Adult Health 2 practice questions
Study online at https://quizlet.com/_5t04ba
1. A 20-year-old college student has Type 1 Monitor her glucose level before, dur-
diabetes and normally walks each evening ing, and after swimming to determine the
as part of her exercise regimen. She now need for alterations in food or insulin
plans to enroll in a swimming class to meet
her physical education requirement. Which
adjustment in her treatment plan will the
nurse help the patient make?
Delay the meal before the swimming class
until the session is over
Add 10 units of regular insulin to her usu-
al morning dose on the days she plans to
swim
Time her morning insulin injection so that
the peak action will occur during her swim-
ming class
Monitor her glucose level before, during,
and after swimming to determine the need
for alterations in food or insulin
2. A 68-year-old patient with Type 2 diabetes is Large amounts of IV saline solution
brought to the ER in an unresponsive state.
A diagnosis of hyperglycemic hyperosmolar
nonketotic coma is made. The nurse pre-
pares for the administration of which initial
therapy?
Oxygen by nasal cannula
Long-acting IV insulin
IV dextran as a source of complex carbohy-
drates
Large amounts of IV saline solution
3.
, Adult Health 2 practice questions
Study online at https://quizlet.com/_5t04ba
You are caring for a patient with newly diag- Use of a portable blood glucose monitor
nosed type 1 diabetes. What information us Hypoglycemia prevention, symptoms, and
essential to include in your patient teaching treatment
before discharge from the hospital (select Insulin administration
all that apply)?
Use of a portable blood glucose monitor
Need to reduce physical activity
Hypoglycemia prevention, symptoms, and
treatment
Elimination of sugar from the diet
Insulin administration
4. A 15 year old weighing 250 pounds has "Overweight teenagers may develop type
started to experience increased thirst, in- 2 diabetes, which can be treated with an
creased appetite, and frequent urination. oral medication. You may or may not need
After medical testing, it was determined the insulin in the future."
teen has type 2 diabetes and will be start-
ed on oral medications. What information
should the nurse give the adolescent about
medications as a treatment option?
"Insulin is used when diabetics won't take
oral pills, so you can avoid this by taking
your medication as ordered."
"You are being prescribed this oral medica-
tion now, and will need insulin in the fu-
ture."
"Your diabetes is mild since you're only hav-
ing oral medication, it will go away if you
stop eating sweets."
"Overweight teenagers may develop type
2 diabetes, which can be treated with an
, Adult Health 2 practice questions
Study online at https://quizlet.com/_5t04ba
oral medication. You may or may not need
insulin in the future."
5. A nurse is preparing a teaching plan for a Apply a moisturizing lotion to dry feet.
patient with DM regarding proper foot care.
Which instruction is included in the plan.
Soak the feet in hot water.
Avoid using mild soap on the feet.
Apply a moisturizing lotion to dry feet.
Only have a podiatrist cut your toe nails,
never cut them yourself.
6. A nurse teaches a patient with DM about Shakiness
differentiating between hypoglycemia and
ketoacidosis. The patient demonstrates an
understanding of the teaching by stating
that glucose will be taken if which of the
following symptoms develops?
Polyuria
Blurred vision
Fruity breath odor
Shakiness
7. A home health nurse visits a client with type I need to stop my insulin.
1 DM. The client tells the nurse they have
been vomiting and having diarrhea and
have not had any food or medications for
the past 36 hours. Which additional state-
ment by the client indicated the need for
further teaching?
I need to increase my fluid intake.
, Adult Health 2 practice questions
Study online at https://quizlet.com/_5t04ba
I need to stop my insulin.
I should monitor my blood glucose ever 3-4
hours.
I should call my physician because of these
symptoms.
8. A nurse performs a physical assessment temperature
of a patient with type 2 DM. Findings in-
clude a fasting blood glucose of 120 mg/dL,
temperature 101 degrees F, heart rate 88,
respirations 22, and blood pressure 140/84
mmHg. Which finding would be of most
concern to the nurse?
blood pressure
respirations
blood glucose
temperature
9. A client with DM had previously been well Prednisone (Deltasone)
controlled with glyburide (DIaBeta), 5mg
PO daily, but recently the fasting blood
glucose has been running 180-200 mg/dL.
Which medication, if added to the client's
regimen, may have contributed to the hy-
perglycemia?
Atenolol (Tenormin)
Prednisone (Deltasone)
Phenelzine (Nardil)
Allopurinol (Zyloprim)
10. The nurse teaches a patient with Type 1
diabtes about the Somogyi effect and dawn
Study online at https://quizlet.com/_5t04ba
1. A 20-year-old college student has Type 1 Monitor her glucose level before, dur-
diabetes and normally walks each evening ing, and after swimming to determine the
as part of her exercise regimen. She now need for alterations in food or insulin
plans to enroll in a swimming class to meet
her physical education requirement. Which
adjustment in her treatment plan will the
nurse help the patient make?
Delay the meal before the swimming class
until the session is over
Add 10 units of regular insulin to her usu-
al morning dose on the days she plans to
swim
Time her morning insulin injection so that
the peak action will occur during her swim-
ming class
Monitor her glucose level before, during,
and after swimming to determine the need
for alterations in food or insulin
2. A 68-year-old patient with Type 2 diabetes is Large amounts of IV saline solution
brought to the ER in an unresponsive state.
A diagnosis of hyperglycemic hyperosmolar
nonketotic coma is made. The nurse pre-
pares for the administration of which initial
therapy?
Oxygen by nasal cannula
Long-acting IV insulin
IV dextran as a source of complex carbohy-
drates
Large amounts of IV saline solution
3.
, Adult Health 2 practice questions
Study online at https://quizlet.com/_5t04ba
You are caring for a patient with newly diag- Use of a portable blood glucose monitor
nosed type 1 diabetes. What information us Hypoglycemia prevention, symptoms, and
essential to include in your patient teaching treatment
before discharge from the hospital (select Insulin administration
all that apply)?
Use of a portable blood glucose monitor
Need to reduce physical activity
Hypoglycemia prevention, symptoms, and
treatment
Elimination of sugar from the diet
Insulin administration
4. A 15 year old weighing 250 pounds has "Overweight teenagers may develop type
started to experience increased thirst, in- 2 diabetes, which can be treated with an
creased appetite, and frequent urination. oral medication. You may or may not need
After medical testing, it was determined the insulin in the future."
teen has type 2 diabetes and will be start-
ed on oral medications. What information
should the nurse give the adolescent about
medications as a treatment option?
"Insulin is used when diabetics won't take
oral pills, so you can avoid this by taking
your medication as ordered."
"You are being prescribed this oral medica-
tion now, and will need insulin in the fu-
ture."
"Your diabetes is mild since you're only hav-
ing oral medication, it will go away if you
stop eating sweets."
"Overweight teenagers may develop type
2 diabetes, which can be treated with an
, Adult Health 2 practice questions
Study online at https://quizlet.com/_5t04ba
oral medication. You may or may not need
insulin in the future."
5. A nurse is preparing a teaching plan for a Apply a moisturizing lotion to dry feet.
patient with DM regarding proper foot care.
Which instruction is included in the plan.
Soak the feet in hot water.
Avoid using mild soap on the feet.
Apply a moisturizing lotion to dry feet.
Only have a podiatrist cut your toe nails,
never cut them yourself.
6. A nurse teaches a patient with DM about Shakiness
differentiating between hypoglycemia and
ketoacidosis. The patient demonstrates an
understanding of the teaching by stating
that glucose will be taken if which of the
following symptoms develops?
Polyuria
Blurred vision
Fruity breath odor
Shakiness
7. A home health nurse visits a client with type I need to stop my insulin.
1 DM. The client tells the nurse they have
been vomiting and having diarrhea and
have not had any food or medications for
the past 36 hours. Which additional state-
ment by the client indicated the need for
further teaching?
I need to increase my fluid intake.
, Adult Health 2 practice questions
Study online at https://quizlet.com/_5t04ba
I need to stop my insulin.
I should monitor my blood glucose ever 3-4
hours.
I should call my physician because of these
symptoms.
8. A nurse performs a physical assessment temperature
of a patient with type 2 DM. Findings in-
clude a fasting blood glucose of 120 mg/dL,
temperature 101 degrees F, heart rate 88,
respirations 22, and blood pressure 140/84
mmHg. Which finding would be of most
concern to the nurse?
blood pressure
respirations
blood glucose
temperature
9. A client with DM had previously been well Prednisone (Deltasone)
controlled with glyburide (DIaBeta), 5mg
PO daily, but recently the fasting blood
glucose has been running 180-200 mg/dL.
Which medication, if added to the client's
regimen, may have contributed to the hy-
perglycemia?
Atenolol (Tenormin)
Prednisone (Deltasone)
Phenelzine (Nardil)
Allopurinol (Zyloprim)
10. The nurse teaches a patient with Type 1
diabtes about the Somogyi effect and dawn
