Diabetes, DKA, HHNS NCLEX REVIEW | Questions with 100% Correct Answers | Latest Update 2024 | Verified

Diabetes, DKA, HHNS NCLEX REVIEW | Questions with 100% Correct Answers | Latest Update 2024 | Verified An 18-year-old female client, 5′4′′tall, weighing 113 kg, comes to the clinic for a non healing wound on her lower leg, which she has had for two (2) weeks. Which disease process should the nurse suspect the client has developed? 1. Type 1 diabetes.' 2. Type 2 diabetes. 3. Gestational diabetes. 4. Acanthosis nigricans. - 2. Type 2 diabetes is a disorder usually occurring around the age of 40, but it is now being detected in children and young adults as a result of obesity and sedentary lifestyles. Non healing wounds are a hallmark sign of type 2 diabetes.This client weighs 248.6 pounds and is short. The client diagnosed with type 1 diabetes has a glycosylated hemoglobin (A1c) of 8.1%. Which interpretation should the nurse make based on this result? 1. This result is below normal levels. 2. This result is within acceptable levels. 3. This result is above recommended levels. 4. This result is dangerously high. - 3. This result parallels a serum blood glucose level of approximately 180 to200 mg/dL. An A1c is a blood test reflecting average blood glucose levels over a period of three (3) months; clients with elevated blood glucose levels are at risk for developing long-term complications. The nurse administered 28 units of Humulin N, an intermediate-acting insulin, to a client diagnosed with type 1 diabetes at 1600. Which intervention should the nurse implement? 1. Ensure the client eats the bedtime snack. 2. Determine how much food the client ate at lunch. 3. Perform a glucometer reading at 0700. 4. Offer the client protein after administering insulin. - 1. Humulin N peaks in 6 to 8 hours, making the client at risk for hypoglycemia around midnight, which is why the client should receive a bedtime snack.This snack will prevent nighttime hypoglycemia.