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Exam (elaborations)

Nursing Managing of Diabetes Sherpath Exam Questions and Answers

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Nursing Managing of Diabetes Sherpath Exam Questions and Answers Which action should the nurse take first when a patient's capillary blood glucose reading is 63 mg/dL? Give the patient a snack that equals 15 g of carbohydrates. *When a patient has symptoms of hypoglycemia, the nurse should give the patient 15 g of carbohydrates to increase the blood glucose level. After the initial assessment of a new patient, the nurse notices a fruity smell on the patient's breath and rapid, deep breathing. Which actions should the nurse take to address these symptoms? Notify the health care provider. *The nurse should notify the health care provider of this finding because this patient is exhibiting signs of diabetic ketoacidosis. Check the patient's capillary glucose level. *This patient is exhibiting signs of diabetic ketoacidosis, so the nurse should check the patient's capillary glucose level. A nurse is caring for a newly admitted patient with type 1 diabetes. Which assessment finding would cause the nurse to implement interventions for hyperglycemia? Dry mouth *A dry mouth is a symptom of hyperglycemia. The nurse should intervene to decrease the patient's blood sugar when a dry mouth has been noted. A patient with type 2 diabetes calls the health care provider's office and reports having the flu. Which instructions should the nurse give the patient? "Continue taking your insulin and/or oral agent." *When a patient with diabetes becomes ill, the blood glucose level increases. Therefore the nurse should instruct the patient to continue taking insulin and/or an oral agent. "Increase oral fluid intake to prevent dehydration." *The nurse should instruct the patient to increase oral fluid intake to prevent dehydration, since the patient has the flu. "Increase your carbohydrate intake to prevent further nausea." *The nurse should instruct the patient to increase intake of carbohydrates. Doing so will decrease nausea. Which statement made by a patient with new-onset type 1 diabetes indicates a need for further education? "I will use the pad of my finger to obtain blood for a blood glucose level." *The patient should use the side of the finger, not the pad, to obtain blood for blood glucose monitoring. The home health nurse visits a patient with a new diagnosis of type 2 diabetes. Which patient finding would prompt the nurse to provide further education? Consistently skipping meals

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