QUESTIONS AND VERIFIED ANSWERS
A 48-year-old male patient screened for diabetes at a clinic
has a fasting plasma glucose level of 120 mg/dL (6.7
mmol/L). The nurse will plan to teach the patient about
a. self-monitoring of blood glucose.
b. using low doses of regular insulin.
c. lifestyle changes to lower blood glucose.
d. effects of oral hypoglycemic medications. -
CORRECT ANSWER: C
The patient's impaired fasting glucose indicates prediabetes,
and the patient should be counseled about lifestyle changes to
prevent the development of type 2 diabetes.
A 28-year-old male patient with type 1 diabetes reports how
he manages his exercise and glucose control. Which behavior
indicates that the nurse should implement additional teaching?
,a. The patient always carries hard candies when engaging in
exercise.
b. The patient goes for a vigorous walk when his glucose is
200 mg/dL.
c. The patient has a peanut butter sandwich before going for a
bicycle ride.
d. The patient increases daily exercise when ketones are
present in the urine. - CORRECT ANSWER: D
When the patient is ketotic, exercise may result in an increase
in blood glucose level.
The nurse is assessing a 22-year-old patient experiencing the
onset of symptoms of type 1 diabetes. Which question is most
appropriate for the nurse to ask?
a. "Are you anorexic?"
b. "Is your urine dark colored?"
c. "Have you lost weight lately?"
d. "Do you crave sugary drinks?" - CORRECT ANSWER: C
Weight loss occurs because the body is no longer able to
absorb glucose and starts to break down protein and fat for
energy
,A patient with type 2 diabetes is scheduled for a follow-up
visit in the clinic several months from now. Which test will
the nurse schedule to evaluate the effectiveness of treatment
for the patient?
a. Urine dipstick for glucose
b. Oral glucose tolerance test
c. Fasting blood glucose level
d. Glycosylated hemoglobin level - CORRECT ANSWER:
D
The glycosylated hemoglobin (A1C or HbA1C) test shows the
overall control of glucose over 90 to 120 days.
A 55-year-old female patient with type 2 diabetes has a
nursing diagnosis of imbalanced nutrition: more than body
requirements. Which goal is most important for this patient?
a. The patient will reach a glycosylated hemoglobin level of
less than 7%.
b. The patient will follow a diet and exercise plan that results
in weight loss.
c. The patient will choose a diet that distributes calories
throughout the day.
, d. The patient will state the reasons for eliminating simple
sugars in the diet. - CORRECT ANSWER: A
The complications of diabetes are related to elevated blood
glucose, and the most important patient outcome is the
reduction of glucose to near-normal levels.
A 38-year-old patient who has type 1 diabetes plans to swim
laps daily at 1:00 PM. The clinic nurse will plan to teach the
patient to
a. check glucose level before, during, and after swimming.
b. delay eating the noon meal until after the swimming class.
c. increase the morning dose of neutral protamine Hagedorn
(NPH) insulin.
d. time the morning insulin injection so that the peak occurs
while swimming. - CORRECT ANSWER: A
The change in exercise will affect blood glucose, and the
patient will need to monitor glucose carefully to determine the
need for changes in diet and insulin administration.