DIABETES NCLEX QUESTIONS

DIABETES NCLEX QUESTIONS

ScienceMedicineNursing Kiya_M69Top creator on Quizlet Save Endocrine NCLEX prep 107 terms whitsar5Preview Prioritization NCLEX questions 28 terms madisoncastello Preview Evolve Endocrine NCLEX-PN 2 103 terms iamgrizzzPreview Exam T 11 terms tori A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the emergency department. Which findings support this diagnosis?Select all that apply .

• Increase in pH
• Comatose state
• Deep, rapid breathing
• Decreased urine output
• Elevated blood glucose level

2,3,5 A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperosmolar hyperglycemic syndrome is made.The nurse would immediately prepare to initiate which anticipated health care provider's prescription?IV infusion of NS

• multiple choice options

An external insulin pump is prescribed for a client with diabetes mellitus. When the client asks the nurse about the functioning of the pump, the nurse bases the response on which information about the pump?It administers a small continuous dose of shortduration insulin subcutaneously. The client can self-administer an additional bolus dose from the pump before each meal.

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The nurse teaches a client with diabetes mellitus about differentiating between hypoglycemia and ketoacidosis. The client demonstrates an understanding of the teaching by stating that a form of glucose should be taken if which symptom or symptoms develop? Select all that apply..

• Polyuria
• Shakiness
• Palpitations
• Blurred vision
• Lightheadedness
• Fruity breath odor

2,3,5 A client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for the treatment of hyperglycemia. What is the appropriate intervention to decrease the client's anxiety?Convey empathy, trust, and respect toward the client.

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The nurse provides instructions to a client newly diagnosed with type 1 diabetes mellitus. The nurse recognizes accurate understanding of measures to prevent diabetic ketoacidosis when the client makes which statement?"I will notify my health care provider (HCP) if my blood glucose level is higher than 250 mg/dL (14.2 mmol/L)."

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A client is admitted to a hospital with a diagnosis of diabetic ketoacidosis (DKA). The initial blood glucose level is 950 mg/dL (54.2 mmol/L). A continuous intravenous (IV) infusion of short-acting insulin is initiated, along with IV rehydration with normal saline. The serum glucose level is now decreased to 240 mg/dL (13.7 mmol/L). The nurse would next prepare to administer which medication?IV fluids containing dextrose

• multiple choice option

The nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of complications. Which sign or symptom, if exhibited in the client, indicates that the client is at risk for chronic complications of diabetes if the blood glucose is not adequately managed?polyuria

• multiple choice options

The nurse is preparing a plan of care for a client with diabetes mellitus who has hyperglycemia. The nurse places priority on which client problem?Inadequate fluid volume

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The home health nurse visits a client with a diagnosis of type 1 diabetes mellitus. The client relates a history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24 hours. Which additional statement by the client indicates a need for further teaching?"I need to stop my insulin."

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The nurse is caring for a client admitted to the emergency department with diabetic ketoacidosis (DKA). In the acute phase, the nurse plans for which priority intervention?Administer short-duration insulin intravenously.

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Aclient with type 1 diabetes mellitus calls the nurse to report recurrent episodes of hypoglycemia with exercising. Which statement by the client indicates an adequate understanding of the peak action of NPH insulin and exercise?"The best time for me to exercise is after breakfast."

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The nurse is monitoring a client who was diagnosed with type 1 diabetes mellitus and is being treated with NPH and regular insulin. Which manifestations would alert the nurse to the presence of a possible hypoglycemic reaction? Select all that apply..

• Tremors
• Anorexia
• Irritability
• Nervousness
• Hot, dry skin
• Muscle cramps

1,3,4 The nurse performs a physical assessment on a client with type 2 diabetes mellitus. Findings include a fasting blood glucose level of 120 mg/dL (6.8 mmol/L), temperature of 101 °F (38.3 °C), pulse of 102 beats/minute, respirations of 22 breaths/minute, and blood pressure of 142/72 mm Hg.Which finding would be the priority concern to the nurse?temperature

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The nurse is teaching a client how to mix regular insulin and NPH insulin in the same syringe. Which action, if performed by the client, indicates the need for further teaching?Withdraws the NPH insulin first

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The home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse should tell the client to take which action?Refrigerate the insulin.

• multiple choice options

Glimepiride is prescribed for a client with diabetes mellitus. The nurse instructs the client that which food items are most acceptable to consume while taking this medication? Select all that apply..

• Alcohol
• Red meats
• Whole-grain cereals
• Low-calorie desserts
• Carbonated beverages

2,3,5 The nurse is providing discharge teaching for a client newly diagnosed with type 2 diabetes mellitus who has been prescribed metformin. Which client statement indicates the need for further teaching?"I need to constantly watch for signs of low blood sugar."

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The health care provider (HCP) prescribes exenatide for a client with type 1 diabetes mellitus who takes insulin. The nurse should plan to take which most appropriate intervention?Withhold the medication and call the HCP, questioning the prescription for the client.

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Aclient is taking Humulin NPH insulin and regular insulin every morning. The nurse should provide which instructions to the client? Select all that apply..

• Hypoglycemia may be experienced before dinnertime.
• The insulin dose should be decreased if illness occurs.
• The insulin should be administered at room temperature.
• The insulin vial needs to be shaken vigorously to break up the precipitates.
• The NPH insulin should be drawn into the syringe first, then the regular insulin.

1, 3 The home health care nurse is visiting a client who was recently diagnosed with type 2 diabetes mellitus. The client is prescribed repaglinide and metformin. The nurse should provide which instructions to the client? Select all that apply..

• Diarrhea may occur secondary to the metformin.
• The repaglinide is not taken if a meal is skipped.
• The repaglinide is taken 30 minutes before eating.
• A simple sugar food item is carried and used to treat mild hypoglycemia episodes.
• Muscle pain is an expected effect of metformin and may be treated with acetaminophen.
• Metformin increases hepatic glucose production to prevent hypoglycemia associated with repaglinide

1,2,3,4

The nurse is providing instructions to the client newly diagnosed with diabetes mellitus who has been prescribed pramlintide. Which instruction should the nurse include in the discharge teaching?"Take your prescribed pills 1 hour before or 2 hours after the injection."

• multiple choice options