Diabetes Mellitus Nclex Prep

Diabetes mellitus nclex prep Myeisha2020 Save CHAPTER 64 Care of Patients With ...172 terms jaskaranjit_kaur Preview NHA Maternal and Infant Health Dis...20 terms marlenyquezada03 Preview Module 1 Practice Questions 42 terms thorn_andreaPreview Ch.4 Co 12 terms mjo Which of the following symptoms do NOT present in hyperglycemia?Blood glucose <60>

Type 1 diabetics typically have the following clinical characteristics:

Thin, young with ketones present in the urine A patient with diabetes has a morning glucose of 50. The patient is sweaty, cold, and clammy. Which of the following nursing interventions is the MOST important?Give the patient ½ cup (4 oz) of fruit juice Which of the following patients is at most risk for Type 2 diabetes?A 28 year old male with a BMI of 49.The _____ ______ secrete insulin which are located in the _______.Beta cells, pancreas A 36-year-old male is newly diagnosed with Type 2 diabetes. Which of the following treatments do you expect the patient to be started on initially?Diet and exercise regime Which of the following statements are true regarding Type 2 diabetes treatment?Insulin may be needed during times of surgery or illness.

What statement or statements are INCORRECT regarding Diabetic Ketoacidosis?Cheyne-stokes breathing will always present in DKA.Severe hypoglycemia is a hallmark sign in DKA.A patient who has diabetes is nothing by mouth as prep for surgery. The patient states they feel like their blood sugar is low. You check the

glucose and find it to be 52. The next nursing intervention would be to:

Administer Dextrose 50% IV per protocol

A Type 2 diabetic may have all the following signs or symptoms EXCEPT:

Ketones present in the urine Which of the following patient statements about the diabetic diet regime is correct?"Foods that are high in mono and poly fats are avocados, olives, and nuts." A patient with diabetes asks you about what type of exercise they should perform throughout the week. The best response is: Swimming Which of the following statements are INCORRECT about exercise management for the diabetic patient?. "I will check my blood glucose prior to exercise. If it is less than 200 I will eat a complex carb snack prior to exercising." A patient has a blood glucose of 58 and is sweating, cold, and clammy. The patient is conscious. What is your next nursing intervention?Give the patient 15 grams of a simple carbohydrate.A patient with Type 2 Diabetes is started on the medication Glyburide. Which of the following statements by the patient causes concern?"I will consume no more than 8 oz. of alcohol per week." A patient is scheduled to take a morning dose of Metformin. The patient is scheduled for surgery tomorrow. Which of the following nursing interventions are correct?Hold the dose and notify the doctor for further orders.A patient is scheduled to take 10 units of Humulin N at 1100. When is the patient most susceptible for hypoglycemia?1900 You administered 5 units of Humalog at 0800. What is the ONSET and DURATION of this medication?Onset: 15 minutes, Duration: 3 hours

A patient taking the medication Precose asks when it is the best time to take this medication. Your response is: with the first bite of food A patient has a blood glucose of 400. Which of the following medications could be the cause of this?Prednisone A patient is scheduled to take 5 units of Humulin R and 10 units of NPH. What is the proper way of mixing these insulins?Draw-up the Humulin R insulin first and then the NPH insulin.A patient newly diagnosed with diabetes is about to be discharged home. You are watching the patient administer insulin. Which of the following actions causes you to re-educate them?They massaged the site after administering the insulin.A patient with diabetes is experiencing a blood glucose of 275 when waking. What is a typical treatment for this phenomenon?The patient may need a night time dose of an intermediate-acting insulin to counteract the morning hyperglycemia.True or False: The Somogyi effect causes the patient to experience an increase in their blood glucose during the hours of 2-3 am.False Which of the following insulins has no peak but a duration of 24 hours?Lantus A patient is scheduled to take 7 units of Humulin R at 0830. You administer Humulin R at 0900 in the right thigh. When do you expect this medication to peak?1100 When is a patient most susceptible to hypoglycemic symptoms after the administration of insulin?Peak Which of the following insulins can be administered intravenously?Humulin R Which of the following patients is MOST LIKELY experiencing Hyperglycemic Hyperosmolar Nonketotic Syndrome based on their symptoms?A 69 year old admitted with an infection of the right foot with a health history of diabetes that reports missing several doses of Metformin and has a blood glucose of 600 mg/dL.

Which of the following is NOT a typical finding in HHNS?Blood pH <7>

True or False: DKA and HHNS mainly occur in type 2 diabetics.

False DKA is most common in Type 1 diabetics, whereas HHNS is most common in Type 2 diabetics.True or False: Hypertonic fluids, such as 3% saline, are the first line of treatment to correct dehydration in HHNS.False False: Isotonic (0.9% NS) solutions are usually the first-line treatment or the physician may order a hypotonic solution such 0.45% NS to replenish the dehydrated cell. ....this depends on the severity of dehydration. A 5?xtrose 0.45% NS may be added when the glucose has reached 300 mg/dL, but is not first-line treatment. However, 3% Saline is never used.Which of the following statements is INCORRECT about Hyperglycemic Hyperosmolar Nonketotic Syndrome?Metabolic alkalosis presents in severe HHNS.A patient undergoing treatment for Hyperglycemic Hyperosmolar Nonketotic Syndrome has a blood glucose of 799. The doctor has ordered intravenous fluids and intravenous Regular insulin therapy. Which of the following findings causes concern before starting insulin therapy?The patient's potassium level is 3.1.Which of the following is not a sign or symptom of Diabetic Ketoacidosis?Oliguria A patient is admitted with Diabetic Ketoacidosis. The physician orders intravenous fluids of 0.9% Normal Saline and 10 units of intravenous regular insulin IV bolus and then to start an insulin drip per protocol. The patient's labs are the following: pH 7.25, Glucose 455, potassium 2.5.Which of the following is the most appropriate nursing intervention to perform next?Hold the insulin and notify the doctor of the potassium level of 2.5 Which patient is MOST likely to develop Diabetic Ketoacidosis?A 36 year old male with diabetes mellitus who has been unable to eat the past 2 days due to a gastrointestinal illness and has been unable to take insulin.