NU473 Week 5 Evolve Elsevier EAQ Diabetes 26
Questions And Answers Latest Updates
Which instruction would the nurse provide to a 6' 0", 160-pound client newly diagnosed with type 1 diabetes
who wants to self-administer injections with an insulin pen? Select all that apply.
o Prime the needle with two units.
o Use a 29-gauge insulin needle.
o Give the injection at 45-degree angle.
o Refrain from recapping the needle.
o Dial the pen to deliver the unit dose.
o Prime the needle with two units.
o Use a 29-gauge insulin needle.
o Give the injection at 45-degree angle.
o Refrain from recapping the needle.
o Dial the pen to deliver the unit dose.
· The nurse should instruct the client to prime the needle with two units of insulin to remove air from the
needle. Insulin needles range between 28 and 31 gauge, and a 29-gauge insulin needle would be appropriate
to use. Thin clients (such as a 6' 0" client who weighs 160 pounds) should be instructed to administer the
injection at a 45-degree angle. Clients are advised not to recap needles to prevent accidental needlestick
injuries. Clients would dial the pen to deliver the prescribed unit dose.
Which sign or symptom would the nurse expect to find on assessment of a client with a blood glucose level of
55 mg/dL? Select all that apply.
o Increased thirst
o Abdominal pain
o Frequent urination
o Cold, clammy skin
o 3+ glucose in urinalysis
o Cold, clammy skin
· A client with a blood glucose level of 55 mg/dL indicates hypoglycemia. Clinical manifestations would
include cold, clammy skin; tachycardia; nervousness; and slurred speech. A client with hyperglycemia would
present with increased thirst (polydipsia), abdominal pain, increased urination (polyuria), and polyphagia.
The client with hyperglycemia would have glycosuria.
, A client is taught how to recognize signs of a hypoglycemic reaction. Which symptoms identified by the client
indicate to the nurse that the teaching was effective? Select all that apply.
o Fatigue
o Nausea
o Weakness
o Nervousness
o Increased thirst
o Increased perspiration
o Fatigue
o Weakness
o Nervousness
o Increased perspiration
· Fatigue is related to hypoglycemia. Weakness is related to a decrease in glucose within the central nervous
system. Nervousness is caused by increased adrenergic activity and increased secretion of catecholamines.
Increased perspiration is related to increased adrenergic activity and increased secretion of catecholamines.
Nausea is related to hyperglycemia, not hypoglycemia. Increased thirst with an excessive oral fluid intake
(polydipsia) is associated with hyperglycemia and is one of the cardinal signs of diabetes mellitus.
A client is scheduled for a computed tomography (CT) of the brain with contrast. The nurse reviews the
client’s medical record before the start of the procedure. The nurse would report which significant finding to
the primary healthcare provider before the test is performed?
o The client takes metformin daily.
o The client consumed a meal 1 hour before the scheduled test.
o The client reports an allergy to gadolinium.
o The client was not prescribed intravenous (IV) sedation.
o The client takes metformin daily.
· A CT often requires a contrast agent to be administered. The contrast agent can cause temporary changes in
kidney function. This change in kidney function can cause clients on metformin to have an increased risk of
developing a serious side effect called lactic acidosis. Nothing by mouth (NPO) status is not required for a
brain CT; however, clients may be instructed to be NPO for a CT of the abdomen or chest. Magnetic resonance
imaging contrast contains gadolinium; contrast for CT scans contains iodine. Clients typically do not receive
sedation for this diagnostic procedure.o The client takes metformin daily.
A client experiences ineffective control of type 1 diabetes. The client’s study results indicate that a sudden
decrease in blood glucose level is followed by rebound hyperglycemia. When this event occurs, which action
would the nurse take?
o Give the client 8 oz (240 mL) of orange juice.
o Seek a prescription to increase the insulin dose at bedtime.
Questions And Answers Latest Updates
Which instruction would the nurse provide to a 6' 0", 160-pound client newly diagnosed with type 1 diabetes
who wants to self-administer injections with an insulin pen? Select all that apply.
o Prime the needle with two units.
o Use a 29-gauge insulin needle.
o Give the injection at 45-degree angle.
o Refrain from recapping the needle.
o Dial the pen to deliver the unit dose.
o Prime the needle with two units.
o Use a 29-gauge insulin needle.
o Give the injection at 45-degree angle.
o Refrain from recapping the needle.
o Dial the pen to deliver the unit dose.
· The nurse should instruct the client to prime the needle with two units of insulin to remove air from the
needle. Insulin needles range between 28 and 31 gauge, and a 29-gauge insulin needle would be appropriate
to use. Thin clients (such as a 6' 0" client who weighs 160 pounds) should be instructed to administer the
injection at a 45-degree angle. Clients are advised not to recap needles to prevent accidental needlestick
injuries. Clients would dial the pen to deliver the prescribed unit dose.
Which sign or symptom would the nurse expect to find on assessment of a client with a blood glucose level of
55 mg/dL? Select all that apply.
o Increased thirst
o Abdominal pain
o Frequent urination
o Cold, clammy skin
o 3+ glucose in urinalysis
o Cold, clammy skin
· A client with a blood glucose level of 55 mg/dL indicates hypoglycemia. Clinical manifestations would
include cold, clammy skin; tachycardia; nervousness; and slurred speech. A client with hyperglycemia would
present with increased thirst (polydipsia), abdominal pain, increased urination (polyuria), and polyphagia.
The client with hyperglycemia would have glycosuria.
, A client is taught how to recognize signs of a hypoglycemic reaction. Which symptoms identified by the client
indicate to the nurse that the teaching was effective? Select all that apply.
o Fatigue
o Nausea
o Weakness
o Nervousness
o Increased thirst
o Increased perspiration
o Fatigue
o Weakness
o Nervousness
o Increased perspiration
· Fatigue is related to hypoglycemia. Weakness is related to a decrease in glucose within the central nervous
system. Nervousness is caused by increased adrenergic activity and increased secretion of catecholamines.
Increased perspiration is related to increased adrenergic activity and increased secretion of catecholamines.
Nausea is related to hyperglycemia, not hypoglycemia. Increased thirst with an excessive oral fluid intake
(polydipsia) is associated with hyperglycemia and is one of the cardinal signs of diabetes mellitus.
A client is scheduled for a computed tomography (CT) of the brain with contrast. The nurse reviews the
client’s medical record before the start of the procedure. The nurse would report which significant finding to
the primary healthcare provider before the test is performed?
o The client takes metformin daily.
o The client consumed a meal 1 hour before the scheduled test.
o The client reports an allergy to gadolinium.
o The client was not prescribed intravenous (IV) sedation.
o The client takes metformin daily.
· A CT often requires a contrast agent to be administered. The contrast agent can cause temporary changes in
kidney function. This change in kidney function can cause clients on metformin to have an increased risk of
developing a serious side effect called lactic acidosis. Nothing by mouth (NPO) status is not required for a
brain CT; however, clients may be instructed to be NPO for a CT of the abdomen or chest. Magnetic resonance
imaging contrast contains gadolinium; contrast for CT scans contains iodine. Clients typically do not receive
sedation for this diagnostic procedure.o The client takes metformin daily.
A client experiences ineffective control of type 1 diabetes. The client’s study results indicate that a sudden
decrease in blood glucose level is followed by rebound hyperglycemia. When this event occurs, which action
would the nurse take?
o Give the client 8 oz (240 mL) of orange juice.
o Seek a prescription to increase the insulin dose at bedtime.
