ECPI University, Manassas RN nursing 16 PREP U CHAPTER 51

Question 1: (see full question) Which of the following should be included in the teaching plan for a patient receiving glargine (Lantus),“peakless” basal insulin? You selected: Do not mix with other insulins. Correct Explanation: Because glargine is in a suspension with a pH of 4, it cannot be mixed with other insulins because this would cause precipitation. When administering glargine (Lantus) insulin it i ... (more) Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 51: Assessment and Management of Patients With Diabetes, p. 1428. Chapter 51: Assessment and Management of Patients With Diabetes - Page 1428 Question 2: (see full question) The nurse is explaining glycosylated hemoglobin testing to a diabetic client. Which of the following provides the best reason for this order? You selected: Reflects the amount of glucose stored in hemoglobin over past several months. Correct Explanation: Hemoglobin A1c tests reflect the amount of glucose that is stored in the hemoglobin molecule during its life span of 120 days. This test provides a more accurate picture of overall ... (more) Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 51: Assessment and Management of Patients With Diabetes, p. 1427. Chapter 51: Assessment and Management of Patients With Diabetes - Page 1427 Question 3: (see full question) A client with diabetes comes to the clinic for a follow-up visit. The nurse reviews the client's glycosylated hemoglobin test results. Which result would indicate to the nurse that the client's blood glucose level has been well-controlled? You selected: 6.5% Correct Explanation: Normally the level of glycosylated hemoglobin is less than 7%. Thus a level of 6.5% would indicate that the client's blood glucose level is well-controlled. According to the Americ ... (more) Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 51: Assessment and Management of Patients With Diabetes, p. 1421. Chapter 51: Assessment and Management of Patients With Diabetes - Page 1421 Question 4: (see full question) A patient is admitted to the health care center with abdominal pain, nausea, and vomiting. The medical reports indicate a history of type 1 diabetes. The nurse suspects the patient’s symptoms to be that of diabetic ketoacidosis (DKA). Which of the following actions will help the nurse confirm the diagnosis? You selected: Assessing the patient’s breath odor Correct Explanation: DKA is commonly preceded by a day or more of polyuria, polydipsia, nausea, vomiting, and fatigue with eventual stupor and coma if not treated. The breath has a characteristic fruit ... (more) Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 51: Assessment and Management of Patients With Diabetes, p. 1418. Chapter 51: Assessment and Management of Patients With Diabetes - Page 1418 Question 5: (see full question) A nurse is explaining the action of insulin to a client with diabetes mellitus. During client teaching, the nurse reviews the process of insulin secretion in the body. The nurse is correct when she states that insulin is secreted from the: You selected: beta cells of the pancreas. Correct Question 1: (see full question) A nurse is providing dietary instructions to a client with hypoglycemia. To control hypoglycemic episodes, the nurse should recommend: You selected: consuming a low-carbohydrate, high-protein diet and avoiding fasting. Correct Explanation: To control hypoglycemic episodes, the nurse should instruct the client to consume a low-carbohydrate, high-protein diet, avoid fasting, and avoid simple sugars. Increasing saturate ... (more) Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 51: Assessment and Management of Patients With Diabetes, pp. . Chapter 51: Assessment and Management of Patients With Diabetes - Page 1442 Question 2: (see full question) A nurse is providing education to a client who is newly diagnosed with diabetes mellitus. Which of the following symptoms would she include when reviewing classic symptoms associated with diabetes? You selected: Increased thirst, increased hunger, and increased urination Correct Explanation: The three classic symptoms of both types of diabetes mellitus are polyuria, polydipsia, and polyphagia. Weight loss, dehydration, and fatigue are additional symptoms. Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 51: Assessment and Management of Patients With Diabetes, p. 1420. Chapter 51: Assessment and Management of Patients With Diabetes - Page 1420 Question 3: (see full question) A client tells the nurse that she has been working hard for the past 3 months to control her type 2 diabetes with diet and exercise. To determine the effectiveness of the client's efforts, the nurse should check: You selected: glycosylated hemoglobin level. Correct Explanation: Because some of the glucose in the bloodstream attaches to some of the hemoglobin and stays attached during the 120-day life span of red blood cells, glycosylated hemoglobin levels ... (more) Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 51: Assessment and Management of Patients With Diabetes, p. 1427. Chapter 51: Assessment and Management of Patients With Diabetes - Page 1427 Question 4: (see full question) A nurse is preparing to administer insulin to a child who's just been diagnosed with type 1 diabetes. When the child's mother stops the nurse in the hall, she's crying and anxious to talk about her son's condition. The nurse's best response is: You selected: "I'm going to give your son some insulin. Then I'll be happy to talk with you." Correct Explanation: Attending to the mother's needs is a critical part of caring for a sick child. In this case however, administering insulin in a prompt manner supersedes the mother's needs. By info ... (more) Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 51: Assessment and Management of Patients With Diabetes, pp. . Chapter 51: Assessment and Management of Patients With Diabetes - Page 1436 Question 5: What is the only insulin that can be given intravenously?