vSIM-Skyler Hansen
Diabetes
In which client groups may the risk of using insulin outweigh the benefits? Select all that
apply.
School-aged children
Elderly clients
Clients with renal disease
Clients with limited life expectancy
Clients with heart disease - ANSWERS--
Which clinical manifestations should the nurse assess for when providing care to a
client diagnosed with hyperosmolar hyperglycemic state? Select all that apply.
Serum osmolality of 320 mOsm/kg or greater
Positive urine ketones
Arterial pH less than 7.3
Blood glucose less than 250 mg/dL
Blood glucose of 600 mg/dL or greater - ANSWERS--
Which statement made by a client diagnosed with type 2 diabetes mellitus indicates
correct understanding of the prescribed foot care regimen?
"I will apply cream between my toes every day."
"I will soak my feet every day to decrease the risk for ulceration."
"I will make an appointment with a podiatrist to have my toenails clipped."
"I will increase the temperature of my hot water heater to greater than 130 degrees." -
ANSWERS--"I will make an appointment with a podiatrist to have my toenails clipped."
Diabetic ketoacidosis (DKA) - ANSWERS--Treatment includes insulin administration
May result from increased need for insulin due to illness
Treatment includes correction of electrolyte imbalances
, Which laboratory value would cause the nurse to include prediabetes in the client's plan
of care?
Hemoglobin A1c of 7%
Fasting blood glucose of 150 mg/dL
Random blood glucose of 205 mg/dL
Two-hour postprandial of 145 mg/dL - ANSWERS--Two-hour postprandial of 145 mg/dL
A client is diagnosed with metabolic syndrome. Which topic should the nurse include in
the teaching session for this client?
Diabetic ketoacidosis
Type 1 diabetes mellitus
Type 2 diabetes mellitus
Gestational diabetes mellitus - ANSWERS--
Type 1 DM - ANSWERS--Triggered by an autoimmune process
Diabetic ketoacidosis (DKA) is a known complication
More common in children
Prescribed insulin included in the treatment plan
Type 2 DM - ANSWERS--Involves insulin resistance
Prediabetes is a warning sign
Prescribed oral hypoglycemia agents included in treatment plan
Hyperosmolar hyperglycemic state (HHS) is a known complication
Hyperosmolar Hyperglycemic State (HHS) - ANSWERS--Characterized by
hyperglycemia and hyperosmolarity
Treatment includes intravenous (IV) fluid and IV insulin
Often causes global neurological deficits
Blood glucose levels can rise to extremes above 600 mg/dL
Client Teaching for Type 1 DM - ANSWERS--Administer subcutaneous insulin in the
abdomen, deltoid, thigh, and buttocks
Rotate injection sites
Symptoms of hypoglycemia include feeling cold and clammy
Symptoms of hyperglycemia include feeling hot and dry
Which clinical manifestations support a diagnosis of hypoglycemia? Select all that
apply.
Polyuria
Irritability
Polydipsia
Diabetes
In which client groups may the risk of using insulin outweigh the benefits? Select all that
apply.
School-aged children
Elderly clients
Clients with renal disease
Clients with limited life expectancy
Clients with heart disease - ANSWERS--
Which clinical manifestations should the nurse assess for when providing care to a
client diagnosed with hyperosmolar hyperglycemic state? Select all that apply.
Serum osmolality of 320 mOsm/kg or greater
Positive urine ketones
Arterial pH less than 7.3
Blood glucose less than 250 mg/dL
Blood glucose of 600 mg/dL or greater - ANSWERS--
Which statement made by a client diagnosed with type 2 diabetes mellitus indicates
correct understanding of the prescribed foot care regimen?
"I will apply cream between my toes every day."
"I will soak my feet every day to decrease the risk for ulceration."
"I will make an appointment with a podiatrist to have my toenails clipped."
"I will increase the temperature of my hot water heater to greater than 130 degrees." -
ANSWERS--"I will make an appointment with a podiatrist to have my toenails clipped."
Diabetic ketoacidosis (DKA) - ANSWERS--Treatment includes insulin administration
May result from increased need for insulin due to illness
Treatment includes correction of electrolyte imbalances
, Which laboratory value would cause the nurse to include prediabetes in the client's plan
of care?
Hemoglobin A1c of 7%
Fasting blood glucose of 150 mg/dL
Random blood glucose of 205 mg/dL
Two-hour postprandial of 145 mg/dL - ANSWERS--Two-hour postprandial of 145 mg/dL
A client is diagnosed with metabolic syndrome. Which topic should the nurse include in
the teaching session for this client?
Diabetic ketoacidosis
Type 1 diabetes mellitus
Type 2 diabetes mellitus
Gestational diabetes mellitus - ANSWERS--
Type 1 DM - ANSWERS--Triggered by an autoimmune process
Diabetic ketoacidosis (DKA) is a known complication
More common in children
Prescribed insulin included in the treatment plan
Type 2 DM - ANSWERS--Involves insulin resistance
Prediabetes is a warning sign
Prescribed oral hypoglycemia agents included in treatment plan
Hyperosmolar hyperglycemic state (HHS) is a known complication
Hyperosmolar Hyperglycemic State (HHS) - ANSWERS--Characterized by
hyperglycemia and hyperosmolarity
Treatment includes intravenous (IV) fluid and IV insulin
Often causes global neurological deficits
Blood glucose levels can rise to extremes above 600 mg/dL
Client Teaching for Type 1 DM - ANSWERS--Administer subcutaneous insulin in the
abdomen, deltoid, thigh, and buttocks
Rotate injection sites
Symptoms of hypoglycemia include feeling cold and clammy
Symptoms of hyperglycemia include feeling hot and dry
Which clinical manifestations support a diagnosis of hypoglycemia? Select all that
apply.
Polyuria
Irritability
Polydipsia
