Diabetes prep u Q&A
A nurse is teaching a client with diabetes mellitus about self-management of his
condition. The nurse should instruct the client to administer 1 unit of insulin for every:
10 g of carbohydrates.
15 g of carbohydrates.
20 g of carbohydrates.
25 g of carbohydrates. - (correct answer)15 g of carbohydrates.
The nurse should instruct the client to administer 1 unit of insulin for every 15 g of
carbohydrates.
A nurse expects to find which signs and symptoms in a client experiencing
hypoglycemia?
Polyuria, headache, and fatigue
Polyphagia and flushed, dry skin
Polydipsia, pallor, and irritability
Nervousness, diaphoresis, and confusion - (correct answer)Nervousness, diaphoresis,
and confusion
Signs and symptoms associated with hypoglycemia include nervousness, diaphoresis,
weakness, light-headedness, confusion, paresthesia, irritability, headache, hunger,
tachycardia, and changes in speech, hearing, or vision. If untreated, signs and
symptoms may progress to unconsciousness, seizures, coma, and death. Polydipsia,
polyuria, and polyphagia are symptoms associated with hyperglycemia.
Which statement is correct regarding glargine insulin?
,Its peak action occurs in 2 to 3 hours.
It cannot be mixed with any other type of insulin.
It is absorbed rapidly.
It is given twice daily. - (correct answer)It cannot be mixed with any other type of insulin.
A client with diabetes comes to the clinic for a follow-up visit. The nurse reviews the
client's glycosylated hemoglobin test results. Which result would indicate to the nurse
that the client's blood glucose level has been well controlled?
6.5%
7.5%
8.0%
8.5% - (correct answer)6.5%
Normally, the level of glycosylated hemoglobin is less than 7%. Thus, a level of 6.5%
would indicate that the client's blood glucose level is well controlled. According to the
American Diabetes Association, a glycosylated hemoglobin of 7% is equivalent to an
average blood glucose level of 150 mg/dl. Thus, a level of 7.5% would indicate less
control. Amount of 8% or greater indicate that control of the client's blood glucose level
has been inadequate during the previous 2 to 3 months.
A client is taking glyburide (DiaBeta), 1.25 mg P.O. daily, to treat type 2 diabetes. Which
statement indicates the need for further client teaching about managing this disease?
"I always carry hard candy to eat in case my blood sugar level drops."
"I avoid exposure to the sun as much as possible."
"I always wear my medical identification bracelet."
"I skip lunch when I don't feel hungry." - (correct answer)"I skip lunch when I don't feel
hungry."
,The client requires further teaching if he states that he skips meals. A client who is
receiving an oral antidiabetic agent should eat meals on a regular schedule because
skipping a meal increases the risk of hypoglycemia. Carrying hard candy, avoiding
exposure to the sun, and always wearing a medical identification bracelet indicate
effective teaching.
A client is diagnosed with diabetes mellitus. Which assessment finding best supports a
nursing diagnosis of Ineffective coping related to diabetes mellitus?
Recent weight gain of 20 lb (9.1 kg)
Failure to monitor blood glucose levels
Skipping insulin doses during illness
Crying whenever diabetes is mentioned - (correct answer)Crying whenever diabetes is
mentioned
A client who cries whenever diabetes is mentioned is demonstrating ineffective coping.
A recent weight gain and failure to monitor blood glucose levels would support a nursing
diagnosis of Noncompliance: Failure to adhere to therapeutic regimen. Skipping insulin
doses during illness would support a nursing diagnosis of Deficient knowledge related to
treatment of diabetes mellitus.
A client with type 1 diabetes asks the nurse about taking an oral antidiabetic agent. The
nurse explains that these medications are effective only if the client:
prefers to take insulin orally.
has type 2 diabetes.
has type 1 diabetes.
is pregnant and has type 2 diabetes. - (correct answer)has type 2 diabetes.
, Oral antidiabetic agents are effective only in adult clients with type 2 diabetes. Oral
antidiabetic agents aren't effective in type 1 diabetes. Pregnant and lactating women
aren't ordered oral antidiabetic agents because the effect on the fetus or breast-fed
infant is uncertain.
A client with diabetes mellitus is receiving an oral antidiabetic agent. The nurse
observes for which condition when caring for this client?
Polyuria
Hypoglycemia
Blurred vision
Polydipsia - (correct answer)Hypoglycemia
The nurse should observe the client receiving an oral antidiabetic agent for signs of
hypoglycemia. The time when the reaction might occur is not predictable and could be
from 30 to 60 minutes to several hours after the drug is ingested. Polyuria, polydipsia,
and blurred vision are symptoms of diabetes mellitus.
A client with type 2 diabetes asks the nurse why he can't have a pancreatic transplant.
Which of the following would the nurse include as a possible reason?
Increased risk for urologic complications
Need for exocrine enzymatic drainage
Underlying problem of insulin resistance
Need for lifelong immunosuppressive therapy - (correct answer)Underlying problem of
insulin resistance
A nurse is teaching a client with diabetes mellitus about self-management of his
condition. The nurse should instruct the client to administer 1 unit of insulin for every:
10 g of carbohydrates.
15 g of carbohydrates.
20 g of carbohydrates.
25 g of carbohydrates. - (correct answer)15 g of carbohydrates.
The nurse should instruct the client to administer 1 unit of insulin for every 15 g of
carbohydrates.
A nurse expects to find which signs and symptoms in a client experiencing
hypoglycemia?
Polyuria, headache, and fatigue
Polyphagia and flushed, dry skin
Polydipsia, pallor, and irritability
Nervousness, diaphoresis, and confusion - (correct answer)Nervousness, diaphoresis,
and confusion
Signs and symptoms associated with hypoglycemia include nervousness, diaphoresis,
weakness, light-headedness, confusion, paresthesia, irritability, headache, hunger,
tachycardia, and changes in speech, hearing, or vision. If untreated, signs and
symptoms may progress to unconsciousness, seizures, coma, and death. Polydipsia,
polyuria, and polyphagia are symptoms associated with hyperglycemia.
Which statement is correct regarding glargine insulin?
,Its peak action occurs in 2 to 3 hours.
It cannot be mixed with any other type of insulin.
It is absorbed rapidly.
It is given twice daily. - (correct answer)It cannot be mixed with any other type of insulin.
A client with diabetes comes to the clinic for a follow-up visit. The nurse reviews the
client's glycosylated hemoglobin test results. Which result would indicate to the nurse
that the client's blood glucose level has been well controlled?
6.5%
7.5%
8.0%
8.5% - (correct answer)6.5%
Normally, the level of glycosylated hemoglobin is less than 7%. Thus, a level of 6.5%
would indicate that the client's blood glucose level is well controlled. According to the
American Diabetes Association, a glycosylated hemoglobin of 7% is equivalent to an
average blood glucose level of 150 mg/dl. Thus, a level of 7.5% would indicate less
control. Amount of 8% or greater indicate that control of the client's blood glucose level
has been inadequate during the previous 2 to 3 months.
A client is taking glyburide (DiaBeta), 1.25 mg P.O. daily, to treat type 2 diabetes. Which
statement indicates the need for further client teaching about managing this disease?
"I always carry hard candy to eat in case my blood sugar level drops."
"I avoid exposure to the sun as much as possible."
"I always wear my medical identification bracelet."
"I skip lunch when I don't feel hungry." - (correct answer)"I skip lunch when I don't feel
hungry."
,The client requires further teaching if he states that he skips meals. A client who is
receiving an oral antidiabetic agent should eat meals on a regular schedule because
skipping a meal increases the risk of hypoglycemia. Carrying hard candy, avoiding
exposure to the sun, and always wearing a medical identification bracelet indicate
effective teaching.
A client is diagnosed with diabetes mellitus. Which assessment finding best supports a
nursing diagnosis of Ineffective coping related to diabetes mellitus?
Recent weight gain of 20 lb (9.1 kg)
Failure to monitor blood glucose levels
Skipping insulin doses during illness
Crying whenever diabetes is mentioned - (correct answer)Crying whenever diabetes is
mentioned
A client who cries whenever diabetes is mentioned is demonstrating ineffective coping.
A recent weight gain and failure to monitor blood glucose levels would support a nursing
diagnosis of Noncompliance: Failure to adhere to therapeutic regimen. Skipping insulin
doses during illness would support a nursing diagnosis of Deficient knowledge related to
treatment of diabetes mellitus.
A client with type 1 diabetes asks the nurse about taking an oral antidiabetic agent. The
nurse explains that these medications are effective only if the client:
prefers to take insulin orally.
has type 2 diabetes.
has type 1 diabetes.
is pregnant and has type 2 diabetes. - (correct answer)has type 2 diabetes.
, Oral antidiabetic agents are effective only in adult clients with type 2 diabetes. Oral
antidiabetic agents aren't effective in type 1 diabetes. Pregnant and lactating women
aren't ordered oral antidiabetic agents because the effect on the fetus or breast-fed
infant is uncertain.
A client with diabetes mellitus is receiving an oral antidiabetic agent. The nurse
observes for which condition when caring for this client?
Polyuria
Hypoglycemia
Blurred vision
Polydipsia - (correct answer)Hypoglycemia
The nurse should observe the client receiving an oral antidiabetic agent for signs of
hypoglycemia. The time when the reaction might occur is not predictable and could be
from 30 to 60 minutes to several hours after the drug is ingested. Polyuria, polydipsia,
and blurred vision are symptoms of diabetes mellitus.
A client with type 2 diabetes asks the nurse why he can't have a pancreatic transplant.
Which of the following would the nurse include as a possible reason?
Increased risk for urologic complications
Need for exocrine enzymatic drainage
Underlying problem of insulin resistance
Need for lifelong immunosuppressive therapy - (correct answer)Underlying problem of
insulin resistance
