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The nurse is providing care for a patient newly diagnosed with
type 1 diabetes.
Which lifestyle modifications need to be included in the plan of
care?
A. Limiting exercise, carbohydrate counting, self-monitoring of
blood glucose B. Distributing carbohydrate intake throughout
the day, controlling weight, limiting alcohol
C. Carbohydrate counting, self-monitoring of blood glucose,
healthcare provider visits as needed
D. Limiting protein intake, distributing carbohydrate intake
throughout the day, regular healthcare provider visits -
ANSWER-C. Carbohydrate counting, selfmonitoring of blood
glucose, healthcare provider visits as needed
A nurse is reviewing orders for patients newly diagnosed with
type 2 DM. What initial medication orders should be
anticipated?
A. Metformin PO twice a day
,B. Nutritional insulin subcutaneously prior to meals
C. Basal insulin subcutaneously before bed
D. Correctional insulin subcutaneously after meals - ANSWER-
A. Metformin PO twice a day
The nurse should intervene immediately if a patient has which
blood glucose level?
A. 200 mg/dL
B. 150 mg/dL
C. 80 mg/dL
D. 40 mg/dL - ANSWER-D. 40 mg/dl
The nurse monitors for which clinical manifestations in the
patient newly diagnosed with type 1 DM? (Select all that apply.)
A. Polyuria
B. Fatigue
C. Weight loss
D. Polyphagia
E. Decreased appetite - ANSWER-A. Polyuria
B. Fatigue
C. Weight loss
D. Polyphagia
The nurse correlates which clinical manifestation to the
pathophysiology of hypothyroidism? A. Cold intolerance
B. Weight loss
C. Insomnia
D. Diarrhea - ANSWER-A. Cold intolerance
,The nurse correlates an increase in which laboratory value to
the diagnosis of
primary
hyperthyroidism?
A. Thyroxine
(T4)
B. Thyroid-stimulating
hormone (TSH)
C. Serum
calcium
D. Serum iodine - ANSWER-A.
Thyroxine (T4)
B.
Thyrocalcitonin
C. Parathyroid hormone
(PTH)
D. Triiodothyronine (T3) - ANSWER-C. Parathyroid
hormone (PTH)
The nursing diagnosis "Acute pain related to ureteral pressure
and obstruction secondary to calcium-containing renal stones"
is most appropriate for the patient with which endocrine
disorder?
A. Hypothyroidism
B. Hypoparathyroidism
C. Hyperthyroidism
D. Hyperparathyroidism - ANSWER-D. Hyperparathyroidism
, The nurse recognizes which of the following statements as
correct in relation to the pathophysiology of type 2 DM?
A. It is due to a relative lack of insulin.
B. It is due to insulin resistance.
C. It is due to an absolute lack of insulin.
D. It remains stable over time.
E. It is due to an autoimmune process that destroys the beta
cells of the pancreas. - ANSWER-B. It is due to insulin
resistance.
The nurse recognizes that blood glucose monitoring
before meals and at
bedtime is done to achieve which outcomes? (Select
all that apply.)
A. Maintain glycemic
control
B. Prevent complications of long-term
hyperglycemia
C. Facilitate insulin administration that mimics the
healthy pancreas
D. Provide frequent practice with the finger-
stick technique
E. Prevent acute complications of type 1 diabetes -
ANSWER-A. Maintain
glycemic
control
B. Prevent complications of long-term
hyperglycemia