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MyLab Nursing Questions
Terms in this set (20)
The nurse is conducing a health fair to screen for type 2 diabetes mellitus. Which participant should the nurse consider to be at highest risk?
A. 50-year-old office worker who sits at the computer
B. 40-year-old kindergarten teacher who works in a classroom
C. 30-year old nurse who works in an intensive care unit
D. 60-year-old retired architect who works at job site
A young client is admitted for lethargy and weight loss. Which clinical manifestation supports the nurse's suspicion of diagnosis of type 1 diabetes mellitus? (Select all that apply.)
A. Blurred vision
D. Weight gain
The nurse prepares to care for a client with diabetes mellitus. Which statement should the nurse make to describe this disease process to the client?
A. "Diabetes is a group of disorders that affects primarily the cardiovascular system."
B. "Diabetes is the result of poor eating habits and excessive intake of glucose."
C. "Diabetes is a group of metabolic disorders characterized by the inability to effectively metabolize carbohydrates, proteins, and fats."
D. "Diabetes is group of disorders that alters kidney functioning."
The nurse is caring for a client with diabetes mellitus (DM). Which clinical manifestation might be related to the effects of polyuria ? (Select all that apply.)
D. Bladder infection
The nurse is discussing type 1 diabetes mellitus with a colleague. Which information should the nurse include regarding the pathophysiology of the disease?
A. Beta cells need help producing insulin
B. Hyperglycemia happens when 50% of alpha cells are damaged
C. Delta cell destruction causes type 2 diabetes mellitus
D. Beta cells are destroyed
A client recently diagnosed with type 2 diabetes mellitus reports difficulty managing the disease. To which professional should the nurse refer the client for help with caloric intake?
A. Personal trainer
B. Primary healthcare provider
C. Social worker
The nurse preceptor is teaching a new graduate nurse about hypoglycemic agents used to treat type 2 diabetes mellitus. Which information should the preceptor include related to how these medications lower blood sugar? (Select all the apply)
A. Stimulate hormones for hemodilution
B. Prevent breakdown of glycogen
C. Increase insulin secretion
D. Increase breakdown of insulin
E. Increase uptake of glucose by cells
Which finding in the medical record indicates a client has good control of type 1 diabetes mellitus?
A. Free of amputations
B. Fasting blood sugar 200 mg/dL
C. Blood pressure 150/90 mmHg
D. Hemoglobin A1C 5.4%
The nurse is teaching a group of clients newly diagnosed with type 1 diabetes mellitus. Which information should the nurse include in the teaching?
A. "have routine pedicures performed."
B. "Schedule regular ophthalmology visits."
C. "Take beta blockers daily to control blood pressure."
D. "Monitor blood glucose levels weekly."
A client with type 2 diabetes mellitus is diaphoretic shaky, and very drowsy. Which measurement should the nurse expect to assess in this client?
A. Oxygen saturation 92%
B. Blood pressure 100/72 mmHg
C. Blood glucose 210 mg/dL
D. Blood glucose 42 mg/dL
The nurse is taking a health history from a client who has type 1 diabetes mellitus. Which client symptom may indicate the development of complications? (Select all that apply)
A. Vision changes
C. Quick wound healing
D. Frequent voiding of urine
E. Numbness in the feet
Which statement made by a client with type 1 diabetes mellitus indicates an understanding of instruction provided regarding disease management (select all that apply.)
A. "I should obtain blood glucose levels prior to each insulin injection."
B. "I should count calories consumed to determine insulin needs for each day."
C. "I should administer insulin during the day in multiple injections."
D. "I should trim my toenails at an angle to prevent cutting the skin."
E. "I should maintain my hemoglobin A1C levels at or below 8%."
A client with blood glucose of 450 mg/dL is diagnosed with hyperosmolar hyperglycemic state (HHS). Which assessment finding should the nurse expect.
A. Increase in urinary output
B. Open wound to the foot
C. Lower extremity edema
D. Capillary refill of 2 seconds
The nurse is developing a plan of care for a client with poor peripheral tissue perfusion related to microvascular changes. Which assessment finding supports this nursing diagnosis?
A. Hemoglobin A1C of 6.4%
B. Capillary refill of 3 seconds
C. Fasting blood glucose of 100 mg/dL
D. Absent pedal pulses
The nurse is caring for a newly diagnosed with type 2 diabetes mellitus. Prior to any teaching about medications, the client informs the nurse, "I cannot give myself any injections." How should the nurse respond?
A. "It is understandable to be upset about a new medical diagnosis."
B. "Why do you think you will have to give yourself injections?"
C. "Type 2 diabetes mellitus can usually be managed with pills, diet, and exercise."
D. "Insulin administration helps with better blood glucose management."
The nurse is providing teaching to a client with a new diagnosis of type 1 diabetes mellitus. The nurse should instruct the client about incorporating which treatment to help manage the disease? (Select all that apply)
C. Daily Weight checking
E. Fluid restriction
A client newly diagnosed with type 2 diabetes mellitus asks the nurse how to "get rid of" this disease. How should the nurse respond?
A. "You will always have type 2 diabetes millitus. You cannot get rid of it."
B. "Type 2 diabetes mellitus can sometimes be eliminated by weight loss, diet, and exercise."
C. "Type 2 diabetes mellitus cannot be cured. It will eventually progress to type 1 diabetes."
D. "You seem concerned about this diagnosis and will do our best to help you control it."
The nurse is conducting discharge teaching with a client who has been newly diagnosed with type 1 diabetes mellitus. Which statement from the client indicates the need for additional teaching?
A. "I need to stay hydrated during the day."
B. "I need to be alert for infections."
C. "As long as I'm in my house, I can walk barefoot."
D. "It is important to test my blood sugar at least four times a day."
The nurse is teaching a client with type 1 diabetes mellitus (T1DM). Which client statement requires follow-up?
A. "Hyperglycemia is caused by a lack of insulin production."
B. " Cardiovascular disease, neuropathies, and delayed wound healing are consequences of poorly controlled blood sugar."
C. " As long as my blood sugar is under control, I do not need to follow up with my eye doctor."
D. "I understand T1DM means I have an absolute insulin deficiency."
The nurse is caring for a client with a long-term history of type 1 diabetes mellitus who has developed peripheral vascular disease. The nurse is unable to palpate the client's pedal pulses and the skin is cold to the touch. Which long-term goal is most appropriate for this client?
A. The client's fasting blood glucose levels will stay between 70 and 110 mg/dL.
B. The client will remain free from infection.
C. The client's skin integrity will remain intact.
D. The client will remain free of injury.
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