Chapter 37: Care of Patients with Diabetes and Hypoglycemia |DeWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

Ch. 37-
f9


Learning: Diabetes Mellitus and Its Complications
f9 f9 f9 f9 f9 f9




Af9patientf9withf9diabetesf9mellitusf9(DM)f9isf9shakingf9andf9diaphoreticf9andf9
hasf9af9bloodf9glucosef9levelf9off942f9mg/dL.
Whichf9stepf9shouldf9thef9nursef9takef9first?


A.f9Drawf9bloodf9forf9af9comprehensivef9metabolicf9panel.
B.f9Givef9thef9patientf9af9glassf9off9orangef9juicef9andf9thenf9recheckf9thef9bloo
df9glucose.
C.f9Preparef9tof9administerf9insulin.

D.f9Checkf9thef9urinef9forf9ketones.f9-f9correctf9answer✔ ✔
B.f9Givef9thef9patientf9af9glassf9off9orangef9juicef9andf9thenf9recheckf9thef9blo
odf9glucose.


-
Thef9patientf9isf9displayingf9signsf9off9hypoglycemia.f9Increasingf9bloodf9gl
f9


ucosef9isf9thef9priority.f9
-
f9Obtainingf9af9comprehensivef9metabolicf9panelf9orf9checkingf9thef9urinef9for
f9ketonesf9aref9notf9appropriatef9atf9thisf9time.f9



-f9Administeringf9insulinf9willf9worsenf9thef9hypoglycemia.

,Thef9nursef9isf9teachingf9thef9parentf9off9af9toddlerf9withf9typef91f9diabetesf9mel
litusf9(T1DM).
Whichf9statementf9byf9thef9parentf9indicatesf9tof9thef9nursef9thatf9thef9teachingf
9isf9effective?




A.f9"Myf9childf9isf9af9pickyf9eater.f9Myf9childf9willf9bef9atf9riskf9forf9hypoglyce
miaf9iff9thef9childf9refusesf9tof9eatf9afterf9insulinf9isf9administered."
B.f9"Insulinf9shouldf9bef9givenf9priorf9tof9eachf9meal."
C.f9"Iff9myf9childf9refusesf9tof9eat,f9If9canf9adjustf9thef9insulinf9dose."
D.f9"Becausef9myf9child'sf9bloodf9sugarf9isf9controlledf9withf9insulin,f9If9dof9no
tf9needf9tof9worryf9aboutf9howf9muchf9myf9childf9eats."f9-f9correctf9answer✔
✔
A.f9"Myf9childf9isf9af9pickyf9eater.f9Myf9childf9willf9bef9atf9riskf9forf9hypoglyc
emiaf9iff9thef9childf9refusesf9tof9eatf9afterf9insulinf9isf9administered."


Toddlersf9andf9youngf9childrenf9mayf9bef9"pickyf9eaters"f9andf9strugglef9withf
9foodf9intake.f9Itf9isf9importantf9tof9notef9thatf9af9child'sf9refusalf9tof9eatf9afterf9a


dministrationf9off9insulinf9placesf9thef9childf9atf9af9highf9riskf9forf9hypoglycem
ia.f9Insulinf9shouldf9bef9givenf9afterf9thef9childf9eats.f9Insulinf9dosesf9shouldf9n
otf9bef9adjusted.f9Iff9af9childf9refusesf9tof9eatf9afterf9administrationf9off9insulin,f
9theref9isf9af9highf9riskf9forf9hypoglycemia.




Thef9nursef9preparesf9tof9assessf9af9patientf9withf9suspectedf9diabetesf9mellitu
sf9(DM).

, Whichf9clinicalf9manifestationf9shouldf9thef9nursef9expectf9tof9assessf9inf9thisf9
patient?


A.f9Decreasedf9urination
B.f9Weightf9gain
C.f9Hypertension

D.f9Tachycardiaf9-f9correctf9answer✔ ✔ D.f9Tachycardia


-f9Tachycardiaf9isf9af9clinicalf9manifestationf9off9DM.f9
-
Hypertension,f9weightf9gain,f9andf9decreasedf9urinationf9aref9notf9clinicalf9m
f9


anifestationsf9off9diabetesf9mellitus.


Whichf9clinicalf9manifestationf9shouldf9thef9nursef9expectf9tof9assessf9inf9af9pa
tientf9diagnosedf9withf9hyperglycemicf9hyperosmolarf9syndromef9(HHS)?


A.f9Electrolytef9imbalances
B.f9Fluidf9volumef9overload
C.f9Ketonuria

D.f9Metabolicf9acidosisf9-f9correctf9answer✔ ✔
A.f9Electrolytef9imbalances