NUR 256 EXAM #3 REVIEW QUESTIONS
WITH ALL ANSWERS
Ketosis; nLittle nendogenous ninsulin; nYounger nthan n30 nyears nof nage n- n ncorrect
nanswer- nA npatient nis ndiagnosed nwith ntype nI ndiabetes. nWhat nclinical ncharacteristics
ndoes nthe nnurse nexpect nto nsee nin nthis npatient?
Hypoglycemia n- n ncorrect nanswer- nWhen nthe nnurse nis ncaring nfor na npatient nwith
ntype nI ndiabetes, nwhat nclinical nmanifestation nwould nbe na npriority nto nclosely
nmonitor?
1000 ncalories n- n ncorrect nanswer- nA nfemale npatient nwho nweighs n130 nlb nhas nan
nideal nbody nweight nof n166 nlb. nFor nweight nreduction nof n2 nlb/wk, napproximately
nwhat nshould nher ndaily ncaloric nintake nbe?
NPH n- n ncorrect nanswer- nThe nnurse nis npreparing nto nadminister nintermediate-acting
ninsulin nto na npatient nwith ndiabetes. nWhich ninsulin nwill nthe nnurse nadminister?
Peripheral nneuropathy n- n ncorrect nanswer- nAn nolder nadult npatient nthat nhas ndiabetes
ntype nII ncomes nto nthe ned nwith nsecond-degree nburns nto nthe nbottom nof nboth nfeet
nand nstates, n"I ndidn't nfeel ntoo nhot nbut nmy nfeet nmust nhave nbeen ntoo nclose nto nthe
nheater." nWhat ndoes nthe nnurse nunderstand nis nmost nlikely nthe nreason nfor nthe
ndecrease nin ntemperature nsensation?
, Lower nthan n50 nto n60 nmg/dL n- n ncorrect nanswer- nThe nnurse nis ncaring nfor na npatient
nwith nan nabnormally nlow nblood nglucose nconcentration. nWhat nglucose nlevel nwill nthe
nnurse nobserve nwhen nassessing nlaboratory nresults?
Hypokalemia n- n ncorrect nanswer- nA npatient nwith ndiabetic nketoacidosis nhas nhad na
nlarge nvolume nof nfluid ninfused nfor nrehydration. nWhat npotential ncomplication nfrom
nrehydration nshould nthe nnurse nmonitor nfor?
Leakage nof nfluid nserum n(exudates); nMicroaneurysms; nFocal ncapillary nsingle nclosure
n- n ncorrect nanswer- nThe nnurse nis nassessing na npatient nwith nnonproliferative
n(background) nretinopathy. nWhen nexamining nthe nretina, nwhat nwould nthe nnurse
nexpect nto nassess?
Albumin n- n ncorrect nanswer- nA nnurse nis ncaring nfor na npatient nwith ndiabetes nthat
nhas na ndiagnosis nof nnephropathy. nWhat nwould nthe nnurse nexpect nthe nurinalysis
nreport nto nindicate?
50% n- n60% n- n ncorrect nanswer- nThe nnurse nexpects nthat na npatient nwith ntype nI
ndiabetes nmay nreceive nwhat npercentage nof nthe nusual nmorning ndose nof ninsulin
npreoperatively?
Hyperglycemic nhyperosmolar nsyndrome n- n ncorrect nanswer- nAn nolder nadult npatient
nis nin nthe nhospital nbeing ntreated nfor nsepsis nr/t na nuti. nThe npatient nhas nstarted nto
nhave nan naltered nsense nof nawareness, nprofound ndehydration, nand nhypotension.
nWhat ncondition ndoes nthe nnurse nsuspect nthe npatient nmay nbe nexperiencing?
0.45% nnormal nsaline n- n ncorrect nanswer- nThe nnurse nis npreparing nto nadminister nIV
nfluids nfor na npatient nwith nketoacidosis nwho nhas na nhx nof nhypertension nand nCHF.
nWhat norder nfor nfluids nwould nthe nnurse nanticipate ninfusing nfor nthis npatient?
Review nthe npatient's ndiet nhistory nto nidentify neating nhabits, nand nlifestyle nand
ncultural neating npatterns. n- n ncorrect nanswer- nA npatient nhas nbeen nnewly ndiagnosed
nwith ntype nII ndiabetes, nand nthe nnurse nis nassisting nwith nthe ndevelopment nof na
nmeal nplan. nWhat nstep nshould nbe ntaken ninto nconsideration nprior nto nmaking nthe
nmeal nplan?
May nimprove nblood nglucose nlevels; nDecrease nthe nneed nfor nexogenous ninsulin;
nHelp nreduce ncholesterol nlevels n- n ncorrect nanswer- nThe nnurse nis neducating na
npatient nwith ndiabetes nabout nthe nimportance nof nincreasing ndietary nfiber. nWhat
nshould nthe nnurse nexplain nis nthe nrationale nfor nthe nincrease?
"Eating nthe nfruit ninstead nof ndrinking njuice ndecreases nthe nglycemic nindex nby
nslowing nabsorption." n- n ncorrect nanswer- nThe nnurse nis neducating na npatient nabout
nthe nbenefits nof nfruit nvs nfruit njuice nin nthe ndiabetic ndiet. nThe npatient nstates, n"What
ndifference ndoes nit nmake nif nyou ndrink nthe njuice nor neat nthe nfruit? nIt nis nall nthe
nsame." nWhat nis nthe nbest nresponse nby nthe nnurse?
WITH ALL ANSWERS
Ketosis; nLittle nendogenous ninsulin; nYounger nthan n30 nyears nof nage n- n ncorrect
nanswer- nA npatient nis ndiagnosed nwith ntype nI ndiabetes. nWhat nclinical ncharacteristics
ndoes nthe nnurse nexpect nto nsee nin nthis npatient?
Hypoglycemia n- n ncorrect nanswer- nWhen nthe nnurse nis ncaring nfor na npatient nwith
ntype nI ndiabetes, nwhat nclinical nmanifestation nwould nbe na npriority nto nclosely
nmonitor?
1000 ncalories n- n ncorrect nanswer- nA nfemale npatient nwho nweighs n130 nlb nhas nan
nideal nbody nweight nof n166 nlb. nFor nweight nreduction nof n2 nlb/wk, napproximately
nwhat nshould nher ndaily ncaloric nintake nbe?
NPH n- n ncorrect nanswer- nThe nnurse nis npreparing nto nadminister nintermediate-acting
ninsulin nto na npatient nwith ndiabetes. nWhich ninsulin nwill nthe nnurse nadminister?
Peripheral nneuropathy n- n ncorrect nanswer- nAn nolder nadult npatient nthat nhas ndiabetes
ntype nII ncomes nto nthe ned nwith nsecond-degree nburns nto nthe nbottom nof nboth nfeet
nand nstates, n"I ndidn't nfeel ntoo nhot nbut nmy nfeet nmust nhave nbeen ntoo nclose nto nthe
nheater." nWhat ndoes nthe nnurse nunderstand nis nmost nlikely nthe nreason nfor nthe
ndecrease nin ntemperature nsensation?
, Lower nthan n50 nto n60 nmg/dL n- n ncorrect nanswer- nThe nnurse nis ncaring nfor na npatient
nwith nan nabnormally nlow nblood nglucose nconcentration. nWhat nglucose nlevel nwill nthe
nnurse nobserve nwhen nassessing nlaboratory nresults?
Hypokalemia n- n ncorrect nanswer- nA npatient nwith ndiabetic nketoacidosis nhas nhad na
nlarge nvolume nof nfluid ninfused nfor nrehydration. nWhat npotential ncomplication nfrom
nrehydration nshould nthe nnurse nmonitor nfor?
Leakage nof nfluid nserum n(exudates); nMicroaneurysms; nFocal ncapillary nsingle nclosure
n- n ncorrect nanswer- nThe nnurse nis nassessing na npatient nwith nnonproliferative
n(background) nretinopathy. nWhen nexamining nthe nretina, nwhat nwould nthe nnurse
nexpect nto nassess?
Albumin n- n ncorrect nanswer- nA nnurse nis ncaring nfor na npatient nwith ndiabetes nthat
nhas na ndiagnosis nof nnephropathy. nWhat nwould nthe nnurse nexpect nthe nurinalysis
nreport nto nindicate?
50% n- n60% n- n ncorrect nanswer- nThe nnurse nexpects nthat na npatient nwith ntype nI
ndiabetes nmay nreceive nwhat npercentage nof nthe nusual nmorning ndose nof ninsulin
npreoperatively?
Hyperglycemic nhyperosmolar nsyndrome n- n ncorrect nanswer- nAn nolder nadult npatient
nis nin nthe nhospital nbeing ntreated nfor nsepsis nr/t na nuti. nThe npatient nhas nstarted nto
nhave nan naltered nsense nof nawareness, nprofound ndehydration, nand nhypotension.
nWhat ncondition ndoes nthe nnurse nsuspect nthe npatient nmay nbe nexperiencing?
0.45% nnormal nsaline n- n ncorrect nanswer- nThe nnurse nis npreparing nto nadminister nIV
nfluids nfor na npatient nwith nketoacidosis nwho nhas na nhx nof nhypertension nand nCHF.
nWhat norder nfor nfluids nwould nthe nnurse nanticipate ninfusing nfor nthis npatient?
Review nthe npatient's ndiet nhistory nto nidentify neating nhabits, nand nlifestyle nand
ncultural neating npatterns. n- n ncorrect nanswer- nA npatient nhas nbeen nnewly ndiagnosed
nwith ntype nII ndiabetes, nand nthe nnurse nis nassisting nwith nthe ndevelopment nof na
nmeal nplan. nWhat nstep nshould nbe ntaken ninto nconsideration nprior nto nmaking nthe
nmeal nplan?
May nimprove nblood nglucose nlevels; nDecrease nthe nneed nfor nexogenous ninsulin;
nHelp nreduce ncholesterol nlevels n- n ncorrect nanswer- nThe nnurse nis neducating na
npatient nwith ndiabetes nabout nthe nimportance nof nincreasing ndietary nfiber. nWhat
nshould nthe nnurse nexplain nis nthe nrationale nfor nthe nincrease?
"Eating nthe nfruit ninstead nof ndrinking njuice ndecreases nthe nglycemic nindex nby
nslowing nabsorption." n- n ncorrect nanswer- nThe nnurse nis neducating na npatient nabout
nthe nbenefits nof nfruit nvs nfruit njuice nin nthe ndiabetic ndiet. nThe npatient nstates, n"What
ndifference ndoes nit nmake nif nyou ndrink nthe njuice nor neat nthe nfruit? nIt nis nall nthe
nsame." nWhat nis nthe nbest nresponse nby nthe nnurse?
