Assessment And Management Of Patients With
Diabetes – Accurate Solutions For Every Question
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Terms in this set (80)
A client with diabetes 6.5%
comes to the clinic for a
follow-up visit. The nurse Explanation:
reviews the client's Normally, the level of glycosylated hemoglobin is less
glycosylated hemoglobin than 7%. Thus, a level of 6.5% would indicate that the
test results. Which result client's blood glucose level is well controlled.
would indicate to the nurse According to the American Diabetes Association, a
that the client's blood glycosylated hemoglobin of 7% is equivalent to an
glucose level has been well average blood glucose level of 150 mg/dl. Thus, a level
controlled? of 7.5% would indicate less control. Amount of 8% or
greater indicate that control of the client's blood
6.5% glucose level has been inadequate during the previous
7.5% 2 to 3 months.
8.0%
8.5%
,The nurse is preparing a Insulin resistance or insufficient insulin production
presentation for a group of
adults at a local community Explanation:
center about diabetes. Type 2 diabetes is characterized by insulin resistance or
Which characteristic would insufficient insulin production. It is more common in
the nurse inform the group aging adults, and adults aged 45 to 64 years were
is associated with type 2 highest among newly diagnosed age groups for type 2
diabetes? diabetes in 2018, not adolescents. The absence of insulin
production by beta cells in the islets of Langerhans of
Onset most common the pancreas is characteristic of type 1 diabetes mellitus,
during adolescence not type 2. Prediabetes can lead to type 2 diabetes.
Insulin resistance or
insufficient insulin
production
Less common than type 1
diabetes
Little relation to
prediabetes
A patient who is diagnosed Need exogenous insulin.
with type 1 diabetes would
be expected to: Explanation:
Type 1 diabetes is characterized by the destruction of
Be restricted to an pancreatic beta cells that require exogenous insulin.
American Diabetic
Association diet.
Have no damage to the
islet cells of the pancreas.
Need exogenous insulin.
Receive daily doses of a
hypoglycemic agent.
,During a class on exercise at least three times per week.
for clients with diabetes Explanation:
mellitus, a client asks the
nurse educator how often Clients with diabetes must exercise at least three times
to exercise. To meet the per week to meet the goals of planned exercise —
goals of planned exercise, lowering the blood glucose level, reducing or
the nurse educator should maintaining the proper weight, increasing the serum
advise the client to high-density lipoprotein level, decreasing serum
exercise: triglyceride levels, reducing blood pressure, and
minimizing stress. Exercising once per week wouldn't
at least once per week. achieve these goals. Exercising more than three times
at least three times per per week, although beneficial, would exceed the
week. minimum requirement.
at least five times per week.
every day.
, A client with diabetes "Rotate injection sites within the same anatomic region,
mellitus must learn how to not among different regions."
self-administer insulin. The Explanation:
physician has ordered 10
units of U-100 regular The nurse should instruct the client to rotate injection
insulin and 35 units of U-100 sites within the same anatomic region. Rotating sites
isophane insulin suspension among different regions may cause excessive day-to-
(NPH) to be taken before day variations in the blood glucose level; also, insulin
breakfast. When teaching absorption differs from one region to the next. Insulin
the client how to select and should be injected only into healthy tissue lacking large
rotate insulin injection sites, blood vessels, nerves, or scar tissue or other deviations.
the nurse should provide Injecting insulin into areas of hypertrophy may delay
which instruction? absorption. The client shouldn't inject insulin into areas
of lipodystrophy (such as hypertrophy or atrophy); to
"Inject insulin into healthy prevent lipodystrophy, the client should rotate injection
tissue with large blood sites systematically. Exercise speeds drug absorption,
vessels and nerves." so the client shouldn't inject insulin into sites above
"Rotate injection sites within muscles that will be exercised heavily.
the same anatomic region,
not among different
regions."
"Administer insulin into
areas of scar tissue or
hypertrophy whenever
possible."
"Administer insulin into sites
above muscles that you
plan to exercise heavily
later that day."
What is the only insulin that Regular
can be given Explanation:
intravenously?
Insulins other than regular are in suspensions that could
Regular be harmful if administered IV.
NPH
Lantus
Ultralente
Diabetes – Accurate Solutions For Every Question
Save
Terms in this set (80)
A client with diabetes 6.5%
comes to the clinic for a
follow-up visit. The nurse Explanation:
reviews the client's Normally, the level of glycosylated hemoglobin is less
glycosylated hemoglobin than 7%. Thus, a level of 6.5% would indicate that the
test results. Which result client's blood glucose level is well controlled.
would indicate to the nurse According to the American Diabetes Association, a
that the client's blood glycosylated hemoglobin of 7% is equivalent to an
glucose level has been well average blood glucose level of 150 mg/dl. Thus, a level
controlled? of 7.5% would indicate less control. Amount of 8% or
greater indicate that control of the client's blood
6.5% glucose level has been inadequate during the previous
7.5% 2 to 3 months.
8.0%
8.5%
,The nurse is preparing a Insulin resistance or insufficient insulin production
presentation for a group of
adults at a local community Explanation:
center about diabetes. Type 2 diabetes is characterized by insulin resistance or
Which characteristic would insufficient insulin production. It is more common in
the nurse inform the group aging adults, and adults aged 45 to 64 years were
is associated with type 2 highest among newly diagnosed age groups for type 2
diabetes? diabetes in 2018, not adolescents. The absence of insulin
production by beta cells in the islets of Langerhans of
Onset most common the pancreas is characteristic of type 1 diabetes mellitus,
during adolescence not type 2. Prediabetes can lead to type 2 diabetes.
Insulin resistance or
insufficient insulin
production
Less common than type 1
diabetes
Little relation to
prediabetes
A patient who is diagnosed Need exogenous insulin.
with type 1 diabetes would
be expected to: Explanation:
Type 1 diabetes is characterized by the destruction of
Be restricted to an pancreatic beta cells that require exogenous insulin.
American Diabetic
Association diet.
Have no damage to the
islet cells of the pancreas.
Need exogenous insulin.
Receive daily doses of a
hypoglycemic agent.
,During a class on exercise at least three times per week.
for clients with diabetes Explanation:
mellitus, a client asks the
nurse educator how often Clients with diabetes must exercise at least three times
to exercise. To meet the per week to meet the goals of planned exercise —
goals of planned exercise, lowering the blood glucose level, reducing or
the nurse educator should maintaining the proper weight, increasing the serum
advise the client to high-density lipoprotein level, decreasing serum
exercise: triglyceride levels, reducing blood pressure, and
minimizing stress. Exercising once per week wouldn't
at least once per week. achieve these goals. Exercising more than three times
at least three times per per week, although beneficial, would exceed the
week. minimum requirement.
at least five times per week.
every day.
, A client with diabetes "Rotate injection sites within the same anatomic region,
mellitus must learn how to not among different regions."
self-administer insulin. The Explanation:
physician has ordered 10
units of U-100 regular The nurse should instruct the client to rotate injection
insulin and 35 units of U-100 sites within the same anatomic region. Rotating sites
isophane insulin suspension among different regions may cause excessive day-to-
(NPH) to be taken before day variations in the blood glucose level; also, insulin
breakfast. When teaching absorption differs from one region to the next. Insulin
the client how to select and should be injected only into healthy tissue lacking large
rotate insulin injection sites, blood vessels, nerves, or scar tissue or other deviations.
the nurse should provide Injecting insulin into areas of hypertrophy may delay
which instruction? absorption. The client shouldn't inject insulin into areas
of lipodystrophy (such as hypertrophy or atrophy); to
"Inject insulin into healthy prevent lipodystrophy, the client should rotate injection
tissue with large blood sites systematically. Exercise speeds drug absorption,
vessels and nerves." so the client shouldn't inject insulin into sites above
"Rotate injection sites within muscles that will be exercised heavily.
the same anatomic region,
not among different
regions."
"Administer insulin into
areas of scar tissue or
hypertrophy whenever
possible."
"Administer insulin into sites
above muscles that you
plan to exercise heavily
later that day."
What is the only insulin that Regular
can be given Explanation:
intravenously?
Insulins other than regular are in suspensions that could
Regular be harmful if administered IV.
NPH
Lantus
Ultralente
