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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
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A client present to the emergency A- 0.9% sodium chloride
department and reports vomiting and
diarrhea for the past 48 hours. The nurse
anticipates which fluid therapy initially?
A- 0.9% sodium chloride
B- Dextrose 10% in water
C- Dextrose and 0.45% NS
D- 0.45% sodium chloride
A nurse is providing care to a client who has A- It may be caused by virus toxins
type 1 diabetes. The nurse should C- One environment factor is lack of exercise
understand which of the following regarding D- It accounts for 5%-10% of all types of diabetes
type 1 diabetes? Select all that apply.
A- It may be caused by virus toxins
B- Islet cell antibodies are not present at
onset
C- One environment factor is lack of
exercise
D- It accounts for 5%-10% of all types of
diabetes
E- Person with type 1 may be thin, normal, or
obese
A nurse is performing an admission A- Sodium gain
assessment on a client. Which of the C- Excess water loss
following findings should the nurse identify E- Inadequate water intake
as a cause for elevated serum sodium?
Select all that apply
A- Sodium gain
B- Water excess
C- Excess water loss
D- Massive cell destruction
E- Inadequate water intake
, A nurse is caring for an adolescent client D- Lispro (Humalog)
who has a long history of diabetes and is
being admitted to the emergency
department confused, flushed and with
acetone odor on breath. Diabetic
ketoacidosis is suspected. The nurse should
anticipate using which of the following types
of insulin to treat this client?
A- NPH (Humulin N)
B- Glargine (Lantus)
C- Detemir (Levemir)
D- Lispro (Humalog)
The nurse is administering insulin to a patient A- Insulin necessary to unlock receptor sites
with diabetes. Which of the following is true B- Skeletal muscles have specific receptors for insulin
regarding normal glucose and insulin C- Adipose tissues have specific receptors for insulin
metabolism? Select all that apply. D- Counter-regulatory hormones enhance effects of insulin
A- Insulin necessary to unlock receptor sites
B- Skeletal muscles have specific receptors
for insulin
C- Adipose tissues have specific receptors
for insulin
D- Counter-regulatory hormones enhance
effects of insulin
E- Carbohydrate metabolism slows as
people age
A nurse is assessing a client who has fluid A. Increased jugular vein distention
overload. Which of the following findings B. Increased blood pressure
should the nurse expect? (Select all that C. Increased mental alertness
apply.)
A. Increased jugular vein distention
B. Increased blood pressure
C. Increased mental alertness
D. Increase hematocrit
E. Increased temperature
Which of the following is/are true regarding A- Osmotic effect of excess glucose causes polyphagia
clinical manifestations for the patient B- Cellular malnourishment results in polyuria and polydipsia
presenting with diabetes? Select all that C- Ketoacidosis is most common in untreated type 1 diabetes
apply. D- Recurrent vaginal yeast or candida infections are common
in type 2
A- Osmotic effect of excess glucose causes
polyphagia
B- Cellular malnourishment results in
polyuria and polydipsia
C- Ketoacidosis is most common in
untreated type 1 diabetes
D- Recurrent vaginal yeast or candida
infections are common in type 2
E- Onset of symptoms for type 1 diabetes is
usually slower than onset for type 2
diabetes