Prep U - Chapter 51: Assessment and Management of
Patients with Diabetes Questions With Complete Solutions
A 16-year-old client newly diagnosed with type 1 diabetes has a
very low body weight despite eating regular meals. The client is
upset because friends frequently state, "You look anorexic."
Which statement by the nurse would be the best response to help
this client understand the cause of weight loss due to this
condition?
"You may be having undiagnosed infections, causing you to lose
extra weight."
"Your body is using protein and fat for energy instead of
glucose."
"I will refer you to a dietician who can help you with your
weight."
"Don't worry about what your friends think; the carbohydrates
you eat are being quickly digested, increasing your metabolism."
Correct Answers "Your body is using protein and fat for
energy instead of glucose."
A 16-year-old client newly diagnosed with type 1 diabetes has a
very low body weight despite eating regular meals. The client is
upset because friends frequently state, "You look anorexic."
Which statement by the nurse would be the best response to help
this client understand the cause of weight loss due to this
condition?
"Your body is using protein and fat for energy instead of
glucose."
"Don't worry about what your friends think; the carbohydrates
you eat are being quickly digested, increasing your metabolism."
,"I will refer you to a dietician who can help you with your
weight."
"You may be having undiagnosed infections, causing you to lose
extra weight." Correct Answers "Your body is using protein
and fat for energy instead of glucose."
A 60-year-old client comes to the ED reporting weakness, vision
problems, increased thirst, increased urination, and frequent
infections that do not seem to heal easily. The physician
suspects that the client has diabetes. Which classic symptom
should the nurse watch for to confirm the diagnosis of diabetes?
Fatigue
Increased hunger
Numbness
Dizziness Correct Answers increased hunger
A client has been recently diagnosed with type 2 diabetes, and
reports continued weight loss despite increased hunger and food
consumption. This condition is called:
anorexia.
polyphagia.
polyuria.
polydipsia. Correct Answers polyphagia
A client is admitted with diabetic ketoacidosis (DKA). Which
order from the physician should the nurse implement first?
Administer sodium bicarbonate 50 mEq IV push.
Start an infusion of regular insulin at 50 U/hr.
Infuse 0.9% normal saline solution 1 L/hr for 2 hours.
Administer regular insulin 30 U IV push. Correct Answers
Infuse 0.9% normal saline solution 1 L/hr for 2 hours.
, A client is receiving insulin lispro at 7:30 AM. The nurse
ensures that the client has breakfast by which time?
8:00 AM
7:45 AM
8:30 AM
8:15 AM Correct Answers 7:45 AM
A client newly diagnosed with diabetes mellitus asks why he
needs ketone testing when the disease affects his blood glucose
levels. How should the nurse respond?
"The spleen releases ketones when your body can't use glucose."
"Ketones help the physician determine how serious your
diabetes is."
"Ketones can damage your kidneys and eyes."
"Ketones will tell us if your body is using other tissues for
energy." Correct Answers "Ketones will tell us if your body is
using other tissues for energy."
A client tells the nurse that she has been working hard for the
past 3 months to control her type 2 diabetes with diet and
exercise. To determine the effectiveness of the client's efforts,
the nurse should check:
a. glycosylated hemoglobin level.
b. urine glucose level.
c. fasting blood glucose level.
d. serum fructosamine level. Correct Answers glycosylated
hemoglobin level
Patients with Diabetes Questions With Complete Solutions
A 16-year-old client newly diagnosed with type 1 diabetes has a
very low body weight despite eating regular meals. The client is
upset because friends frequently state, "You look anorexic."
Which statement by the nurse would be the best response to help
this client understand the cause of weight loss due to this
condition?
"You may be having undiagnosed infections, causing you to lose
extra weight."
"Your body is using protein and fat for energy instead of
glucose."
"I will refer you to a dietician who can help you with your
weight."
"Don't worry about what your friends think; the carbohydrates
you eat are being quickly digested, increasing your metabolism."
Correct Answers "Your body is using protein and fat for
energy instead of glucose."
A 16-year-old client newly diagnosed with type 1 diabetes has a
very low body weight despite eating regular meals. The client is
upset because friends frequently state, "You look anorexic."
Which statement by the nurse would be the best response to help
this client understand the cause of weight loss due to this
condition?
"Your body is using protein and fat for energy instead of
glucose."
"Don't worry about what your friends think; the carbohydrates
you eat are being quickly digested, increasing your metabolism."
,"I will refer you to a dietician who can help you with your
weight."
"You may be having undiagnosed infections, causing you to lose
extra weight." Correct Answers "Your body is using protein
and fat for energy instead of glucose."
A 60-year-old client comes to the ED reporting weakness, vision
problems, increased thirst, increased urination, and frequent
infections that do not seem to heal easily. The physician
suspects that the client has diabetes. Which classic symptom
should the nurse watch for to confirm the diagnosis of diabetes?
Fatigue
Increased hunger
Numbness
Dizziness Correct Answers increased hunger
A client has been recently diagnosed with type 2 diabetes, and
reports continued weight loss despite increased hunger and food
consumption. This condition is called:
anorexia.
polyphagia.
polyuria.
polydipsia. Correct Answers polyphagia
A client is admitted with diabetic ketoacidosis (DKA). Which
order from the physician should the nurse implement first?
Administer sodium bicarbonate 50 mEq IV push.
Start an infusion of regular insulin at 50 U/hr.
Infuse 0.9% normal saline solution 1 L/hr for 2 hours.
Administer regular insulin 30 U IV push. Correct Answers
Infuse 0.9% normal saline solution 1 L/hr for 2 hours.
, A client is receiving insulin lispro at 7:30 AM. The nurse
ensures that the client has breakfast by which time?
8:00 AM
7:45 AM
8:30 AM
8:15 AM Correct Answers 7:45 AM
A client newly diagnosed with diabetes mellitus asks why he
needs ketone testing when the disease affects his blood glucose
levels. How should the nurse respond?
"The spleen releases ketones when your body can't use glucose."
"Ketones help the physician determine how serious your
diabetes is."
"Ketones can damage your kidneys and eyes."
"Ketones will tell us if your body is using other tissues for
energy." Correct Answers "Ketones will tell us if your body is
using other tissues for energy."
A client tells the nurse that she has been working hard for the
past 3 months to control her type 2 diabetes with diet and
exercise. To determine the effectiveness of the client's efforts,
the nurse should check:
a. glycosylated hemoglobin level.
b. urine glucose level.
c. fasting blood glucose level.
d. serum fructosamine level. Correct Answers glycosylated
hemoglobin level
