Nur 235 exam 3 diabetes Questions With Complete Solutions
"A diabetic patient has a serum glucose level of 824 mg/dL
(45.7 mmol/L) and is unresponsive. Following assessment of the
patient, the nurse suspects diabetic ketoacidosis rather than
hyperosmolar hyperglycemic syndrome based on the finding of"
a. polyuria
b. severe dehydration
c. rapid, deep respirations
d. decreased serum potassium" Correct Answers c. rapid, deep
respirations
"A patient with type 1 diabetes has received diet instruction as
part of the treatment plan. The nurse determines a need for
additional instruction when the patient says,"
a. ""I may have an occasional alcoholic drink if I include it in
my meal plan."
"b. ""I will need a bedtime snack because I take an evening dose
of NPH insulin.""
c. ""I will eat meals as scheduled, even if I am not hungry, to
prevent hypoglycemia.""
d. ""I may eat whatever I want, as long as I use enough insulin
to cover the calories. Correct Answers "D. ""I may eat
whatever I want, as long as I use enough insulin to cover the
calories.""
"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 weeks. Which disease process should the
nurse suspect the client is developing?
A. Type 1 diabetes
, B. Type 2 diabetes
C. Gestational diabetes
D. Acanthosis nigricans" Correct Answers B. Type 2 diabetes
"The nurse is working with an overweight client who has a high-
stress job and smokes. This client has just received a diagnosis
of Type II Diabetes and has just been started on an oral
hypoglycemic agent. Which of the following goals for the client
which if met, would be most likely to lead to an improvement in
insulin efficiency to the point the client would no longer require
oral hypoglycemic agents?"
a. Comply with medication regimen 100% for 6 months
b. Quit the use of any tobacco products by the end of three
months
c. Lose a pound a week until weight is in normal range for
height and exercise 30 minutes daily
d. Practice relaxation techniques for at least five minutes five
times a day for at least five months" Correct Answers c. Lose a
pound a week until weight is in normal range for height and
exercise 30 minutes daily
"The risk factors for type 1 diabetes include all of the following
except:"
a. Diet
b. Genetic
c. Autoimmune
d. Environmental" Correct Answers a. Diet
"What will the nurse teach the client with diabetes regarding
exercise in his or her treatment program?
"A diabetic patient has a serum glucose level of 824 mg/dL
(45.7 mmol/L) and is unresponsive. Following assessment of the
patient, the nurse suspects diabetic ketoacidosis rather than
hyperosmolar hyperglycemic syndrome based on the finding of"
a. polyuria
b. severe dehydration
c. rapid, deep respirations
d. decreased serum potassium" Correct Answers c. rapid, deep
respirations
"A patient with type 1 diabetes has received diet instruction as
part of the treatment plan. The nurse determines a need for
additional instruction when the patient says,"
a. ""I may have an occasional alcoholic drink if I include it in
my meal plan."
"b. ""I will need a bedtime snack because I take an evening dose
of NPH insulin.""
c. ""I will eat meals as scheduled, even if I am not hungry, to
prevent hypoglycemia.""
d. ""I may eat whatever I want, as long as I use enough insulin
to cover the calories. Correct Answers "D. ""I may eat
whatever I want, as long as I use enough insulin to cover the
calories.""
"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 weeks. Which disease process should the
nurse suspect the client is developing?
A. Type 1 diabetes
, B. Type 2 diabetes
C. Gestational diabetes
D. Acanthosis nigricans" Correct Answers B. Type 2 diabetes
"The nurse is working with an overweight client who has a high-
stress job and smokes. This client has just received a diagnosis
of Type II Diabetes and has just been started on an oral
hypoglycemic agent. Which of the following goals for the client
which if met, would be most likely to lead to an improvement in
insulin efficiency to the point the client would no longer require
oral hypoglycemic agents?"
a. Comply with medication regimen 100% for 6 months
b. Quit the use of any tobacco products by the end of three
months
c. Lose a pound a week until weight is in normal range for
height and exercise 30 minutes daily
d. Practice relaxation techniques for at least five minutes five
times a day for at least five months" Correct Answers c. Lose a
pound a week until weight is in normal range for height and
exercise 30 minutes daily
"The risk factors for type 1 diabetes include all of the following
except:"
a. Diet
b. Genetic
c. Autoimmune
d. Environmental" Correct Answers a. Diet
"What will the nurse teach the client with diabetes regarding
exercise in his or her treatment program?
