NRS 440- Exam 3 || 100% Accurate Answers.
A diabetic patient presents to you as unresponsive to voice or touch, tachycardia,
diaphoresis and pallor. Which of the following actions by the healthcare provider is priority?
Administer oxygen via nasal cannula
Administer oral glucose gel per protocol
Administer prescribed insulin
Administer 50% dextrose IV per protocol correct answers Administer 50% dextrose IV per
protocol
A patient diagnosed with type 2 diabetes mellitus is admitted to the medical unit with
pneumonia. The patient's oral antidiabetic medication has been discontinued and the
patient is now receiving insulin for glucose control. Which of the following best explains
the rationale for this change in medication?
Insulin administration will help prevent hypoglycemia during the illness
Acute illnesses like pneumonia will cause increased insulin resistance
Stress-related states such as infection increase risk of hyperglycemia
Infection has compromised beta cell function so patient will need insulin from now on correct
answers Stress-related states such as infection increase risk of hyperglycemia
The healthcare provider is teaching a group of students about the characteristics of
type 1 diabetes mellitus. Which of the following describes the underlying cause of the
disease?
Increased hepatic glycogenesis
Atrophy of pancreatic alpha cells
Destruction of pancreatic beta cells
Cellular resistance to insulin correct answers Destruction of pancreatic beta cells
,The blood glucose of a patient who is newly diagnosed with type 1 diabetes mellitus
has a blood glucose level of 360 mg/dL. Which type of insulin prescribed for the patient
is appropriate to administer at this time
NPH and regular (70/30)
Regular
Glargine
NPH correct answers Regular
A nurse is caring for a client with diabetic ketoacidosis and documents that the client
is experiencing Kussmaul's respirations. Based on this documentation, which of the
following did the nurse observe?
Respirations that are abnormally deep, regular, and increased in rate
Respirations that are progressively deeper, and sometimes faster, followed by a gradual decrease
that results in a temporary stop in breathing
Respirations that are regular but abnormally slow
Respirations that cease for several seconds correct answers Respirations that are abnormally
deep, regular, and increased in rate
When a client is first admitted with hyperglycemic hyperosmolar nonketotic syndrome
(HHNS), the nurse's priority is to provide
Insulin
Carbohydrates
Oxygen
Fluid replacement correct answers Fluid replacement
Analyze the following diagnostic findings for our patient with type 2 diabetes.
Which result requires further assessment?
A1C 9%
, FBG 130 mg/dL
B/P 126/80 mmHg
LDL cholesterol 130 mg/dL correct answers A1C 9%
When comparing the pathophysiology of type 1 and type 2 diabetes, which statement
would be correct for a patient with type 2 diabetes who was admitted to the hospital
with pneumonia
The patient must receive insulin therapy to prevent the development of ketoacidosis
The patient may have sufficient endogenous insulin to prevent ketosis but is at risk for
development of hyperosmolar hyperglycemic syndrome
The patient has islet cell antibodies that have destroyed the ability of the pancreas to produce
insulin
The patient has minimal or absent endogenous insulin secretion and requires daily insulin
injections correct answers The patient may have sufficient endogenous insulin to prevent ketosis
but is at risk for
development of hyperosmolar hyperglycemic syndrome
A diabetic patient has a serum glucose level of 824 mg/dL (45.7 mmol/L) and is
unresponsive. Following assessment of the patient the nurse suspects diabetic
ketoacidosis rather than hyperosmolar hyperglycemic syndrome based on the findings of:
Decreased serum potassium
Rapid, deep respirations
Severe dehydration
Polyuria correct answers Rapid, deep respirations
You are caring for a patient newly diagnose with type 1 diabetes. What information is
essential to include in your patient teaching before discharge from the hospital (select all
that apply)?
A diabetic patient presents to you as unresponsive to voice or touch, tachycardia,
diaphoresis and pallor. Which of the following actions by the healthcare provider is priority?
Administer oxygen via nasal cannula
Administer oral glucose gel per protocol
Administer prescribed insulin
Administer 50% dextrose IV per protocol correct answers Administer 50% dextrose IV per
protocol
A patient diagnosed with type 2 diabetes mellitus is admitted to the medical unit with
pneumonia. The patient's oral antidiabetic medication has been discontinued and the
patient is now receiving insulin for glucose control. Which of the following best explains
the rationale for this change in medication?
Insulin administration will help prevent hypoglycemia during the illness
Acute illnesses like pneumonia will cause increased insulin resistance
Stress-related states such as infection increase risk of hyperglycemia
Infection has compromised beta cell function so patient will need insulin from now on correct
answers Stress-related states such as infection increase risk of hyperglycemia
The healthcare provider is teaching a group of students about the characteristics of
type 1 diabetes mellitus. Which of the following describes the underlying cause of the
disease?
Increased hepatic glycogenesis
Atrophy of pancreatic alpha cells
Destruction of pancreatic beta cells
Cellular resistance to insulin correct answers Destruction of pancreatic beta cells
,The blood glucose of a patient who is newly diagnosed with type 1 diabetes mellitus
has a blood glucose level of 360 mg/dL. Which type of insulin prescribed for the patient
is appropriate to administer at this time
NPH and regular (70/30)
Regular
Glargine
NPH correct answers Regular
A nurse is caring for a client with diabetic ketoacidosis and documents that the client
is experiencing Kussmaul's respirations. Based on this documentation, which of the
following did the nurse observe?
Respirations that are abnormally deep, regular, and increased in rate
Respirations that are progressively deeper, and sometimes faster, followed by a gradual decrease
that results in a temporary stop in breathing
Respirations that are regular but abnormally slow
Respirations that cease for several seconds correct answers Respirations that are abnormally
deep, regular, and increased in rate
When a client is first admitted with hyperglycemic hyperosmolar nonketotic syndrome
(HHNS), the nurse's priority is to provide
Insulin
Carbohydrates
Oxygen
Fluid replacement correct answers Fluid replacement
Analyze the following diagnostic findings for our patient with type 2 diabetes.
Which result requires further assessment?
A1C 9%
, FBG 130 mg/dL
B/P 126/80 mmHg
LDL cholesterol 130 mg/dL correct answers A1C 9%
When comparing the pathophysiology of type 1 and type 2 diabetes, which statement
would be correct for a patient with type 2 diabetes who was admitted to the hospital
with pneumonia
The patient must receive insulin therapy to prevent the development of ketoacidosis
The patient may have sufficient endogenous insulin to prevent ketosis but is at risk for
development of hyperosmolar hyperglycemic syndrome
The patient has islet cell antibodies that have destroyed the ability of the pancreas to produce
insulin
The patient has minimal or absent endogenous insulin secretion and requires daily insulin
injections correct answers The patient may have sufficient endogenous insulin to prevent ketosis
but is at risk for
development of hyperosmolar hyperglycemic syndrome
A diabetic patient has a serum glucose level of 824 mg/dL (45.7 mmol/L) and is
unresponsive. Following assessment of the patient the nurse suspects diabetic
ketoacidosis rather than hyperosmolar hyperglycemic syndrome based on the findings of:
Decreased serum potassium
Rapid, deep respirations
Severe dehydration
Polyuria correct answers Rapid, deep respirations
You are caring for a patient newly diagnose with type 1 diabetes. What information is
essential to include in your patient teaching before discharge from the hospital (select all
that apply)?
