Health and Illness Exam 2 Question and
answers rated A+
The nurse is teaching a patient with type 2 diabetes mellitus about exercise to
help control blood glucose. The nurse knows the patient understands when
the patient elicits which exercise plan?
A. "I will take a brisk 30-minute walk 3-5 days per week three times a week."
B. "I will plan to keep my job as a teacher because I get a lot of exercise every
school day."
C. "I will go running each day when my blood sugar is too high to bring it back
to normal."
D. "I want to go fishing for 30 minutes each day; I will drink fluids and wear
sunscreen." - correct answer ✔"I will take a brisk 30-minute walk 3-5 days a
week three times a week."
Which of the following is not a symptom of hyperglycemia?
A. Polydipsia
B. weight gain
C. Polyuria
D. Polyphagia - correct answer ✔weight gain
The nurse is caring for a patient with DKA and documents that the client is
experiencing Kussmaul's respirations. Which patterns did the nurse observe?
A. Respiration that are abnormally slow
B. Respiration that cease for several seconds
C. Respirations that are shallow
D. Respirations that are abnormally deep and increased in rate - correct
answer ✔respirations that are abnormally deep and increased in rate
,Kussmaul's respirations has the pattern of rapid, deep breathing associated
with dyspnea. This is the body's attempt to reverse metabolic acidosis through
the exhalation of excess CO2, occurring in DKA patients.
A patient is newly diagnosed with type 1 diabetes and reports a headache,
changes in visions, and being anxious but does not have a portable blood
glucose monitor present. Which priority action should the nurse advise her to
take?
A. drink some diet soup
B. eat 15g of carbs
C. eat a piece of cheese pizza
D. take an extra dose of rapid-acting insulin - correct answer ✔eat 15g of
carbs
A client with DM demonstrates acute anxiety when admitted to the hospital for
the treatment of hyperglycemia. What is the most appropriate intervention to
decrease the client's anxiety?
A. Convey empathy, trust, and respect towards the client
B. Ignore the signs and symptoms of anxiety, anticipating that they will son
disappear.
C. Make sure that the client is familiar with the correct medical terms to
promote understanding of what is happening.
D. Administer a sedative. - correct answer ✔convey empathy, trust, and
respect toward the client
The nurse is managing a client with DKA. What management intervention is
incorrect in the management of a client with DKA?
A. infuse normal saline (0.9%) tp replace fluid loss
, B. assess potassium levels 2 hours after treatment because potassium shifts
affect the heart
C. assess vital signs and monitor ketone levels
D. administer regular insulin as ordered - correct answer ✔Assess K+ levels
2 horus after treatment because K+ shifts affect the heart
A 27-year-old patient admitted with diabetic ketoacidosis (DKA) has a serum
glucose level of 732 mg/dL and serum potassium level of 3.1 mEq/L. Which
action prescribed by the health care provider should the nurse take first?
A. ask the patient about home insulin dose
B. start an insulin infusion at 0.1 units/kg/hr
C. adminiser IV K+ supplements
D. put the patient on a heart monitor - correct answer ✔put the patient on a
heart monitor
the cardiac rhythym must be assessed first before any treatment
The home health nurse visits a client with a diagnosis of type 1 diabetes
mellitus. The client relates a history of vomiting and diarrhea and tells the
nurse that no food has been consumed for the last 24 hours. Which additional
statement by the client indicates a need for further teaching?
A. "I need to stop my insulin."
B. "I need to monitor my blood glucose every 3 to 4 hours."
C. "I need to increase my fluid intake."
D. "I need to call the health care provider (HCP) because of these symptoms."
- correct answer ✔"I need to stop my insulin."
Insulin should never be stopped immediately
answers rated A+
The nurse is teaching a patient with type 2 diabetes mellitus about exercise to
help control blood glucose. The nurse knows the patient understands when
the patient elicits which exercise plan?
A. "I will take a brisk 30-minute walk 3-5 days per week three times a week."
B. "I will plan to keep my job as a teacher because I get a lot of exercise every
school day."
C. "I will go running each day when my blood sugar is too high to bring it back
to normal."
D. "I want to go fishing for 30 minutes each day; I will drink fluids and wear
sunscreen." - correct answer ✔"I will take a brisk 30-minute walk 3-5 days a
week three times a week."
Which of the following is not a symptom of hyperglycemia?
A. Polydipsia
B. weight gain
C. Polyuria
D. Polyphagia - correct answer ✔weight gain
The nurse is caring for a patient with DKA and documents that the client is
experiencing Kussmaul's respirations. Which patterns did the nurse observe?
A. Respiration that are abnormally slow
B. Respiration that cease for several seconds
C. Respirations that are shallow
D. Respirations that are abnormally deep and increased in rate - correct
answer ✔respirations that are abnormally deep and increased in rate
,Kussmaul's respirations has the pattern of rapid, deep breathing associated
with dyspnea. This is the body's attempt to reverse metabolic acidosis through
the exhalation of excess CO2, occurring in DKA patients.
A patient is newly diagnosed with type 1 diabetes and reports a headache,
changes in visions, and being anxious but does not have a portable blood
glucose monitor present. Which priority action should the nurse advise her to
take?
A. drink some diet soup
B. eat 15g of carbs
C. eat a piece of cheese pizza
D. take an extra dose of rapid-acting insulin - correct answer ✔eat 15g of
carbs
A client with DM demonstrates acute anxiety when admitted to the hospital for
the treatment of hyperglycemia. What is the most appropriate intervention to
decrease the client's anxiety?
A. Convey empathy, trust, and respect towards the client
B. Ignore the signs and symptoms of anxiety, anticipating that they will son
disappear.
C. Make sure that the client is familiar with the correct medical terms to
promote understanding of what is happening.
D. Administer a sedative. - correct answer ✔convey empathy, trust, and
respect toward the client
The nurse is managing a client with DKA. What management intervention is
incorrect in the management of a client with DKA?
A. infuse normal saline (0.9%) tp replace fluid loss
, B. assess potassium levels 2 hours after treatment because potassium shifts
affect the heart
C. assess vital signs and monitor ketone levels
D. administer regular insulin as ordered - correct answer ✔Assess K+ levels
2 horus after treatment because K+ shifts affect the heart
A 27-year-old patient admitted with diabetic ketoacidosis (DKA) has a serum
glucose level of 732 mg/dL and serum potassium level of 3.1 mEq/L. Which
action prescribed by the health care provider should the nurse take first?
A. ask the patient about home insulin dose
B. start an insulin infusion at 0.1 units/kg/hr
C. adminiser IV K+ supplements
D. put the patient on a heart monitor - correct answer ✔put the patient on a
heart monitor
the cardiac rhythym must be assessed first before any treatment
The home health nurse visits a client with a diagnosis of type 1 diabetes
mellitus. The client relates a history of vomiting and diarrhea and tells the
nurse that no food has been consumed for the last 24 hours. Which additional
statement by the client indicates a need for further teaching?
A. "I need to stop my insulin."
B. "I need to monitor my blood glucose every 3 to 4 hours."
C. "I need to increase my fluid intake."
D. "I need to call the health care provider (HCP) because of these symptoms."
- correct answer ✔"I need to stop my insulin."
Insulin should never be stopped immediately
