front 1 The nurse is providing instructions about foot care for a client with diabetes mellitus. What should the nurse include in the instructions? . Select all that apply.
| back 1 A. Wear shoes when out of bed. C. Dry between the toes after bathing. |
front 2 Which statement by a client with type 2 diabetes indicates to the nurse that additional dietary teaching is needed?
| back 2 A. "I can eat as much dietetic fruit as I want." |
front 3 The nurse is caring for a client newly diagnosed with diabetes. What symptom of hypoglycemia is most common and should be taught to the client?
| back 3 C. Confusion |
front 4 While obtaining the client’s health history, which factor does the nurse identify that predisposes the client to type 2 diabetes?
| back 4 C. Being 20 pounds (9 kilograms) overweight |
front 5 A client with type 2 diabetes has been receiving insulin in the hospital while being treated for sepsis. The client's infection is resolving, and the primary healthcare provider writes a prescription to discontinue the 7:00 AM dose of insulin and to administer glyburide 5 mg twice daily (8:00 AM and 8:00 PM). The nurse on the day shift (8:00 AM to 4:00 PM) administers the glyburide at 8:30 AM. When recording its administration in the client's record, the nurse sees that the insulin had already been administered at 7:00 AM. What initial action should the nurse take?
| back 5 D. Check blood glucose for hypoglycemia. |
front 6 The nurse is counseling a client with type 1 diabetes about the client's favorite foods that are lowest in carbohydrates (CHO). Which food choice picked by the client determines that teaching was effective?
| back 6 A. Skim milk |
front 7 A nurse is caring for two clients newly diagnosed with diabetes. One client has type 1 diabetes, and the other client has type 2 diabetes. When determining the main difference between type 1 and type 2 diabetes, the nurse recognizes what clinical presentation about type 1?
| back 7 C. Complications are not present at the time of diagnosis. |
front 8 A nurse is caring for an older client who had non-insulin dependent diabetes for 15 years that progressed to insulin-dependent diabetes 2 years ago. What common complications of diabetes should the nurse assess for when examining this client? Select all that apply.
| back 8 A. Leg ulcers B. Loss of visual acuity D. Prolonged capillary refill in the toes E. Decreased sensation in the lower extremities |
front 9 A nurse is caring for a client who has a 20-year history of type 2 diabetes. The nurse should assess for what physiologic changes associated with a long history of diabetes?
| back 9 A. Blurry, spotty, or hazy vision |
front 10 A nurse is formulating a teaching plan for a client recently diagnosed with type 2 diabetes. What interventions should the nurse include to decrease the risk of complications? . Select all that apply.
| back 10 A. Examine the feet daily B. Wear well-fitting shoes C. Wear well-fitting shoes |
front 11 The health care provider prescribes one tube of glucose gel for the client with type 1 diabetes. The nurse recognizes that this is for treatment of which diabetes complication?
| back 11 C. Insulin-induced hypoglycemia |
front 12 The nurse knows that the newborns of mothers with diabetes often exhibit tremors, periods of apnea, cyanosis, and poor suckling ability. With which complication are these signs associated?
| back 12 A. Hypoglycemia |
front 13 The nurse is explaining insulin needs to a client with gestational diabetes who is in her second trimester of pregnancy. Which information should the nurse give to this client?
| back 13 A. Insulin needs will increase during the second trimester. |
front 14 A client is diagnosed with type 2 diabetes, and the health care provider prescribes an oral hypoglycemic. For what side effect should the nurse teach this client to monitor?
| back 14 D. Low blood sugar |
front 15 A client with diabetes mellitus complains of difficulty seeing. What would the nurse suspect as the causative factor?
| back 15 B. The growth of new retina blood vessels or “neovascularization” |
front 16 A client with type 1 diabetes has an above-the-knee amputation because of severe lower extremity arterial disease. What is the nurse's primary responsibility two days after surgery when preparing the client to eat dinner?
| back 16 A. Checking the client's serum glucose level |
front 17 A 14-year-old adolescent with diabetes has been self-administering insulin twice a day. This morning the parents found their child lethargic and confused. After the adolescent’s admission to the emergency department, laboratory testing reveals a hemoglobin A1c level of 10% and a blood glucose level of 200 mg/dL (11.1 mmol/L). What does the nurse suspect as the most likely cause of this client’s condition?
| back 17 C. Uncontrolled blood glucose level |
front 18 A 10-year-old child with recently diagnosed type 2 diabetes attends the Center for Diabetic Teaching with the parents. The nurse interviews the child before the class begins. What is the priority concern diabetic children usually have?
| back 18 A. How much school might be missed |
front 19 During a diabetes mellitus campaign, the community nurse is assessing different clients. Which client should be treated first?
| back 19 B. Client B – A1C% 6.8; Fasting Plasma GL 130 mg/dL; Two Hour Plasma GL 200 mg/dL |
front 20 The nurse develops a teaching plan for a client with diabetes who has been diagnosed with lower extremity arterial disease (LEAD). What measures should the nurse include to increase arterial blood flow to the extremities?
| back 20 A. Exercises that promote muscular activity |