Diabetes Quiz and DKA Quiz Questions And Answers With Verified Solutions

A 36-year-old male is newly diagnosed with Type 2 diabetes. Which of the following treatments do you expect the patient to be started on initially? A. Diet and exercise regime B. Metformin BID by mouth C. Regular insulin subcutaneous D. None, monitoring at this time is sufficient enough - Answer-A A patient diagnosed with diabetes mellitus is being discharged home and you are teaching them about preventing DKA. What statement by the patient demonstrates they understood your teaching about this condition? A. "I will hold off taking my insulin while I'm sick." B. "It is normal for my blood sugar to be 250-350 mg/dL while I'm sick." C. "It is important I check my blood glucose every 3-4 hours when I'm sick and consume liquids." D. "I should not be alarmed if ketones are present in my urine because this is expected during illness." - Answer-D A patient has a blood glucose of 400. Which of the following medications could be the cause of this?* A. Glyburide B. Atenolol C. Bactrim D. Prednisone - Answer-D A patient has a blood glucose of 58 and is sweating, cold, and clammy. The patient is conscious. What is your next nursing intervention?A. Recheck the blood glucose in 5 minutes. B. Give the patient 15 grams of a complex carbohydrate. C. No intervention is needed because this is a normal blood glucose. D. Give the patient 15 grams of a simple carbohydrate. Simple carbohydrates work faster than complex. Example of a simple carbohydrate would be 4 oz of fruit juice or soda, glucose tablet or gel, etc. - Answer-D A patient is admitted with Diabetic Ketoacidosis. The physician orders intravenous fluids of 0.9% Normal Saline and 10 units of intravenous regular insulin IV bolus and then to start an insulin drip per protocol. The patient's labs are the following: pH 7.25, Glucose 455, potassium 2.5. Which of the following is the most appropriate nursing intervention to perform next? A. Start the IV fluids and administer the insulin bolus and drip as ordered B. Hold the insulin and notify the doctor of the potassium level of 2.5 C. Hold IV fluids and administer insulin as ordered D. Recheck the glucose level Remember when insulin is given it helps take potassium back into the cell which will cause potassium blood levels to fall. Insulin therapy is to be started only if the patient's potassium level is 3.3 or greater. - Answer-B A patient is scheduled to take 10 units of Humulin N at 1100. When is the patient most susceptible for hypoglycemia?A. 1900 B. 1300 C. 1130 D. 1500 - Answer-A