MEDSURG DIABETES MELLITUS
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ BRAND NEW!
1. C regular insulin has a peak effect around 1 to 5 hr following
administration.: a nurse is teaching a client about the use of insulin to treat type
1 diabetes mellitus. For which of the following types of insulin should the nurse tell
the clients to expect a peak effect 1 to 5 hours after administration? A) insulin
glargine
b) NPH insulin
c) Regular insulin
d) Insulin lispro
2. D acarbose can cause liver toxicity when taken long-term. Ensure the
client's liver function is monitored while taking this medication.: a nurse is
caring for a client who has been taking acarbose for type 2 diabetes mellitus. Which
of the following laboratory tests should the nurse plan to monitor? A) WBC
b) Amylase
c) Platelet count
d) Liver function tests
3. B repaglinide causes a rapid, short-lived release of insulin. The client
should take this medication within 30 min before each meal so that insulin is
available when food is digested.: a nurse is providing teaching to a client who
has type 2 diabetes mellitus and is starting repaglinide. Which of the following
statements by the client indicates understanding of the administration of this
medication? A) "i'll take this medication after i eat."
b) "i'll take this medication 30 minutes before i eat."
c) "i'll take this medication just before i go to bed."
d) "i'll take this medication at least 1 hour before i eat."
,4. A
Somnolence can indicate lactic acidosis, which is manifested by extreme
drowsiness, hyperventilation, and muscle pain. It is a rare but very serious
adverse effect caused by metformin and should be reported to the provider.:
a nurse is providing teaching for a client who has a new prescription for metformin.
Which of the following findings should the nurse instruct the client to report as an
adverse effect of metformin? A) somnolence
b) Constipation
c) Fluid retention
d) Weight gain
5. D, e
Pramlintide can cause hypoglycemia, especially when the client also takes
insulin, so it is important to eat a meal after injecting this medication. Unused
medication in the open pramlintide vial should be discarded after 28 days.: a
nurse is providing teaching to a client who has a prescription for pramlintide for type
1 diabetes mellitus. Which of the following should the nurse include in the teaching?
(select all that apply.)
a) "take oral medications 30 min before injection."
b) "use upper arms as preferred injection sites."
c) "mix pramlintide with the breakfast dose of insulin."
d) "inject pramlintide just before a meal."
e) "discard open vials after 28 days."
6. B, e
Aspartame and sucralose are artificial sweeteners that can sweeten foods and
beverages without adding calories.: a nurse is talking with a client who has a new
diagnosis of diabetes mellitus type 2 and their caregiver. Which of the following
sweeteners should the nurse include as a zero-calorie sweetener option? (select all
that apply.) A) sucrose
b) Aspartame
c) Mannitol
d) Xylitol
e) Sucralose
, 7. B
A client who has hypoglycemia can have diaphoresis and cool, clammy skin.:
a nurse is assessing a client who has hypoglycemia. Which of the following findings
should the nurse expect? A) fruity breath odor
b) Diaphoresis
c) Ketones in urine
d) Polyuria8. B the client has manifestations of hypoglycemia. Offer the client
15 to 20 g of carbohydrate, such as 120 ml juice.: a nurse is caring for a client
who has diabetes mellitus and reports feeling shaky and weak. The client's blood
glucose is 53 mg/dl. Which of the following actions should the nurse take? A)
provide subcutaneous insulin for the client.
b) Offer the client 120 ml fruit juice.
c) Give the client IV potassium.
d) Administer IV sodium bicarbonate.
9. A, c, d, e
Carbohydrates should be 45% to 65% of total daily calorie intake. The client
can use table sugar as long as adequate insulin or other agents are provided
to cover the sugar intake. The client should count the carbohydrates in the
sucrose in the daily carbohydrate count. The client can drink alcohol but
should eat something to reduce the risk of hypoglycemia. The client can
exchange carbohydrates as long as the total grams of carbohydrates remains
the same each day.: a nurse is reinforcing dietary teaching to a client who has type
2 diabetes mellitus. Which of the following instructions should the nurse include?
(select all that apply.)
a) "carbohydrates should comprise 55% of daily caloric intake."
b) "use hydrogenated oils for cooking."
c) "you can add table sugar to cereals."
d) "eat something if you choose to drink alcohol."
e) "use the same portion sizes to exchange carbohydrates."
10. C to avoid extra carbohydrate intake, the client should eat fruit that was
canned with water or juice rather than syrup, honey, or molasses.: a nurse is
teaching a group of clients who have diabetes about meal planning. Which of the
following client statements indicates understanding? A) "i will avoid having snacks."
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ BRAND NEW!
1. C regular insulin has a peak effect around 1 to 5 hr following
administration.: a nurse is teaching a client about the use of insulin to treat type
1 diabetes mellitus. For which of the following types of insulin should the nurse tell
the clients to expect a peak effect 1 to 5 hours after administration? A) insulin
glargine
b) NPH insulin
c) Regular insulin
d) Insulin lispro
2. D acarbose can cause liver toxicity when taken long-term. Ensure the
client's liver function is monitored while taking this medication.: a nurse is
caring for a client who has been taking acarbose for type 2 diabetes mellitus. Which
of the following laboratory tests should the nurse plan to monitor? A) WBC
b) Amylase
c) Platelet count
d) Liver function tests
3. B repaglinide causes a rapid, short-lived release of insulin. The client
should take this medication within 30 min before each meal so that insulin is
available when food is digested.: a nurse is providing teaching to a client who
has type 2 diabetes mellitus and is starting repaglinide. Which of the following
statements by the client indicates understanding of the administration of this
medication? A) "i'll take this medication after i eat."
b) "i'll take this medication 30 minutes before i eat."
c) "i'll take this medication just before i go to bed."
d) "i'll take this medication at least 1 hour before i eat."
,4. A
Somnolence can indicate lactic acidosis, which is manifested by extreme
drowsiness, hyperventilation, and muscle pain. It is a rare but very serious
adverse effect caused by metformin and should be reported to the provider.:
a nurse is providing teaching for a client who has a new prescription for metformin.
Which of the following findings should the nurse instruct the client to report as an
adverse effect of metformin? A) somnolence
b) Constipation
c) Fluid retention
d) Weight gain
5. D, e
Pramlintide can cause hypoglycemia, especially when the client also takes
insulin, so it is important to eat a meal after injecting this medication. Unused
medication in the open pramlintide vial should be discarded after 28 days.: a
nurse is providing teaching to a client who has a prescription for pramlintide for type
1 diabetes mellitus. Which of the following should the nurse include in the teaching?
(select all that apply.)
a) "take oral medications 30 min before injection."
b) "use upper arms as preferred injection sites."
c) "mix pramlintide with the breakfast dose of insulin."
d) "inject pramlintide just before a meal."
e) "discard open vials after 28 days."
6. B, e
Aspartame and sucralose are artificial sweeteners that can sweeten foods and
beverages without adding calories.: a nurse is talking with a client who has a new
diagnosis of diabetes mellitus type 2 and their caregiver. Which of the following
sweeteners should the nurse include as a zero-calorie sweetener option? (select all
that apply.) A) sucrose
b) Aspartame
c) Mannitol
d) Xylitol
e) Sucralose
, 7. B
A client who has hypoglycemia can have diaphoresis and cool, clammy skin.:
a nurse is assessing a client who has hypoglycemia. Which of the following findings
should the nurse expect? A) fruity breath odor
b) Diaphoresis
c) Ketones in urine
d) Polyuria8. B the client has manifestations of hypoglycemia. Offer the client
15 to 20 g of carbohydrate, such as 120 ml juice.: a nurse is caring for a client
who has diabetes mellitus and reports feeling shaky and weak. The client's blood
glucose is 53 mg/dl. Which of the following actions should the nurse take? A)
provide subcutaneous insulin for the client.
b) Offer the client 120 ml fruit juice.
c) Give the client IV potassium.
d) Administer IV sodium bicarbonate.
9. A, c, d, e
Carbohydrates should be 45% to 65% of total daily calorie intake. The client
can use table sugar as long as adequate insulin or other agents are provided
to cover the sugar intake. The client should count the carbohydrates in the
sucrose in the daily carbohydrate count. The client can drink alcohol but
should eat something to reduce the risk of hypoglycemia. The client can
exchange carbohydrates as long as the total grams of carbohydrates remains
the same each day.: a nurse is reinforcing dietary teaching to a client who has type
2 diabetes mellitus. Which of the following instructions should the nurse include?
(select all that apply.)
a) "carbohydrates should comprise 55% of daily caloric intake."
b) "use hydrogenated oils for cooking."
c) "you can add table sugar to cereals."
d) "eat something if you choose to drink alcohol."
e) "use the same portion sizes to exchange carbohydrates."
10. C to avoid extra carbohydrate intake, the client should eat fruit that was
canned with water or juice rather than syrup, honey, or molasses.: a nurse is
teaching a group of clients who have diabetes about meal planning. Which of the
following client statements indicates understanding? A) "i will avoid having snacks."
