1. A client recently admitted with new-onset type 2 diabetes will be discharged
with a meter for self-monitoring of blood glucose (SMBG) levels. When is the
best time for the nurse to explain to the client the proper use of the glucose
monitor?
A. Day of discharge
B. On admission
C. When the client states readiness
D. While performing the test in the hospital: Answer: D
Teaching the client about the operation of the machine while performing the test
in the hospital is the best time for the nurse to introduce the client to SMBG.
The teaching can be reinforced each time testing is performed on the client and
again before discharge.Instructing the client on the day of admission or the day
of discharge would not allow time for redemonstration and correction of the skill if
needed. Other time-consuming activities are done on those days and could distract
the client and make the client feel overwhelmed. Also, waiting for the client to state
readiness may postpone the instructions too long.
2. An intensive care client with diabetic ketoacidosis (DKA) is receiving an
insulin infusion. When the cardiac monitor shows ventricular ectopy, which
assessment will the nurse make?
A. Urine output
B. 12-lead electrocardiogram (ECG)
C. Potassium level
D. Rate of IV fluids: Answer: C
After DKA therapy starts, serum potassium levels drop quickly. An ECG shows
conduction changes and ectopy related to alterations in potassium. Hypokalemia
is a common cause of death in the treatment of DKA. Detecting and treating the
underlying cause of the ectopy is essential.Ectopy is not associated with changes
in urine output even though hyperglycemia will cause osmotic diuresis. A 12-lead
ECG can verify the ectopy, but the priority is to detect and fix the underlying cause,
which is most likely hypokalemia. Increased fluids treat the symptoms of dehydration
https://www.stuvia.com/en-us/user/techgrades
, secondary to DKA, but do not treat the hypokalemia.
3. A client with type 2 diabetes who is taking metformin (Glucophage) is seen
in the diabetic clinic. The fasting blood glucose is 108 mg/dL (6.0 mmol/L), and
the glycosylated hemoglobin (HbA1C) is 8.2%. Which action will the nurse take
next?
https://www.stuvia.com/en-us/user/techgrades
with a meter for self-monitoring of blood glucose (SMBG) levels. When is the
best time for the nurse to explain to the client the proper use of the glucose
monitor?
A. Day of discharge
B. On admission
C. When the client states readiness
D. While performing the test in the hospital: Answer: D
Teaching the client about the operation of the machine while performing the test
in the hospital is the best time for the nurse to introduce the client to SMBG.
The teaching can be reinforced each time testing is performed on the client and
again before discharge.Instructing the client on the day of admission or the day
of discharge would not allow time for redemonstration and correction of the skill if
needed. Other time-consuming activities are done on those days and could distract
the client and make the client feel overwhelmed. Also, waiting for the client to state
readiness may postpone the instructions too long.
2. An intensive care client with diabetic ketoacidosis (DKA) is receiving an
insulin infusion. When the cardiac monitor shows ventricular ectopy, which
assessment will the nurse make?
A. Urine output
B. 12-lead electrocardiogram (ECG)
C. Potassium level
D. Rate of IV fluids: Answer: C
After DKA therapy starts, serum potassium levels drop quickly. An ECG shows
conduction changes and ectopy related to alterations in potassium. Hypokalemia
is a common cause of death in the treatment of DKA. Detecting and treating the
underlying cause of the ectopy is essential.Ectopy is not associated with changes
in urine output even though hyperglycemia will cause osmotic diuresis. A 12-lead
ECG can verify the ectopy, but the priority is to detect and fix the underlying cause,
which is most likely hypokalemia. Increased fluids treat the symptoms of dehydration
https://www.stuvia.com/en-us/user/techgrades
, secondary to DKA, but do not treat the hypokalemia.
3. A client with type 2 diabetes who is taking metformin (Glucophage) is seen
in the diabetic clinic. The fasting blood glucose is 108 mg/dL (6.0 mmol/L), and
the glycosylated hemoglobin (HbA1C) is 8.2%. Which action will the nurse take
next?
https://www.stuvia.com/en-us/user/techgrades
