Evolve NCLEX Review Questions For Care of Patients with Diabetes Mellitus

Evolve NCLEX Review Questions For Care of Patients with Diabetes Mellitus (Chapter 64) ScienceMedicineNursing magnolia601 Save Diabetes Mellitus NCLEX Style Ques...Teacher 36 terms ssandholmPreview Fluid and Electrolytes NCLEX Quest...33 terms Alex_Hassiepen Preview Pneumonia NCLEX practice questio...34 terms Daniel_Griffiths2 Preview Thyroid 12 terms erin A client recently admitted with new-onset type 2 diabetes will be discharged with a meter for self-monitoring of blood glucose (SMBG) levels.When is the best time for the nurse to explain to the client the proper use of the glucose monitor?

• Day of discharge
• On admission
• When the client states readiness
• While performing the test in the hospital
• While performing the test in the hospital

An intensive care client with diabetic ketoacidosis (DKA) is receiving an insulin infusion. When the cardiac monitor shows ventricular ectopy, which assessment will the nurse make?

• Urine output
• 12-lead electrocardiogram (ECG)
• Potassium level
• Rate of IV fluids
• Potassium level

A client with type 2 diabetes who is taking metformin (Glucophage) is seen in the diabetic clinic. The fasting blood glucose is 108 mg/dL (6.0 mmol/L), and the glycosylated hemoglobin (HbA1C) is 8.2%. Which action will the nurse take next?

• Instruct the client to continue with the current diet and metformin use.
• Discuss the need to check blood glucose several times every day.
• Talk about the possibility of adding rapid-acting insulin to the regimen.
• Ask the client about current dietary intake and medication use.
• Ask the client about current dietary intake and medication use.

The nurse is providing discharge teaching to a client with type 2 diabetes and peripheral neuropathy. Which statement by the client indicates a need for further teaching about injury prevention?

• "I can break in my shoes by wearing them all day."
• "I need to monitor my feet daily for blisters or skin breaks."
• "I will never go barefoot."
• "I need to quit smoking."
• "I can break in my shoes by wearing them all day."

A client with type 1 diabetes arrives in the emergency department breathing deeply and stating, "I can't catch my breath." The client's vital signs are: T 98.4°F (36.9°C), P 112 beats/min, R 38 breaths/min, BP 91/54 mm Hg, and O2 saturation 99% on room air. Which action will the nurse take first?

• Check the blood glucose.
• Administer oxygen.
• Offer reassurance.
• Attach a cardiac monitor.
• Check the blood glucose.

The clinic nurse is providing teaching to a client with newly diagnosed diabetes. Which statement by the client indicates a correct understanding about the need to wear a MedicAlert bracelet?

• "If I become hyperglycemic, it is a medical emergency."
• "If I become hypoglycemic, I could become unconscious."
• "Medical personnel may need confirmation of my insurance."
• "I may need to be admitted to the hospital suddenly."
• "If I become hypoglycemic, I could become unconscious."

The nurse in the endocrine clinic is reviewing type 1 and type 2 diabetes with a group of nursing students. Which explanation by the students indicates their understanding of the types of diabetes?

• Most clients with type 1 diabetes are born with it.
• People with type 1 diabetes are often obese.
• Those with type 2 diabetes make insulin, but in inadequate amounts.
• People with type 2 diabetes do not develop typical diabetic complications.
• Those with type 2 diabetes make insulin, but in inadequate amounts.

Which nursing action will the home health nurse delegate to a home health aide who is making daily visits to a client with newly diagnosed type

• diabetes?
• Assist the client's spouse in choosing appropriate dietary items.
• Evaluate the client's use of a home blood glucose monitor.
• Inspect the extremities for evidence of poor circulation.
• Assist the client with washing the feet and applying moisturizing lotion.
• Assist the client with washing the feet and applying moisturizing lotion.

The nurse has just taken change-of-shift report on a group of clients on the medical-surgical unit. Which client does the nurse assess first?

• Client taking repaglinide (Prandin) who has nausea and back pain
• Client taking glyburide (Diabeta) who is dizzy and sweaty
• Client taking metformin (Glucophage) who has abdominal cramps
• Client taking pioglitazone (Actos) who has bilateral ankle swelling
• Client taking glyburide (Diabeta) who is dizzy and sweaty

Which is the best referral that the community health nurse can suggest to a client who has been newly diagnosed with diabetes?

• American Diabetes Association (ADA)
• Centers for Disease Control and Prevention
• Primary health care provider office
• Pharmaceutical representative
• American Diabetes Association (ADA)

A client expresses fear and anxiety over the life changes associated with diabetes, stating, "I am scared I can't do it all and I will get sick and be a burden on my family." What is the nurse's best response?

• "It is overwhelming, isn't it?"
• "Let's see how much you can learn today, so you are less nervous."
• "Let's tackle it piece by piece. What is most scary to you?"
• "Many people live with diabetes and do it just fine."
• "Let's tackle it piece by piece. What is most scary to you?"

A client with type 2 diabetes controlled with Metformin is recovering from surgery. The primary health care provider has placed the client on insulin in addition to the metformin. What is the nurse's best response about why the client needs to take insulin?

• "Your diabetes is getting worse, so you will need to take insulin."
• "You can't take your metformin while in the hospital."
• "Stress, such as surgery, increases blood glucose levels. You'll need insulin to control your blood glucose temporarily."
• "You must take insulin from now on because the surgery will affect your diabetes."
• "Stress, such as surgery, increases blood glucose levels. You'll need insulin to control your blood glucose temporarily."

A client newly diagnosed with diabetes is not ready to learn diabetes control during the hospital stay. Which information is the priority for the nurse to teach the client and the client's family?(Select all that apply.)

• Pathophysiology of diabetes
• Causes and treatment of hypoglycemia
• Dietary control of blood glucose
• Insulin administration
• Physical activity and exercise
• Causes and treatment of hypoglycemia
• Insulin administration

The nurse is teaching a client with newly diagnosed type 2 diabetes about the importance of weight control. Which comment by the client indicates a need for further teaching?

• "I will begin exercising for at least an hour a day."
• "I will monitor my diet and avoid empty calories."
• "If I lose weight, I may not need to use the insulin anymore."
• "Weight loss can be a sign of diabetic ketoacidosis."
• "I will begin exercising for at least an hour a day."

Which of these clients with diabetes will the endocrine unit charge nurse assign to an RN who has floated from the labor/delivery unit?

• A client with sensory neuropathy who needs teaching about foot care
• A client with diabetic ketoacidosis who has an IV running at 250 mL/hr
• A client who needs blood glucose monitoring and insulin before each meal
• A client who was admitted with fatigue and shortness of breath
• A client who needs blood glucose monitoring and insulin before each meal

The nurse working on a medical surgical endocrine unit has just received change-of-shift report. Which client will the nurse see first?

• Client with type 1 diabetes whose insulin pump is beeping "occlusion"
• Newly diagnosed client with type 1 diabetes who is reporting thirst
• Client with type 2 diabetes who has a blood glucose of 150 mg/dL (8.3 mmol/L)
• Client with type 2 diabetes with a blood pressure of 150/90 mm Hg
• Client with type 1 diabetes whose insulin pump is beeping "occlusion"

The nurse is teaching a client about the manifestations and emergency management of hypoglycemia. Which response by the client indicates a correct understanding of what to do if the client feels hungry and shaky?

• "I will drink a glass of water."
• "I will eat three graham crackers."
• "I will give myself 1 mg of glucagon."
• "I will sit down and rest."
• "I will eat three graham crackers."

The nurse caring for four clients with diabetes has these activities to perform. Which activity is appropriate to delegate to unlicensed assistive personnel (UAP)?

• Perform a blood glucose check on a client who requires insulin.
• Verify the infusion rate on a continuous infusion insulin pump.
• Assess a client who reports tremors and irritability.
• Monitor a client who is reporting palpitations and anxiety.
• Perform a blood glucose check on a client who requires insulin.