: T
98.4°F (36.9°C), P 112 beats/min, R 38 breaths/min, BP 91/54 mm Hg, and O2
saturation 99% on room air. Which action will the nurse take first?: Check the
blood glucose.
6. The clinic nurse is providing teaching to a client with newly diagnosed
diabetes. Which statement by the client indicates a correct understanding
about the need to wear a MedicAlert bracelet?: "If I become hypoglycemic, I could
become unconscious."
7. The nurse in the endocrine clinic is reviewing type 1 and type 2 diabetes
with a group of nursing students. Which explanation by the students indicates
their understanding of the types of diabetes?: Those with type 2 diabetes make
insulin, but in inadequate amounts.
8. Which nursing action will the home health nurse delegate to a home health
aide who is making daily visits to a client with newly diagnosed type 2
diabetes?: Assist the client with washing the feet and applying moisturizing lotion.
9. The nurse has just taken change-of-shift report on a group of clients on the
medical-surgical unit. Which client does the nurse assess first?: Client taking
glyburide (Diabeta) who is dizzy and sweaty
10. Which is the best referral that the community health nurse can suggest
to a client who has been newly diagnosed with diabetes?: American Diabetes
Association (ADA)
11. A client expresses fear and anxiety over the life changes associated with
diabetes, stating, "I am scared I can't do it all and I will get sick and be a burden
, Exam 3 NUR 170
Study online at https://quizlet.com/_90afhj
on my family." What is the nurse's best response?: "Let's tackle it piece by piece.
What is most scary to you?"
12. A client with type 2 diabetes controlled with Metformin is recovering from
surgery. The primary health care provider has placed the client on insulin in
addition to the metformin. What is the nurse's best response about why the
client needs to take insulin?: Stress, such as surgery, increases blood glucose
levels. You'll need insulin to control your blood glucose temporarily."
13. A client newly diagnosed with diabetes is not ready to learn diabetes con-
trol during the hospital stay. Which information is the priority for the nurse to
teach the client and the client's family?: Causes and treatment of hypoglycemia
Insulin administration
14. The nurse is teaching a client with newly diagnosed type 2 diabetes about
the importance of weight control. Which comment by the client indicates a
need for further teaching?: "I will begin exercising for at least an hour a day."
15. Which of these clients with diabetes will the endocrine unit charge nurse
assign to an RN who has floated from the labor/delivery unit?: A client who
needs blood glucose monitoring and insulin before each meal
16. The nurse working on a medical surgical endocrine unit has just received
change-of-shift report. Which client will the nurse see first?: Client with type 1
diabetes whose insulin pump is beeping "occlusion"
17. The nurse is teaching a client about the manifestations and emergency
management of hypoglycemia. Which response by the client indicates a cor-
rect understanding of what to do if the client feels hungry and shaky?: "I will
eat three graham crackers."
18. The nurse caring for four clients with diabetes has these activities to
perform. Which activity is appropriate to delegate to unlicensed assistive
personnel (UAP)?: Perform a blood glucose check on a client who requires insulin.
19. A client with typically well controlled diabetes has a glycosylated hemo-
globin (HbA1C) level of 9.4%. Which response by the nurse is most appropri-
ate?: "Have you been doing something differently?
20. The nurse is performing an admission assessment on a 52-year-old
client admitted with type 2 diabetes.Physical AssessmentDiagnostic Finding-
sProvider PrescriptionsLungs clearGlucose 179 mg/dL (9.9 mmol/L)Regular
insulin 8 units if blood glucose 250 to 275 mg/dL (13.9 to 15.3 mmol/L)Right
great toe mottled and cold to touchHemoglobin A1c 6.9%Regular insulin 10
units if glucose 275 to 300 mg/dL (15.3 to 16.7 mmol/L)Client states wears eye-
glasses to readAfter completing the above assessment, which complication
of diabetes does the nurse report to the primary health care provider?: De-
creased peripheral perfusion
