Ch. 51: Assessment and Management of
Patients With Diabetes 123 complete
solutions.
Ch. 51: Assessment and Management of
Patients With Diabetes 123 complete
solutions.
Which instruction about insulin administration should a nurse give to a client? - ANSWER "Always follow
the same order when drawing the different insulins into the syringe."
A client with type 1 diabetes asks the nurse about taking an oral antidiabetic agent. The nurse explains
that these medications are effective only if the client: - ANSWER has type 2 diabetes.
A client with type 1 diabetes has a highly elevated glycosylated hemoglobin (Hb) test result. In discussing
the result with the client, the nurse is most accurate in stating: - ANSWER "It tells us about your sugar
control for the last 3 months."
A nurse is preparing a client with type 1 diabetes for discharge. The client can care for himself; however,
he's had a problem with unstable blood glucose levels in the past. Based on the client's history, he
should be referred to which health care worker? - ANSWER Dietitian
Which information should be included in the teaching plan for a client receiving glargine, which is
"peakless" basal insulin? - ANSWER do not mix with other insulins
A client with diabetes mellitus is receiving an oral antidiabetic agent. The nurse observes for which
symptom when caring for this client? - ANSWER Hypoglycemia
Which is a by-product of fat breakdown in the absence of insulin and accumulates in the blood and
urine? - ANSWER Ketones
Which statement is true regarding gestational diabetes? - ANSWER A glucose challenge test should be
performed between 24 to 28 weeks.
,Ch. 51: Assessment and Management of
Patients With Diabetes 123 complete
solutions.
When administering insulin to a client with type 1 diabetes, which of the following would be most
important for the nurse to keep in mind? - ANSWER Accuracy of the dosage
The nurse is preparing a presentation for a group of adults at a local community center about diabetes.
Which of the following would the nurse include as associated with type 2 diabetes? - ANSWER Insulin
production insufficient
A client has been diagnosed with prediabetes and discusses treatment strategies with the nurse. What
can be the consequences of untreated prediabetes? - ANSWER All options are correct: cardiac disease,
CVA, type 2 diabetes
Which factor presents the most likely cause for weight gain in a diabetic client who is controlled with
insulin? - ANSWER Insulin is an anabolic hormone.
A nurse is teaching a client recovering from diabetic ketoacidosis (DKA) about management of "sick
days." The client asks the nurse why it is important to monitor the urine for ketones. Which statement is
the nurse's best response? - ANSWER "Ketones accumulate in the blood and urine when fat breaks
down in the absence of insulin. Ketones signal an insulin deficiency that will cause the body to start
breaking down stored fat for energy."
A client is admitted to the health care center with abdominal pain, nausea, and vomiting. The medical
reports indicate a history of type 1 diabetes. The nurse suspects the client's symptoms to be those of
diabetic ketoacidosis (DKA). Which action will help the nurse confirm the diagnosis? - ANSWER Assess
the client's breath odor
The nurse expects that a type 1 diabetic patient may receive what percentage of his or her usual
morning dose of insulin preoperatively? - ANSWER 50% to 60%
A patient has been newly diagnosed with type 2 diabetes, and the nurse is assisting with the
development of a meal plan. What step should be taken into consideration prior to making the meal
, Ch. 51: Assessment and Management of
Patients With Diabetes 123 complete
solutions.
plan? - ANSWER Reviewing the patient's diet history to identify eating habits and lifestyle and cultural
eating patterns
A patient who is 6 months' pregnant was evaluated for gestational diabetes mellitus. The doctor
considered prescribing insulin based on the serum glucose result of: - ANSWER 138 mg/dL, 2 hours
postprandial.
A client's blood glucose level is 45 mg/dl. The nurse should be alert for which signs and symptoms? -
ANSWER Coma, anxiety, confusion, headache, and cool, moist skin
What is the only insulin that can be given intravenously? - ANSWER Regular
A client with diabetes mellitus must learn how to self-administer insulin. The physician has ordered 10
units of U-100 regular insulin and 35 units of U-100 isophane insulin suspension (NPH) to be taken
before breakfast. When teaching the client how to select and rotate insulin injection sites, the nurse
should provide which instruction? - ANSWER "Rotate injection sites within the same anatomic region,
not among different regions."
A nurse is teaching a client with diabetes mellitus about self-management of his condition. The nurse
should instruct the client to administer 1 unit of insulin for every: - ANSWER 15 g of carbohydrates.
A nurse explains to a client that she will administer his first insulin dose in his abdomen. How does
absorption at the abdominal site compare with absorption at other sites? - ANSWER Insulin is absorbed
more rapidly at abdominal injection sites than at other sites.
Which clinical characteristic is associated with type 1 diabetes (previously referred to as insulin-
dependent diabetes mellitus)? - ANSWER Presence of islet cell antibodies
Which may be a potential cause of hypoglycemia in the client diagnosed with diabetes mellitus? -
ANSWER The client has not eaten but continues to take insulin or oral antidiabetic medications.
Patients With Diabetes 123 complete
solutions.
Ch. 51: Assessment and Management of
Patients With Diabetes 123 complete
solutions.
Which instruction about insulin administration should a nurse give to a client? - ANSWER "Always follow
the same order when drawing the different insulins into the syringe."
A client with type 1 diabetes asks the nurse about taking an oral antidiabetic agent. The nurse explains
that these medications are effective only if the client: - ANSWER has type 2 diabetes.
A client with type 1 diabetes has a highly elevated glycosylated hemoglobin (Hb) test result. In discussing
the result with the client, the nurse is most accurate in stating: - ANSWER "It tells us about your sugar
control for the last 3 months."
A nurse is preparing a client with type 1 diabetes for discharge. The client can care for himself; however,
he's had a problem with unstable blood glucose levels in the past. Based on the client's history, he
should be referred to which health care worker? - ANSWER Dietitian
Which information should be included in the teaching plan for a client receiving glargine, which is
"peakless" basal insulin? - ANSWER do not mix with other insulins
A client with diabetes mellitus is receiving an oral antidiabetic agent. The nurse observes for which
symptom when caring for this client? - ANSWER Hypoglycemia
Which is a by-product of fat breakdown in the absence of insulin and accumulates in the blood and
urine? - ANSWER Ketones
Which statement is true regarding gestational diabetes? - ANSWER A glucose challenge test should be
performed between 24 to 28 weeks.
,Ch. 51: Assessment and Management of
Patients With Diabetes 123 complete
solutions.
When administering insulin to a client with type 1 diabetes, which of the following would be most
important for the nurse to keep in mind? - ANSWER Accuracy of the dosage
The nurse is preparing a presentation for a group of adults at a local community center about diabetes.
Which of the following would the nurse include as associated with type 2 diabetes? - ANSWER Insulin
production insufficient
A client has been diagnosed with prediabetes and discusses treatment strategies with the nurse. What
can be the consequences of untreated prediabetes? - ANSWER All options are correct: cardiac disease,
CVA, type 2 diabetes
Which factor presents the most likely cause for weight gain in a diabetic client who is controlled with
insulin? - ANSWER Insulin is an anabolic hormone.
A nurse is teaching a client recovering from diabetic ketoacidosis (DKA) about management of "sick
days." The client asks the nurse why it is important to monitor the urine for ketones. Which statement is
the nurse's best response? - ANSWER "Ketones accumulate in the blood and urine when fat breaks
down in the absence of insulin. Ketones signal an insulin deficiency that will cause the body to start
breaking down stored fat for energy."
A client is admitted to the health care center with abdominal pain, nausea, and vomiting. The medical
reports indicate a history of type 1 diabetes. The nurse suspects the client's symptoms to be those of
diabetic ketoacidosis (DKA). Which action will help the nurse confirm the diagnosis? - ANSWER Assess
the client's breath odor
The nurse expects that a type 1 diabetic patient may receive what percentage of his or her usual
morning dose of insulin preoperatively? - ANSWER 50% to 60%
A patient has been newly diagnosed with type 2 diabetes, and the nurse is assisting with the
development of a meal plan. What step should be taken into consideration prior to making the meal
, Ch. 51: Assessment and Management of
Patients With Diabetes 123 complete
solutions.
plan? - ANSWER Reviewing the patient's diet history to identify eating habits and lifestyle and cultural
eating patterns
A patient who is 6 months' pregnant was evaluated for gestational diabetes mellitus. The doctor
considered prescribing insulin based on the serum glucose result of: - ANSWER 138 mg/dL, 2 hours
postprandial.
A client's blood glucose level is 45 mg/dl. The nurse should be alert for which signs and symptoms? -
ANSWER Coma, anxiety, confusion, headache, and cool, moist skin
What is the only insulin that can be given intravenously? - ANSWER Regular
A client with diabetes mellitus must learn how to self-administer insulin. The physician has ordered 10
units of U-100 regular insulin and 35 units of U-100 isophane insulin suspension (NPH) to be taken
before breakfast. When teaching the client how to select and rotate insulin injection sites, the nurse
should provide which instruction? - ANSWER "Rotate injection sites within the same anatomic region,
not among different regions."
A nurse is teaching a client with diabetes mellitus about self-management of his condition. The nurse
should instruct the client to administer 1 unit of insulin for every: - ANSWER 15 g of carbohydrates.
A nurse explains to a client that she will administer his first insulin dose in his abdomen. How does
absorption at the abdominal site compare with absorption at other sites? - ANSWER Insulin is absorbed
more rapidly at abdominal injection sites than at other sites.
Which clinical characteristic is associated with type 1 diabetes (previously referred to as insulin-
dependent diabetes mellitus)? - ANSWER Presence of islet cell antibodies
Which may be a potential cause of hypoglycemia in the client diagnosed with diabetes mellitus? -
ANSWER The client has not eaten but continues to take insulin or oral antidiabetic medications.
