Exam 3 NUR 170 with 160 Complete
solutions.
Exam 3 NUR 170 with 160 Complete
solutions.
A client recently admitted with new-onset type 2 diabetes will be discharged with a meter for self-
monitoring of blood glucose (SMBG) levels. When is the best time for the nurse to explain to the client
the proper use of the glucose monitor? - ANSWER While performing the test in the hospital
An intensive care client with diabetic ketoacidosis (DKA) is receiving an insulin infusion. When the
cardiac monitor shows ventricular ectopy, which assessment will the nurse make? - ANSWER Potassium
level
A client with type 2 diabetes who is taking metformin (Glucophage) is seen in the diabetic clinic. The
fasting blood glucose is 108 mg/dL (6.0 mmol/L), and the glycosylated hemoglobin (HbA1C) is 8.2%.
Which action will the nurse take next? - ANSWER Ask the client about current dietary intake and
medication use.
The nurse is providing discharge teaching to a client with type 2 diabetes and peripheral neuropathy.
Which statement by the client indicates a need for further teaching about injury prevention? - ANSWER
"I can break in my shoes by wearing them all day."
A client with type 1 diabetes arrives in the emergency department breathing deeply and stating, "I can't
catch my breath." The client's vital signs are: T 98.4°F (36.9°C), P 112 beats/min, R 38 breaths/min, BP
91/54 mm Hg, and O2 saturation 99% on room air. Which action will the nurse take first? - ANSWER
Check the blood glucose.
The clinic nurse is providing teaching to a client with newly diagnosed diabetes. Which statement by the
client indicates a correct understanding about the need to wear a MedicAlert bracelet? - ANSWER "If I
become hypoglycemic, I could become unconscious."
The nurse in the endocrine clinic is reviewing type 1 and type 2 diabetes with a group of nursing
students. Which explanation by the students indicates their understanding of the types of diabetes? -
ANSWER Those with type 2 diabetes make insulin, but in inadequate amounts.
,Exam 3 NUR 170 with 160 Complete
solutions.
Which nursing action will the home health nurse delegate to a home health aide who is making daily
visits to a client with newly diagnosed type 2 diabetes? - ANSWER Assist the client with washing the feet
and applying moisturizing lotion.
The nurse has just taken change-of-shift report on a group of clients on the medical-surgical unit. Which
client does the nurse assess first? - ANSWER Client taking glyburide (Diabeta) who is dizzy and sweaty
Which is the best referral that the community health nurse can suggest to a client who has been newly
diagnosed with diabetes? - ANSWER American Diabetes Association (ADA)
A client expresses fear and anxiety over the life changes associated with diabetes, stating, "I am scared I
can't do it all and I will get sick and be a burden on my family." What is the nurse's best response? -
ANSWER "Let's tackle it piece by piece. What is most scary to you?"
A client with type 2 diabetes controlled with Metformin is recovering from surgery. The primary health
care provider has placed the client on insulin in addition to the metformin. What is the nurse's best
response about why the client needs to take insulin? - ANSWER Stress, such as surgery, increases blood
glucose levels. You'll need insulin to control your blood glucose temporarily."
A client newly diagnosed with diabetes is not ready to learn diabetes control during the hospital stay.
Which information is the priority for the nurse to teach the client and the client's family? - ANSWER
Causes and treatment of hypoglycemia
Insulin administration
The nurse is teaching a client with newly diagnosed type 2 diabetes about the importance of weight
control. Which comment by the client indicates a need for further teaching? - ANSWER "I will begin
exercising for at least an hour a day."
Which of these clients with diabetes will the endocrine unit charge nurse assign to an RN who has
floated from the labor/delivery unit? - ANSWER A client who needs blood glucose monitoring and insulin
before each meal
, Exam 3 NUR 170 with 160 Complete
solutions.
The nurse working on a medical surgical endocrine unit has just received change-of-shift report. Which
client will the nurse see first? - ANSWER Client with type 1 diabetes whose insulin pump is beeping
"occlusion"
The nurse is teaching a client about the manifestations and emergency management of hypoglycemia.
Which response by the client indicates a correct understanding of what to do if the client feels hungry
and shaky? - ANSWER "I will eat three graham crackers."
The nurse caring for four clients with diabetes has these activities to perform. Which activity is
appropriate to delegate to unlicensed assistive personnel (UAP)? - ANSWER Perform a blood glucose
check on a client who requires insulin.
A client with typically well controlled diabetes has a glycosylated hemoglobin (HbA1C) level of 9.4%.
Which response by the nurse is most appropriate? - ANSWER "Have you been doing something
differently?
The nurse is performing an admission assessment on a 52-year-old client admitted with type 2
diabetes.Physical AssessmentDiagnostic FindingsProvider PrescriptionsLungs clearGlucose 179 mg/dL
(9.9 mmol/L)Regular insulin 8 units if blood glucose 250 to 275 mg/dL (13.9 to 15.3 mmol/L)Right great
toe mottled and cold to touchHemoglobin A1c 6.9%Regular insulin 10 units if glucose 275 to 300 mg/dL
(15.3 to 16.7 mmol/L)Client states wears eyeglasses to readAfter completing the above assessment,
which complication of diabetes does the nurse report to the primary health care provider? - ANSWER
Decreased peripheral perfusion
A client with type 1 diabetes mellitus received regular insulin at 7:00 a.m. The client will need to be
monitored for hypoglycemia at which time? - ANSWER 11:00 a.m.
The nurse in the endocrine clinic is providing education for a client who has just been diagnosed with
diabetes. Which factor is most important for the nurse to assess before providing instruction to the
client about the disease and its management? - ANSWER Educational and literacy level
The intensive care nurse is caring for a client admitted in a hyperglycemic-hyperosmolar state. Which of
these prescriptions made by the primary health care provider will the nurse question? - ANSWER 1
ampule Sodium Bicarbonate IV now
solutions.
Exam 3 NUR 170 with 160 Complete
solutions.
A client recently admitted with new-onset type 2 diabetes will be discharged with a meter for self-
monitoring of blood glucose (SMBG) levels. When is the best time for the nurse to explain to the client
the proper use of the glucose monitor? - ANSWER While performing the test in the hospital
An intensive care client with diabetic ketoacidosis (DKA) is receiving an insulin infusion. When the
cardiac monitor shows ventricular ectopy, which assessment will the nurse make? - ANSWER Potassium
level
A client with type 2 diabetes who is taking metformin (Glucophage) is seen in the diabetic clinic. The
fasting blood glucose is 108 mg/dL (6.0 mmol/L), and the glycosylated hemoglobin (HbA1C) is 8.2%.
Which action will the nurse take next? - ANSWER Ask the client about current dietary intake and
medication use.
The nurse is providing discharge teaching to a client with type 2 diabetes and peripheral neuropathy.
Which statement by the client indicates a need for further teaching about injury prevention? - ANSWER
"I can break in my shoes by wearing them all day."
A client with type 1 diabetes arrives in the emergency department breathing deeply and stating, "I can't
catch my breath." The client's vital signs are: T 98.4°F (36.9°C), P 112 beats/min, R 38 breaths/min, BP
91/54 mm Hg, and O2 saturation 99% on room air. Which action will the nurse take first? - ANSWER
Check the blood glucose.
The clinic nurse is providing teaching to a client with newly diagnosed diabetes. Which statement by the
client indicates a correct understanding about the need to wear a MedicAlert bracelet? - ANSWER "If I
become hypoglycemic, I could become unconscious."
The nurse in the endocrine clinic is reviewing type 1 and type 2 diabetes with a group of nursing
students. Which explanation by the students indicates their understanding of the types of diabetes? -
ANSWER Those with type 2 diabetes make insulin, but in inadequate amounts.
,Exam 3 NUR 170 with 160 Complete
solutions.
Which nursing action will the home health nurse delegate to a home health aide who is making daily
visits to a client with newly diagnosed type 2 diabetes? - ANSWER Assist the client with washing the feet
and applying moisturizing lotion.
The nurse has just taken change-of-shift report on a group of clients on the medical-surgical unit. Which
client does the nurse assess first? - ANSWER Client taking glyburide (Diabeta) who is dizzy and sweaty
Which is the best referral that the community health nurse can suggest to a client who has been newly
diagnosed with diabetes? - ANSWER American Diabetes Association (ADA)
A client expresses fear and anxiety over the life changes associated with diabetes, stating, "I am scared I
can't do it all and I will get sick and be a burden on my family." What is the nurse's best response? -
ANSWER "Let's tackle it piece by piece. What is most scary to you?"
A client with type 2 diabetes controlled with Metformin is recovering from surgery. The primary health
care provider has placed the client on insulin in addition to the metformin. What is the nurse's best
response about why the client needs to take insulin? - ANSWER Stress, such as surgery, increases blood
glucose levels. You'll need insulin to control your blood glucose temporarily."
A client newly diagnosed with diabetes is not ready to learn diabetes control during the hospital stay.
Which information is the priority for the nurse to teach the client and the client's family? - ANSWER
Causes and treatment of hypoglycemia
Insulin administration
The nurse is teaching a client with newly diagnosed type 2 diabetes about the importance of weight
control. Which comment by the client indicates a need for further teaching? - ANSWER "I will begin
exercising for at least an hour a day."
Which of these clients with diabetes will the endocrine unit charge nurse assign to an RN who has
floated from the labor/delivery unit? - ANSWER A client who needs blood glucose monitoring and insulin
before each meal
, Exam 3 NUR 170 with 160 Complete
solutions.
The nurse working on a medical surgical endocrine unit has just received change-of-shift report. Which
client will the nurse see first? - ANSWER Client with type 1 diabetes whose insulin pump is beeping
"occlusion"
The nurse is teaching a client about the manifestations and emergency management of hypoglycemia.
Which response by the client indicates a correct understanding of what to do if the client feels hungry
and shaky? - ANSWER "I will eat three graham crackers."
The nurse caring for four clients with diabetes has these activities to perform. Which activity is
appropriate to delegate to unlicensed assistive personnel (UAP)? - ANSWER Perform a blood glucose
check on a client who requires insulin.
A client with typically well controlled diabetes has a glycosylated hemoglobin (HbA1C) level of 9.4%.
Which response by the nurse is most appropriate? - ANSWER "Have you been doing something
differently?
The nurse is performing an admission assessment on a 52-year-old client admitted with type 2
diabetes.Physical AssessmentDiagnostic FindingsProvider PrescriptionsLungs clearGlucose 179 mg/dL
(9.9 mmol/L)Regular insulin 8 units if blood glucose 250 to 275 mg/dL (13.9 to 15.3 mmol/L)Right great
toe mottled and cold to touchHemoglobin A1c 6.9%Regular insulin 10 units if glucose 275 to 300 mg/dL
(15.3 to 16.7 mmol/L)Client states wears eyeglasses to readAfter completing the above assessment,
which complication of diabetes does the nurse report to the primary health care provider? - ANSWER
Decreased peripheral perfusion
A client with type 1 diabetes mellitus received regular insulin at 7:00 a.m. The client will need to be
monitored for hypoglycemia at which time? - ANSWER 11:00 a.m.
The nurse in the endocrine clinic is providing education for a client who has just been diagnosed with
diabetes. Which factor is most important for the nurse to assess before providing instruction to the
client about the disease and its management? - ANSWER Educational and literacy level
The intensive care nurse is caring for a client admitted in a hyperglycemic-hyperosmolar state. Which of
these prescriptions made by the primary health care provider will the nurse question? - ANSWER 1
ampule Sodium Bicarbonate IV now
