Ati diabetes mellitus exam

ATI DIABETES MELLITUS EXAM | NEWEST
k k k k k




ACTUAL EXAM COMPREHENSIVE k k




QUESTIONS AND VERIFIED ANSWERS
k k k k




GRADED A+ | 100% PASS | 2024 UPDATE!
k k k k k k k k




What are some risk factors associated with Diabetic Ketoacidosis?
k k k k k k k k



Name three - ✔✔✔ Correct Answer > - Lack of sufficient
k k k k k k k k k k k



insulin related to undiagnosed or untreated type 1 diabetes
k k k k k k k k k



mellitus
k




- Nonadherence to a diabetic regimen k k k k




- Reduced or missed dose of insulin k k k k k




- Any condition that increases carbohydrate metabolism, such as
k k k k k k k



physical or emotional stress, illness, infection (No. 1 cause of DKA),
k k k k k k k k k k k



surgery, or trauma that requires an increased need for insulin
k k k k k k k k k k




- Increased hormone production (e.g., cortisol, glucagon, epinephrine)
k k k k k k



stimulates the liver to produce glucose and decreases the effect of
k k k k k k k k k k k



insulin.
k




The nurse is teaching a 54-year-old patient with diabetes about proper
k k k k k k k k k k



composition of the daily diet. The nurse explains that the guideline for
k k k k k k k k k k k k



carbohydrate intake is which of the following?
k k k k k k k




A. 80% of daily intake
k k k




B. Minimum of 80 g/day k k k




C. Minimum of 130 g/day k k k

,D. Maximum of 130 g/day - ✔✔✔ Correct Answer > C. Minimum k k k k k k k k k k



of 130 g/day
k k k




The recommendation for carbohydrate intake is a minimum of 130
k k k k k k k k k



g/day. Low-carbohydrate diets are not recommended for diabetes
k k k k k k k k



management.
k




The nurse is assigned to the care of a 64-year-old patient diagnosed
k k k k k k k k k k k



with type 2 diabetes. In formulating a teaching plan that encourages
k k k k k k k k k k k



the patient to actively participate in management of the diabetes,
k k k k k k k k k k



which of the following should be the nurse's initial intervention?
k k k k k k k k k k




A. Assess patient's perception of what it means to have diabetes.
k k k k k k k k k




B. Ask the patient to write down current knowledge about diabetes.
k k k k k k k k k




C. Set goals for the patient to actively participate in managing his
k k k k k k k k k k



diabetes.
k




D. Assume responsibility for all of the patient's care to decrease stress
k k k k k k k k k k



level. - ✔✔✔ Correct Answer > A. Assess patient's perception of
k k k k k k k k k k k



what it means to have diabetes.
k k k k k k




In order for teaching to be effective, the first step is to assess the
k k k k k k k k k k k k k



kpatient. Teaching can be individualized once the nurse is aware of what
k k k k k k k k k k k



ka diagnosis of diabetes means to the patient.
k k k k k k k




What are some risk factors associated with Hyperglycemic-
k k k k k k k



hyperosmolar state (HHS)? Name three. - ✔✔✔ Correct Answer >
k k k k k k k k k k



- Old Age
k k k

,- Poor Kidney Function
k k




- Poor diabetes control
k k




- Poor Medication Management
k k




- Infection
- Heart attack k




- Stroke
- Congestive heart failure k k




- Dehydration


What medications are associated with risk for Hyperglycemic-
k k k k k k k



hyperosmolar state (HHS)? - ✔✔✔ Correct Answer > -
k k k k k k k k k



Glucocorticoids
k




- Diuretics
- Calcium channel blockers.
k k




- Dilantin
- Propranolol (Inderal) k




What is the #1 cause of Diabetic Ketoacidosis? - ✔✔✔ Correct
k k k k k k k k k k



Answer > Infection
k k k




A nurse is reviewing the health record of a client who has
k k k k k k k k k k k



hyperglycemic-hyperosmolar state (HHS). Which of the following data
k k k k k k k k



confirms this diagnosis? (Select all that apply.)
k k k k k k k

, A. Evidence of recent myocardial infraction k k k k




B. BUN 35 mg/dL k k




C. Takes a calcium channel blocker k k k k




D. Age 77 years k k




E. No insulin production - ✔✔✔ Correct Answer > A. The client
k k k k k k k k k k



who has type 2 diabetes mellitus and had a myocardial infraction is at
k k k k k k k k k k k k k



risk for developing HHS. This is due to the increased hormone
k k k k k k k k k k k



production during illness or stress, which can stimulate the liver to
k k k k k k k k k k k



produce glucose and decrease the effects of insulin.
k k k k k k k k




B. The client who has type 2 diabetes mellitus may be at risk for
k k k k k k k k k k k k k



developing HHS when the BUN is 35 mg/dL because it is an indication of
k k k k k k k k k k k k k k



decreased kidney function and inability of the kidney to filter high levels
k k k k k k k k k k k k



of blood glucose into the urine.
k k k k k k




C. A calcium channel blocker is one of several medications that increase
k k k k k k k k k k k



the risk for HHS in a client who has type 2 diabetes mellitus.
k k k k k k k k k k k k k




D. The older adult client is at risk for developing type 2 diabetes
k k k k k k k k k k k k



mellitus and may be unaware of associated symptoms, increasing the
k k k k k k k k k k



risk for HHS.
k k k




A nurse is assessing a client who has diabetic ketoacidosis and ketones
k k k k k k k k k k k



in the urine. Which of the following are expected findings? (Select all
k k k k k k k k k k k k



that apply.)
k k




A. Weight gain k




B. Fruity odor of breath k k k




C. Abdominal pain k