NCLEX Questions: Diabetes Mellitus

NCLEX Questions: Diabetes Mellitus

alexannedreia Save Diabetes Mellitus NCLEX Style Ques...Teacher 36 terms ssandholmPreview Endocrine NCLEX questions 121 terms awebstePreview Diabetes NCLEX Questions 133 terms CaseyLeigh23 Preview Diabet 11 terms jack Learn1 / 7Study with Learn Increases blood glucose levels Knowing that gluconeogenesis helps to maintain blood levels, a nurse should: Do all of the above Choose an answer

Knowing that gluconeogenesis helps to maintain blood levels, a nurse should:

A client with a diagnosis of DKA is being treated in the ER. Which finding would nurse expect to note as confirming this diagnosis?A clinical feature that distinguishes a hypoglycemic reaction from a ketoacidosis reaction is: The nurse knows that glucagon may be given in the treatment of hypoglycemia because it: Don't know?

Clinical manifestations associated with a diagnosis of type 1 DM include all of the following except: Hypoglycemia

The lowest fasting plasma glucose level suggestive of a diagnosis of DM is:

126 mg/dl Rotation sites for insulin injection should be separated from one another by 2.5 cm (1 in) and should be used only once every: 2-3 weeks A clinical feature that distinguishes a hypoglycemic reaction from a ketoacidosis reaction is: Diaphoresis Clinical nursing assessment for a patient with microangiopathy who has manifested impaired peripheral arterial circulation includes all of the

following except:

Palpation for increased pulse volume is the arteries of the lower extremities The nurse expects that a types 1 diabetic may receive ----- of his or her morning dose of insulin preoperatively :

50-60%

Albert, a 35-year-old insulin dependent diabetic, is admitted to the hospital with a diagnosis of pneumonia. He has been febrile since admission.His daily insulin requirement is 24 units of NPH. Every morning Albert is given NPH insulin at 0730. Meals are served at 0830, 1230, and 1830. The nurse expects that the NPH insulin will reach its maximum effect (peak) between the hours of: 1330 and 1930 A bedtime snack is provided for Albert. This is based on the knowledge that intermediate-acting insults are effective for an approximate duration

of:

16-20 hours

Albert refuses his bedtime snack. This should alert the nurse to assess for:

Signs of hypoglycemia earlier than expected.A client is taking NPH insulin daily every morning. The nurse instructs the client that the most likely time for a hypoglycemic reaction to occur is: 6-14 hours after administration An external insulin pump is prescribed for a client with diabetes mellitus and the client asks the nurse about the functioning of the pump. The

nurse bases the response on the information that the pump:

Gives a small continuously dose of regular insulin subcutaneously, and the client can self-administer a bolus with an additional dose form the pump before each meal

A client with a diagnosis of DKA is being treated in the ER. Which finding would nurse expect to note as confirming this diagnosis?Elevated blood glucose level and low plasma bicarbonate A client with DM demonstrates acute anxiety when first admitted for the treatment of hyperglycemia. The most appropriate intervention to

decrease the client's anxiety would be to:

Convey empathy, trust, and respect toward the client.A nurse is preparing a plan of care for a client with DM who has hyperglycemia. The priority nursing diagnosis would be: High risk for deficient fluid volume A nurse is caring for a client admitted to the ER with DKA. In the acute phase the priority nursing action is to prepare to: Administer regular insulin IV A nurse performs a physical assessment on a client with type 2 DM. Findings include a fasting blood glucose of 120 mg/dl, temperature of 101, pulse of 88, respirations of 22, and a BP of 104/84. Which finding would be of most concern of the nurse?temperature A client with type 1 DM calls the nurse to report recurrent episodes of hypoglycemia which exercise. Which statement by the client indicated an inadequate understanding of the peak action go NPH insulin and exercise?"the best time for me to exercise is every afternoon" A client with diabetes mellitus visits a health care clinic. the client's diabetes perviously had been controlled with glyburide (Diabeta), 5 mg PO daily, but recently the fasting blood glucose has been running 180-200 mg/dl. Which medication, if added to the clients regimen, may have contributed to the hyperglycemia?Prednisone (Deltasone) Glucose is an important molecule in a cell because the molecule is primarily used for: Extraction of energy When a client is first admitted with hyperglycemic hyperosmolar nonletotic syndrome (HHNS), the nurse's priority is to provide: Fluid replacement "The nurse is admitting a client with hypoglycemia. Identify the signs and symptoms the nurse should expect. Select all that apply.Palpitations diaphoresis Slurred speech

When a client is in diabetic ketoacidosis, the insulin that would be administered is: Human regular insulin The nurse recognizes that additional teaching is necessary when the client who is learning alternative site testing (AST) for glucose monitoring

says:

The fingertip is preferred for glucose monitoring if hyperglycemia is suspected.Which adaptions should the nurse caring for a client with diabetic ketoacidosis expect the client tot exhibit? Select all that apply.Low PCO2 Retinopathy

A client's blood gas reflect diabetic acidosis. The nurse should expect:

Decreased HCO3 The nurse knows that glucagon may be given in the treatment of hypoglycemia because it: Increases blood glucose levels A client with type 1 DM has a finger-stick glucose level of 258 mg/dl at bedtime. An order for sliding scale insulin exists. The nurse should: Administered the insulin as ordered The physician orders 36 units of NPH and 12 units of regular insulin. The nurse plans to administer these drugs in 1 syringe. Identify the steps in this procedure by listing them in priority order.

• inject air equal to NPH dose into NPH vile
• Inject air equal to regular dose into regular dose vile
• Invert regular insulin bottle and withdraw regular insulin dose
• Invert NPH vile and withdraw NPH dose

The insulin that has the most rapid onset of action would be:

Lispro A client with DM states " I cannot eat big meals; I prefer to snack throughout the day". The nurse should carefully explain that the: Regulated food intake is basic to control A client with DM has an above the knee amputation because of severe peripheral vascular disease. Two days following surgery, when preparing

the client for dinner, it is the nurse's primary responsibility to:

Check the client's serum glucose level