When a client is first admitted with hyperglycemic hyperosmolar nonketotic syndrome (HHNS), the nurse’s priority is to provide: A. Oxygen B. Carbohydrates C. Fluid replacement D. Dietary instruction Correct Answer: C. Fluid replacement As a result of osmotic pressures created by increased serum glucose, the cells become… Read More »
Jansen is receiving metformin (Glucophage). What will be the best plan of the nurse with regard to patient education with this drug? Select all that apply. A. It stimulates the pancreas to produce more insulin. B. It must be taken with meals. C. It decreases sugar production in the liver. D.… Read More »
During the lecture, the clinical instructor tells the students that 50% to 60% of daily calories should come from carbohydrates. What should the nurse say about the types of carbohydrates that can be eaten? A. Try to limit simple sugars to between 10% and 20% of daily calories. B. Simple carbohydrates are absorbed… Read More »
The nurse is admitting a client with hypoglycemia. Identify the signs and symptoms the nurse should expect. Select all that apply. A. Thirst B. Palpitations C. Diaphoresis D. Slurred speech E. Hyperventilation Correct Answers: B, C, & D. Hypoglycemia is often defined by a plasma glucose concentration below… Read More »
At the time Cherrie Ann found out that the symptoms of diabetes were caused by high levels of blood glucose, she decided to break the habit of eating carbohydrates. With this, the nurse would be aware that the client might develop which of the following complications? A. Retinopathy B. Atherosclerosis C. Glycosuria… Read More »
When a client is experiencing diabetic ketoacidosis, the insulin that would be administered is: A. Human NPH insulin B. Human regular insulin C. Insulin lispro injection D. Insulin glargine injection Correct Answer: B. Human regular insulin Regular insulin (Humulin R) is short-acting insulin and is administered via… Read More »
Serge who has diabetes mellitus is taking oral agents and is scheduled for a diagnostic test that requires him to be NPO. What is the best plan of the nurse with regard to giving the client his oral medications? A. Administer the oral agents immediately after the test. B. Notify the diagnostic department… Read More »
Joko has recently been diagnosed with type 1 Diabetes Mellitus and asks nurse Jessica for help formulating a nutrition plan. Which of the following recommendations would the nurse make to help the client increase calorie consumption to offset absorption problems? A. Eat small meals with two or three snacks throughout the day to keep… Read More »
The nurse recognizes that additional teaching is necessary when the client who is learning alternative site testing (AST) for glucose monitoring says: A. “I need to rub my forearm vigorously until warm before testing at this site.” B. “The fingertip is preferred for glucose monitoring if hyperglycemia is suspected.” C. “I have… Read More »
A client diagnosed with type 1 diabetes receives insulin. He asks the nurse why he can’t just take pills instead. What is the best response by the nurse? A. “Insulin must be injected because it needs to work quickly.” B. “Insulin can’t be in a pill because it is destroyed in stomach acid.”… Read More »