NUR 170 ; Fundamentals of Nursing | Exam 3 Review
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? - correct 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? - correct
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? - correct 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? - correct 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? - correct 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? - correct 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? - correct answer Those with type 2 diabetes make insulin, but in inadequate
amounts.
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? - correct 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? - correct 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? - correct 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? - correct 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? - correct 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? -
correct 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? - correct
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? - correct answer A client who needs blood glucose
monitoring and insulin before each meal
The nurse working on a medical surgical endocrine unit has just received change-of-shift report.
Which client will the nurse see first? - correct 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? - correct 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)? - correct 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? - correct 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
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? - correct 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? - correct
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? - correct 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? - correct 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? - correct 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? - correct 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? - correct answer Those with type 2 diabetes make insulin, but in inadequate
amounts.
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? - correct 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? - correct 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? - correct 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? - correct 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? - correct 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? -
correct 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? - correct
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? - correct answer A client who needs blood glucose
monitoring and insulin before each meal
The nurse working on a medical surgical endocrine unit has just received change-of-shift report.
Which client will the nurse see first? - correct 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? - correct 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)? - correct 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? - correct 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
