Question 1

The nurse watches a patient perform an insulin injection.Which observation(s) indicate(s) that the patient needs additional instruction?

Accepted Answer

A)   The patient uses a 90-degree angle to administer the injection.
B)   The patient cleans the injection site with alcohol before the injection.
C)   The patient rubs the injection site after administration of the insulin injection.
D)   The patient draws up the cloudy insulin and then the clear insulin.
E)   The patient shakes the insulin bottle before administration.F) A) and B)
G) C) and E) C,D,E

Question 2

When discussing exercise programs with the diabetic,which instruction(s) is/are important for the nurse to include?

Accepted Answer

A)   Delay exercise until glucose controlled.
B)   Check glucose immediately after exercising.
C)   Keep a quick source of glucose readily available while exercising.
D)   Begin slowly and build up to 30 to 45 minutes.
E)   Only use the abdominal injection site for insulin.F) C) and E)
G) B) and E)

Question 3

A patient recently diagnosed with type 1 diabetes mellitus (DM) asks why she is experiencing increased thirst.Which explanation is most appropriate?

Accepted Answer

A)   Diabetes results in a lack of protein absorption that decreases amino acids and causes increased thirst.
B)   High glucose levels in the blood pull cellular water into circulating volume and increase thirst.
C)   Thirst results from the body's increased loss of fluids from frequent urination.
D)   Diabetes causes large amount of fluid to shut to the pancreas, which dehydrates the body.E) A) and B)
F) A) and D)

Question 4

The nurse is educating the patient about the significance of islet cell antibodies.Which statement accurately describes islet cell antibodies?

Accepted Answer

A)   Islet cell antibodies cause beta cells to quit producing insulin and lead to type 1 diabetes mellitus (DM) .
B)   Islet cell antibodies protect beta cells from viral attack.
C)   Islet cell antibodies increase production of insulin from beta cells.
D)   Islet cell antibodies decrease the size of the pancreas.E) A) and B)
F) All of the above

Question 5

The nurse explains that the three cardinal signs of type 1 diabetes mellitus (DM)are __________,__________,and __________.

Accepted Answer

polydipsia,polyphagia,polyuria
polydipsi...

Question 6

The patient takes his NovoLog 70/30 at 0700.When should the nurse suggest that the patient schedule exercise?

Accepted Answer

A)   0730.
B)   1000.
C)   1300.
D)   Scheduling exercise is unnecessary.E) A) and D)
F) B) and D)

Question 7

The nurse is caring for an older adult patient who is diabetic.The nurse cautions against the technique of "tight control" of hyperglycemia.Which statement explains why this management method is not recommended?

Accepted Answer

A)   Older adults may not accurately test and administer sliding-scale insulin.
B)   Older adults possess lower risk for hyperglycemia.
C)   Older adults may experience cardiovascular problems from hypoglycemia.
D)   Older adults possess an unstable metabolic rate.E) A) and C)
F) A) and D)

Question 8

The nurse associates the type of diabetes with the characteristics that may be seen with the specific disease.Match the type of diabetes with the symptoms that are associated with it.(The options may be used once, more than once, or not at all.)

-Weight loss and exercise can delay onset of diabetes

Accepted Answer

A)  Type 1
B)  Type 2
C)  Gestational
D)  PrediabetesE) B) and C)
F) A) and B)

Question 9

Which goal is the primary objective of a diabetic diet?

Accepted Answer

A)   Adequate nutrition with weight control
B)   Exclusion of all sweets
C)   Increased fat intake for greater energy
D)   Elimination of all fast foodsE) None of the above
F) A) and B)

Question 10

The nurse is caring for a patient suspected of having ketoacidosis.Which manifestation(s) is/are characteristic with early ketoacidosis?

Accepted Answer

A)   Fruity breath
B)   Polyuria
C)   Nausea
D)   Thirst
E)   Sunken eyesF) B) and C)
G) C) and D)

Question 11

The nurse associates the type of diabetes with the characteristics that may be seen with the specific disease.Match the type of diabetes with the symptoms that are associated with it.(The options may be used once, more than once, or not at all.)

-Threat of renal,retinal,and neurologic complications

Accepted Answer

A)  Type 1
B)  Type 2
C)  Gestational
D)  PrediabetesE) None of the above
F) B) and C)

Question 12

The nurse is caring for a patient who struggles to maintain glycemic control at night and during early morning hours.Which statement correctly explains the reason for this problem?

Accepted Answer

A)   Counterregulatory hormones produce hyperglycemia.
B)   Hyperglycemia of dawn phenomenon does not react to insulin.
C)   Hypoglycemia quickly follows the dawn phenomenon.
D)   Food intake fails to change hyperglycemia of dawn phenomenon.E) All of the above
F) None of the above

Question 13

A patient with type 1 diabetes mellitus (DM) is preparing for a moderate 30-minute exercise period.Which action best indicates that the patient understands condition management?

Accepted Answer

A)   The patient reduces insulin use during days when exercise periods are planned.
B)   The patient administers insulin after exercise rather than before exercise.
C)   The patient eats a high-carbohydrate snack before the exercise period.
D)   The patient consumes a simple carbohydrate snack after 30 minutes of activity.E) C) and D)
F) B) and C)

Question 14

The nurse is educating a 50-year-old patient about diabetes monitoring.Which statement reinforces the American Diabetes Association's (ADA's) recommendation?

Accepted Answer

A)   Obtain regularly scheduled fasting blood glucose levels.
B)   Strictly adhere to weight reduction diets.
C)   Exercise regularly in intervals lasting a minimum of 30 minutes.
D)   Use stress reduction techniques.E) B) and C)
F) A) and C) A

Question 15

Which genetic factor(s) increase(s) the risk of a person developing diabetes mellitus (DM) ?

Accepted Answer

A)   Number of relatives with DM
B)   Body mass index (BMI) 
C)   Sedentary lifestyle
D)   Genetic closeness of relatives with DM
E)   RaceF) A) and C)
G) A) and B)

Question 16

Which reason best explains why diabetics are prone to infection?

Accepted Answer

A)   High glucose levels provide an environment conducive to bacterial growth.
B)   Atherosclerotic vascular changes decrease blood supply to tissues.
C)   Diabetics display abnormal phagocyte function.
D)   Diabetics display decreased leukocyte function.E) B) and D)
F) All of the above

Question 17

Which requirement(s) is/are part of the criteria for "tight control" of hyperglycemia?

Accepted Answer

A)   Perform glucose testing twice daily.
B)   Administer insulin injections three times a day based on glucometer readings.
C)   Maintain fasting glucose within normal limits.
D)   Maintain normal weight for height and age.
E)   Maintain cholesterol within normal limits.F) D) and E)
G) A) and B)

Question 18

The nurse is counseling an overweight,noncompliant,30-year-old female with type 2 diabetes.Which change is most important for the nurse to suggest?

Accepted Answer

A)   Begin an exercise program and lose weight.
B)   Obtain annual eye examinations.
C)   Keep a food diary.
D)   Inspect feet daily.E) A) and B)
F) A) and C) A

Question 19

The nurse is discussing insulin administration with an assigned patient.The patient reports that she prefers to use only certain sites for insulin injections and questions the need to rotate sites.What response by the nurse is most appropriate?

Accepted Answer

A)   "Rotating injection sites helps reduce your risk of infection."
B)   "Rotating injection sites helps enhance insulin absorption."
C)   "Unsightly fatty tumors can develop when you do not adequately rotate injection sites."
D)   "Rotating injection sites decreases your risk of an insulin reaction."E) A) and B)
F) B) and D)

Question 20

Which laboratory values are consistent with a patient in ketoacidosis?

Accepted Answer

A)   Blood urea nitrogen (BUN)  of 35 mg/dL
B)   Carbon dioxide (CO2)  of 40 mEq/L
C)   pH of 7.54
D)   Blood glucose of 70 mg/dLE) A) and B)
F) All of the above

Exam 37: Care of Patients with Diabetes and Hypoglycemia

The nurse watches a patient perform an insulin injection.Which observation(s) indicate(s) that the patient needs additional instruction?

Correct AnswerverifiedC,D,E

When discussing exercise programs with the diabetic,which instruction(s) is/are important for the nurse to include?

Correct AnswerverifiedShow Answer

A patient recently diagnosed with type 1 diabetes mellitus (DM) asks why she is experiencing increased thirst.Which explanation is most appropriate?

Correct AnswerverifiedShow Answer

The nurse is educating the patient about the significance of islet cell antibodies.Which statement accurately describes islet cell antibodies?

Correct AnswerverifiedShow Answer

The nurse explains that the three cardinal signs of type 1 diabetes mellitus (DM)are __________,__________,and __________.

Correct Answerverifiedpolydipsia,polyphagia,polyuriapolydipsi...View AnswerShow Answer

The patient takes his NovoLog 70/30 at 0700.When should the nurse suggest that the patient schedule exercise?

Correct AnswerverifiedShow Answer

The nurse is caring for an older adult patient who is diabetic.The nurse cautions against the technique of "tight control" of hyperglycemia.Which statement explains why this management method is not recommended?

Correct AnswerverifiedShow Answer

The nurse associates the type of diabetes with the characteristics that may be seen with the specific disease.Match the type of diabetes with the symptoms that are associated with it.(The options may be used once, more than once, or not at all.) -Weight loss and exercise can delay onset of diabetes

Correct AnswerverifiedShow Answer

Which goal is the primary objective of a diabetic diet?

Correct AnswerverifiedShow Answer

The nurse is caring for a patient suspected of having ketoacidosis.Which manifestation(s) is/are characteristic with early ketoacidosis?

Correct AnswerverifiedShow Answer

The nurse associates the type of diabetes with the characteristics that may be seen with the specific disease.Match the type of diabetes with the symptoms that are associated with it.(The options may be used once, more than once, or not at all.) -Threat of renal,retinal,and neurologic complications

Correct AnswerverifiedShow Answer

The nurse is caring for a patient who struggles to maintain glycemic control at night and during early morning hours.Which statement correctly explains the reason for this problem?

Correct AnswerverifiedShow Answer

A patient with type 1 diabetes mellitus (DM) is preparing for a moderate 30-minute exercise period.Which action best indicates that the patient understands condition management?

Correct AnswerverifiedShow Answer

The nurse is educating a 50-year-old patient about diabetes monitoring.Which statement reinforces the American Diabetes Association's (ADA's) recommendation?

Correct AnswerverifiedA

Which genetic factor(s) increase(s) the risk of a person developing diabetes mellitus (DM) ?

Correct AnswerverifiedShow Answer

Which reason best explains why diabetics are prone to infection?

Correct AnswerverifiedShow Answer

Which requirement(s) is/are part of the criteria for "tight control" of hyperglycemia?

Correct AnswerverifiedShow Answer

The nurse is counseling an overweight,noncompliant,30-year-old female with type 2 diabetes.Which change is most important for the nurse to suggest?

Correct AnswerverifiedA

The nurse is discussing insulin administration with an assigned patient.The patient reports that she prefers to use only certain sites for insulin injections and questions the need to rotate sites.What response by the nurse is most appropriate?

Correct AnswerverifiedShow Answer

Which laboratory values are consistent with a patient in ketoacidosis?

Correct AnswerverifiedShow Answer

Correct Answer
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C,D,E

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The nurse explains that the three cardinal signs of type 1 diabetes mellitus (DM)are ,,and __.

Correct Answer
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polydipsia,polyphagia,polyuria
polydipsi...
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A

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A

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