A clinical instructor teaches a class for the public about diabetes mellitus. Which individual does the nurse assess as being at the highest risk for developing diabetes? A. The 50-year-old client who does not get any physical exercise B. The 56-year-old client who drinks three glasses of wine each evening C. The… Read More »
A patient received 6 units of regular insulin three (3) hours ago. The nurse would be most concerned if which of the following was observed? A. Kussmaul respirations and diaphoresis B. Anorexia and lethargy C. Diaphoresis and trembling D. Headache and polyuria Correct Answer: C. Diaphoresis and… Read More »
The nurse is admitting a patient diagnosed with type 2 diabetes mellitus. The nurse should expect the following symptoms during an assessment, except: A. Hypoglycemia B. Frequent bruising C. Ketonuria D. Dry mouth Correct answer: A. Hypoglycemia Hypoglycemia does not occur in type 2 diabetes unless the… Read More »
The nurse knows that glucagon may be given in the treatment of hypoglycemia because it: A. Inhibits gluconeogenesis B. Stimulates the release of insulin C. Increases blood glucose levels D. Provides more storage of glucose. Correct Answer: C. Increases blood glucose levels Glucagon, an insulin antagonist produced… Read More »
Dr. Wijangco orders insulin lispro (Humalog) 10 units for Alicia, a client with diabetes mellitus. When will the nurse administer this medication? A. When the client is eating B. Thirty minutes before meals C. Fifteen minutes before meals D. When the meal trays arrive on the floor … Read More »
The guidelines for carbohydrate counting as medical nutrition therapy for diabetes mellitus includes all of the following, except: A. Flexibility in types and amounts of foods consumed B. Unlimited intake of total fat, saturated fat, and cholesterol C. Including adequate servings of fruits, vegetables, and the dairy group D. Applicable to… Read More »
Glucose is an important molecule in a cell because this molecule is primarily used for: A. Extraction of energy B. Synthesis of protein C. Building of genetic material D. Formation of cell membranes Correct Answer: A. Extraction of energy Glucose catabolism is the main pathway for cellular… Read More »
A patient was recently diagnosed with type 1 diabetes mellitus and received insulin. Which laboratory test will the nurse assess? A. Potassium B. AST (aspartate aminotransferase) C. Serum amylase D. Sodium Correct Answer: A. Potassium Insulin causes potassium to move into the cell and may cause hypokalemia.… Read More »
A nurse has a four-patient assignment in the medical step-down unit. When planning care for the clients, which client would have the following treatment goals: fluid replacement, vasopressin replacement, and correction of underlying intracranial pathology? A. The client with diabetes mellitus. B. The client with diabetes insipidus. C. The client with diabetic… Read More »
Mr. Wesley is newly diagnosed with Type I DM and is being seen by the home health nurse. The doctor’s orders include: 1200 calorie ADA diet, 15 units NPH insulin before breakfast, and check blood sugar QID. When the nurse visits the patient at 5 pm, the nurse observes the man performing blood sugar analysis.… Read More »