Nursing of Older Adults: Exam One diabetes questions

Nursing of Older Adults: Exam One (diabetes questions)

ScienceMedicineNursing hcole1Top creator on Quizlet Save Care of Older Adults - NCLEX Quest...120 terms iluvmypupsPreview Preoperative Nursing-NCLEX questi...20 terms AAnaya1Preview Dosage Calculation Practice Exam 1...20 terms MtandinganPreview Chapte 39 terms gre Which action should the nurse take first when a patient's capillary blood glucose reading is 63 mg/dL?Give the patient a snack that equals 15 g of carbohydrates.After the initial assessment of a new patient, the nurse notices a fruity smell on the patient's breath and rapid, deep breathing. Which actions should the nurse take to address these symptoms?Notify the health care provider.Check the patient's capillary glucose level.A nurse is caring for a newly admitted patient with type 1 diabetes. Which assessment finding would cause the nurse to implement interventions for hyperglycemia?Dry mouth

A patient with type 2 diabetes calls the health care provider's office and reports having the flu. Which instructions should the nurse give the patient? Select all that apply.1) "Continue taking your insulin and/or oral agent." 2) "Check your urine for ketones every 3 to 4 hours." 3) "Increase oral fluid intake to prevent dehydration." 4) "Monitor your blood glucose level every hour because you are sick." 5) "Increase your carbohydrate intake to prevent further nausea."

1), 3), 5)

Which statement made by a patient with new-onset type 1 diabetes indicates a need for further education?6) "I will keep my fasting blood glucose level below 125 mg/dL." 7) "I will keep a log of my blood glucose level to monitor for trends." 8) "I will check my blood glucose level before meals and at bedtime." 9) "I will use the pad of my finger to obtain blood for a blood glucose level." 9) The home health nurse visits a patient with a new diagnosis of type 2 diabetes. Which patient finding would prompt the nurse to provide further education?10) Consistently skipping meals 11) Walking for 30 minutes every other day 12) Cleaning the side of the fingertip before blood sampling 13) Blood glucose readings between 150 and 155 mg/dL after dinner 10)

A patient with diabetes is admitted to the hospital for a colon resection as treatment for cancer. Which actions should the nurse include in the plan of care to manage the patient's diabetes? Select all that apply.14) Provide continuous telemetry monitoring.15) Administer insulin subcutaneously as prescribed.16) Provide foot care every shift and assess for ulcers.17) Assess the abdominal incision for signs of infection.18) Obtain a capillary blood glucose level every 8 hours.

15), 16), 17)

Which interventions should the nurse perform for a patient with diabetes who appears confused and responds to questions with irritation?Select all that apply.19) Give the patient a snack.20) Contact the health care provider.21) Administer insulin as prescribed.22) Check the patient's blood glucose level.23) Administer an oral agent (OA) as prescribed

19), 22)

The nurse is caring for a patient admitted to the hospital with no history of diabetes but who has a blood glucose level consistently greater than 200 mg/dL. Which action should the nurse take?24) Ask the patient about recent weight gain.25) Ask the patient if he or she exercises daily.26) Review the patient's recent surgical history.27) Review the patient's current medication list.27)

The nurse is educating a patient with type 1 diabetes about disease self-management. Which statement indicates the patient understands the instructions given?28) "I will take my oral agent (OA) every morning." 29) "I should check my urine for ketones twice a day." 30) "It is important to check my blood glucose level once a day." 31) "I will record my blood glucose levels in a log book and bring these to my appointments." 31) The nurse is educating a patient about proper foot care. Which statement made by the patient indicates a need for further teaching?32) "I will soak my feet in Epsom salts every night." 33) "It is important to examine my feet every day." 34) "I should refrain from wearing high-heeled shoes." 35) "I will go to the podiatrist to get my toenails trimmed." 32) Which instruction should the nurse include when teaching a patient with type 1 diabetes about self-management?36) "Keep your hemoglobin A1c level below 8.5%." 37) "Take your oral hypoglycemic agent as prescribed." 38) "Have your spouse perform your blood glucose testing." 39) "Keep your fasting blood glucose level below 125 mg/dL." 39) Which laboratory finding warrants a repeat test to confirm a diagnosis of diabetes?40) Hemoglobin A1c (HgbA1c) of 6.0% 41) Fasting plasma glucose level of 90 mg/dL 42) Random blood glucose value of 250 mg/dL 43) Oral glucose tolerance test with 2-hour glucose level of 150 mg/dL 42)