Patho Endocrine Quiz

NCLEX-PN Ch. 45 - Endocrine System (Diabetes Mellitus) ScienceMedicineNursing sydnee_marie_edwards Save Patho Endocrine Quiz 32 terms meganneibertPreview endocrine NCLEX Questions 45 terms xvjessnPreview NUR209 Endocrine 25 terms NatBestPreview Saunde 100 term hng The nurse is assisting with preparing a teaching plan for the client with diabetes mellitus regarding proper foot care. Which instruction should be included in the plan of care?

• Soak feet in hot water
• Avoid using soap to wash the feet
• Apply a moisturizing lotion to dry feet, but not between the toes
• Always have a podiatrist cut your toenails; never cut them yourself

Apply a moisturizing lotion to dry feet, but not between the toes The nurse provides dietary instructions to a client with diabetes mellitus regarding the prescribed diabetic diet. Which statement made by the client indicates the need for further teaching?

• "Ill eat a balanced plan."
• "I need to drink diet soft drinks"
• "I need to buy special dietetic foods."
• "I will snack on fruit instead of cake."

I need to buy special dietetic foods A client who has been newly diagnosed with diabetes mellitus has been stabilized with daily insulin injections. Which teaching information should the nurse reinforce upon discharge?

• Keep insulin vials refrigerated at all times
• Rotate the insulin injection sites systematically
• Increase the amount of insulin before unusual exercise
• Monitor the urine acetone level to determine the insulin dosage

Rotate the insulin injection sites systematically

The nurse reinforces teaching with a client with diabetes mellitus regarding differentiating between hypoglycemia and ketoacidosis. The client demonstrates an understanding of the teaching by stating that glucose will be taken if which symptoms develop?

• Polyuria
• Shakiness
• Blurred vision
• Fruity breath color

shakiness When the nurse is reinforcing instructions to a client who has been newly diagnosed with type 1 diabetes mellitus, which statement by the client would indicate that the teaching has been effective?

• "I will stop taking insulin if i get too sick"
• "I will decrease my insulin dose during times of illness"
• I will adjust my insulin dose according to the level of glucose in my urine"
• "I will notify my health care provider if my blood glucose level is consistently greater than 250 mg/dL

I will notify my health care provider if my blood glucose level is consistently greater than 250 mg/dL The nurse in monitoring a client who has been newly diagnosed with diabetes mellitus for signs of complications. Which statement made by the client would indicate hyperglycemia and thus warrant health care provider notification?

• "I am urinating a lot"
• "My pulse is really slow"
• "I am sweating for no reason"
• "My blood pressure is really high"``

I am urinating a lot The nurse is reinforcing instructions with a client with diabetes melliuts who is recovering from diabetes ketoacidosis (DKA) regarding measures to prevent a recurrence. Which instruction is important for the nurse to emphasize?

• Eat six small meals a day
• Test the urine ketone levels
• Monitor blood glucose levels frequently
• Receive appropriate follow-up health care

Monitor blood glucose levels frequently The nurse notes that a client with type 1 diabetes mellitus has lipodystrophy on both upper thighs. Which further information should the nurse obtain from the client during data collection?

• Plan for injection rotation
• Consistency of aspiration
• Preparation of the injection site
• Angle at which the medication is administered

Plan for injection rotation

A client with type 1 diabetes mellitus calls the nurse to report recurrent epidsodes of hypoglycemia. Which statement by the client indicates a correct understanding of Humulin N insulin and exercise?

• "I should not exercise after lunch"
• "I should not exercise after breakfast"
• "I should not exercise in the late evening"
• "I should not exercise in the late afternoon"`

I should not exercise in the late afternoon Terms (9) Hide definitions