ADULT PREP U CH 51 ASSESSMENT AND
MANAGEMENT OF PATIENTS WITH DIABETES
PART 2 LATEST EXAM WITH MULTIPLE
CHOICE OF QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+ AND 100%
GUARANTEE PASS (JUST RELEASED!!!!!!)
A 32-year-old client has an appointment at the weight loss
clinic where you practice nursing. She has gained 55 lbs. in the
last three years and is concerned about developing Type 2
diabetes mellitus, especially since her parents both have
developed the disorder. What are the conditions which
contribute to developing metabolic syndrome? Choose all
correct options. - CORRECT ANSWER-• Abdominal obesity
• Elevated blood glucose levels
-----
Some experts believe that diabetes in adults is one consequence
of metabolic syndrome, which includes elevated blood glucose
levels, hypertension, hypercholesterolemia, and abdominal
obesity.
For a client with hyperglycemia, which assessment finding best
supports a nursing diagnosis of Deficient fluid volume? - CORRECT
ANSWER-Increased urine osmolarity
-----
In hyperglycemia, urine osmolarity (the measurement of
dissolved particles in the urine) increases as glucose particles
move into the urine. The client experiences glucosuria and
,polyuria, losing body fluids and experiencing deficient fluid
volume. Cool, clammy skin; jugular vein distention; and a
decreased serum sodium level are signs of fluid volume excess,
the opposite imbalance.
Which of the following would be inconsistent as a cause of
DKA? - CORRECT ANSWER-Competency in injecting insulin
-----
Being able to competently inject insulin is not a cause of DKA.
Undiagnosed and untreated diabetes decreased or missed dose
of insulin, and illness or infection are potential causes of DKA.
Which of the following categories of oral antidiabetic agents
exert their primary action by directly stimulating the pancreas
to secrete insulin? - CORRECT ANSWER-Sulfonylureas
-----
A functioning pancreas is necessary for sulfonylureas to be
effective. Thiazolidinediones enhance insulin action at the
receptor site without increasing insulin secretion from the beta
cells of the pancreas. Biguanides facilitate insulin's action on
peripheral receptor sites. Alpha glucosidase inhibitors delay the
absorption of glucose in the intestinal system, resulting in a
lower postprandial blood glucose level.
A client with long-standing type 1 diabetes is admitted to the
hospital with unstable angina pectoris. After the client's
condition stabilizes, the nurse evaluates the diabetes
management regimen. The nurse learns that the client sees the
physician every 4 weeks, injects insulin after breakfast and
dinner, and measures blood glucose before breakfast and at
bedtime. Consequently, the nurse should formulate a nursing
,diagnosis of: - CORRECT ANSWER-Deficient knowledge (treatment
regimen).
-----
The client should inject insulin before, not after, breakfast and
dinner — 30 minutes before breakfast for the a.m. dose and 30
minutes before dinner for the p.m. dose. Therefore, the client
has a knowledge deficit regarding when to administer insulin.
By taking insulin, measuring blood glucose levels, and seeing
the physician regularly, the client has demonstrated the ability
and willingness to modify his lifestyle as needed to manage the
disease. This behavior eliminates the nursing diagnoses of
Impaired adjustment and Defensive coping. Because the nurse,
not the client, questioned the client's health practices related to
diabetes management, the nursing diagnosis of Health-seeking
behaviors isn't warranted.
A nurse is preparing the daily care plan for a client with newly
diagnosed diabetes mellitus. The priority nursing concern for
this client should be: - CORRECT ANSWER-providing client education
at every opportunity.
-----
The nurse should use routine care responsibilities as teaching
opportunities with the intention of preparing the client to
understand and eventually manage his disease. Monitoring
blood glucose, checking for the presence of ketones, and
administering insulin are important when caring for a client
with diabetes, but they aren't the priority of care.
A nurse is teaching a client about insulin infusion pump use.
What intervention should the nurse include to prevent infection
at the injection site? - CORRECT ANSWER-Change the needle every 3
days.
, -----
The nurse should teach the client to change the needle every 3
days to prevent infection. The client doesn't need to wear gloves
when inserting the needle. Antibiotic therapy isn't necessary
before initiating treatment. Sterile technique, not clean
technique, is needed when changing the needle.
A client newly diagnosed with diabetes mellitus asks why he
needs ketone testing when the disease affects his blood glucose
levels. How should the nurse respond? - CORRECT ANSWER-
"Ketones will tell us if your body is using other tissues for
energy."
-----
The nurse should tell the client that ketones are a byproduct of
fat metabolism and that ketone testing can determine whether
the body is breaking down fat to use for energy. The spleen
doesn't release ketones when the body can't use glucose.
Although ketones can damage the eyes and kidneys and help
the physician evaluate the severity of a client's diabetes, these
responses by the nurse are incomplete.
Which of the following is an age-related change that may affect
diabetes? Select all that apply. - CORRECT ANSWER-• Decreased
renal function
• Taste changes
• Decreased vision
-----
Age-related changes include decreased renal function, taste
changes, decreased vision, decreased bowel motility, and
decreased proprioception.
MANAGEMENT OF PATIENTS WITH DIABETES
PART 2 LATEST EXAM WITH MULTIPLE
CHOICE OF QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+ AND 100%
GUARANTEE PASS (JUST RELEASED!!!!!!)
A 32-year-old client has an appointment at the weight loss
clinic where you practice nursing. She has gained 55 lbs. in the
last three years and is concerned about developing Type 2
diabetes mellitus, especially since her parents both have
developed the disorder. What are the conditions which
contribute to developing metabolic syndrome? Choose all
correct options. - CORRECT ANSWER-• Abdominal obesity
• Elevated blood glucose levels
-----
Some experts believe that diabetes in adults is one consequence
of metabolic syndrome, which includes elevated blood glucose
levels, hypertension, hypercholesterolemia, and abdominal
obesity.
For a client with hyperglycemia, which assessment finding best
supports a nursing diagnosis of Deficient fluid volume? - CORRECT
ANSWER-Increased urine osmolarity
-----
In hyperglycemia, urine osmolarity (the measurement of
dissolved particles in the urine) increases as glucose particles
move into the urine. The client experiences glucosuria and
,polyuria, losing body fluids and experiencing deficient fluid
volume. Cool, clammy skin; jugular vein distention; and a
decreased serum sodium level are signs of fluid volume excess,
the opposite imbalance.
Which of the following would be inconsistent as a cause of
DKA? - CORRECT ANSWER-Competency in injecting insulin
-----
Being able to competently inject insulin is not a cause of DKA.
Undiagnosed and untreated diabetes decreased or missed dose
of insulin, and illness or infection are potential causes of DKA.
Which of the following categories of oral antidiabetic agents
exert their primary action by directly stimulating the pancreas
to secrete insulin? - CORRECT ANSWER-Sulfonylureas
-----
A functioning pancreas is necessary for sulfonylureas to be
effective. Thiazolidinediones enhance insulin action at the
receptor site without increasing insulin secretion from the beta
cells of the pancreas. Biguanides facilitate insulin's action on
peripheral receptor sites. Alpha glucosidase inhibitors delay the
absorption of glucose in the intestinal system, resulting in a
lower postprandial blood glucose level.
A client with long-standing type 1 diabetes is admitted to the
hospital with unstable angina pectoris. After the client's
condition stabilizes, the nurse evaluates the diabetes
management regimen. The nurse learns that the client sees the
physician every 4 weeks, injects insulin after breakfast and
dinner, and measures blood glucose before breakfast and at
bedtime. Consequently, the nurse should formulate a nursing
,diagnosis of: - CORRECT ANSWER-Deficient knowledge (treatment
regimen).
-----
The client should inject insulin before, not after, breakfast and
dinner — 30 minutes before breakfast for the a.m. dose and 30
minutes before dinner for the p.m. dose. Therefore, the client
has a knowledge deficit regarding when to administer insulin.
By taking insulin, measuring blood glucose levels, and seeing
the physician regularly, the client has demonstrated the ability
and willingness to modify his lifestyle as needed to manage the
disease. This behavior eliminates the nursing diagnoses of
Impaired adjustment and Defensive coping. Because the nurse,
not the client, questioned the client's health practices related to
diabetes management, the nursing diagnosis of Health-seeking
behaviors isn't warranted.
A nurse is preparing the daily care plan for a client with newly
diagnosed diabetes mellitus. The priority nursing concern for
this client should be: - CORRECT ANSWER-providing client education
at every opportunity.
-----
The nurse should use routine care responsibilities as teaching
opportunities with the intention of preparing the client to
understand and eventually manage his disease. Monitoring
blood glucose, checking for the presence of ketones, and
administering insulin are important when caring for a client
with diabetes, but they aren't the priority of care.
A nurse is teaching a client about insulin infusion pump use.
What intervention should the nurse include to prevent infection
at the injection site? - CORRECT ANSWER-Change the needle every 3
days.
, -----
The nurse should teach the client to change the needle every 3
days to prevent infection. The client doesn't need to wear gloves
when inserting the needle. Antibiotic therapy isn't necessary
before initiating treatment. Sterile technique, not clean
technique, is needed when changing the needle.
A client newly diagnosed with diabetes mellitus asks why he
needs ketone testing when the disease affects his blood glucose
levels. How should the nurse respond? - CORRECT ANSWER-
"Ketones will tell us if your body is using other tissues for
energy."
-----
The nurse should tell the client that ketones are a byproduct of
fat metabolism and that ketone testing can determine whether
the body is breaking down fat to use for energy. The spleen
doesn't release ketones when the body can't use glucose.
Although ketones can damage the eyes and kidneys and help
the physician evaluate the severity of a client's diabetes, these
responses by the nurse are incomplete.
Which of the following is an age-related change that may affect
diabetes? Select all that apply. - CORRECT ANSWER-• Decreased
renal function
• Taste changes
• Decreased vision
-----
Age-related changes include decreased renal function, taste
changes, decreased vision, decreased bowel motility, and
decreased proprioception.
