According to the National Diabetes Statistics Report, diabetes remains one of the leading causes of death in the United States since 2010. Which of the following factors are risks for the development of diabetes mellitus? Select all that apply. A. Age over 45 years B. Overweight with a waist/hip ratio >1 C.… Read More »
A client with DM demonstrates acute anxiety when first admitted for the treatment of hyperglycemia. The most appropriate intervention to decrease the client’s anxiety would be to: A. Administer a sedative B. Make sure the client knows all the correct medical terms to understand what is happening C. Ignore the signs and… Read More »
A client is in diabetic ketoacidosis (DKA) secondary to infection. As the condition progresses, which of the following symptoms might the nurse see? A. Kussmaul’s respirations and a fruity odor on the breath B. Shallow respirations and severe abdominal pain C. Decreased respiration and increased urine output D. Cheyne-stokes respirations and… Read More »
A 39-year-old company driver presents with shakiness, sweating, anxiety, and palpitations and tells the nurse he has type 1 diabetes mellitus. Which of the following actions should the nurse do first? A. Inject 1 mg of glucagon subcutaneously B. Administer 50 mL of 50% glucose I.V C. Give 4 to 6 oz… Read More »
A nurse is preparing a plan of care for a client with diabetes mellitus who has hyperglycemia. The priority nursing diagnosis would be: A. High risk for deficient fluid volume B. Deficient knowledge: disease process and treatment C. Imbalanced nutrition: less than body requirements D. Disabled family coping: compromised … Read More »
Clients with type 1 diabetes may require which of the following changes to their daily routine during periods of infection? A. No changes B. Less insulin C. More insulin D. Oral antidiabetic agents Correct Answer: C. More insulin During periods of infection or illness, diabetics may need… Read More »
During a visit to the hospital, the student nurses are asked which of the following persons would most likely be diagnosed with diabetes mellitus. They are correct if they answered a 44-year-old: A. Caucasian woman. B. Asian woman. C. African-American woman. D. Hispanic male. Correct Answer: C.… Read More »
Which insulin can be administered through continuous intravenous infusion? A. insulin glargine (Lantus) B. insulin aspart (Novolog) C. insulin detemir (Levemir) D. insulin Afrezza E. regular insulin (Novolin R) Correct Answer: E. regular insulin (Novolin R) Regular insulin is a short-acting insulin that can be given intravenously in… Read More »
A nurse is caring for a client admitted to the ER with DKA. In the acute phase the priority nursing action is to prepare to: A. Administer regular insulin intravenously B. Administer 5% dextrose intravenously C. Correct the acidosis D. Apply an electrocardiogram monitor Correct Answer: A.… Read More »
Marlisa has been diagnosed with diabetes mellitus type 1. She asks Nurse Errol what this means. What is the best response by the nurse? Select all that apply. A. “Your alpha cells should be able to secrete insulin, but cannot.” B. “The exocrine function of your pancreas is to secrete insulin.” C.… Read More »