NCLEX Practice Questions and Answers Saunders - Diabetes 2021/2021 Already Graded A+
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NCLEX Practice
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NCLEX Practice
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
which information about the pump?
1. Is timed to release programmed doses of short-duration or NPH insulin into the
bloodst...
nclex practice questions and answers saunders diabetes
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
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NCLEX Practice Questions and Answers
Saunders - Diabetes
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
which information about the pump?
1. Is timed to release programmed doses of short-duration or NPH insulin into the
bloodstream at specific intervals
2. Continuously infuses small amounts of NPH insulin into the bloodstream while
regularly monitoring blood glucose levels
3. Is surgically attached to the pancreas and infuses regular insulin into the pancreas,
which in turn releases the insulin into the bloodstream
4. Gives a small continuous dose of short-duration insulin subcutaneously, and the
client can self-administer a bolus with an additional dose from the pump before each
meal Correct answer- 4. Gives a small continuous dose of short-duration insulin
subcutaneously, and the client can self-administer a bolus with an additional dose from
the pump before each meal
Rationale: An insulin pump provides a small continuous dose of short-duration (rapid or
short-acting) insulin subcutaneously throughout the day and night, and the client can
self-administer a bolus with an additional dose from the pump before each meal as
needed. Short-duration insulin is used in an insulin pump. An external pump is not
attached surgically to the pancreas.
A client with diabetes mellitus demonstrates acute anxiety when first admitted to the
hospital
for the treatment of hyperglycemia. What is the most appropriate intervention to
decrease the
client's anxiety?
1. Administer a sedative.
2. Convey empathy, trust, and respect toward the client.
3. Ignore the signs and symptoms of anxiety so that they will soon disappear.
4. Make sure that the client knows all the correct medical terms to understand what is
happening. Correct answer- 2. Convey empathy, trust, and respect toward the client.
Rationale: The appropriate intervention is to address the client's feelings related to the
anxiety. Administering a sedative is not the most appropriate intervention. The nurse
should not ignore the client's anxious feelings. A client will not relate to medical terms,
particularly when anxiety exists.
, The nurse provides instructions to a client newly diagnosed with type 1 diabetes
mellitus. The nurse recognizes accurate understanding of measures to prevent diabetic
ketoacidosis when the client makes which statement?
1. "I will stop taking my insulin if I'm too sick to eat."
2. "I will decrease my insulin dose during times of illness."
3. "I will adjust my insulin dose according to the level of glucose in my urine."
4. "I will notify my health care provider (HCP) if my blood glucose level is higher than
250 mg/dL." Correct answer- 4. "I will notify my health care provider (HCP) if my blood
glucose level is higher than 250 mg/dL."
Rationale: During illness, the client should monitor blood glucose levels and should
notify the HCP if the level is higher than 250 mg/dL. Insulin should never be stopped. In
fact, insulin may need to be increased during times of illness. Doses should not be
adjusted without the HCP's advice and are usually adjusted on the basis of blood
glucose levels, not urinary glucose readings.
The nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of
complications. Which sign, if exhibited in the client, would indicate hyperglycemia?
Rationale: Classic symptoms of hyperglycemia include polydipsia, polyuria, and
polyphagia. Diaphoresis may occur in hypoglycemia. Options 2, 3, and 4 are not signs
of hyperglycemia.
The nurse is preparing a plan of care for a client with diabetes mellitus who has
hyperglycemia. The nurse places highest priority on which client problem?
1. Lack of knowledge
2. Inadequate fluid volume
3. Compromised family coping
4. Inadequate consumption of nutrients Correct answer- 2. Inadequate fluid volume
Rationale: An increased blood glucose level will cause the kidneys to excrete the
glucose in the urine. This glucose is accompanied by fluids and electrolytes, causing an
osmotic diuresis leading to dehydration. This fluid loss must be replaced when it
becomes severe. Options 1, 3, and 4 are not related specifically to the subject of the
question.
The home health nurse visits a client with a diagnosis of type 1 diabetes mellitus. The
client relates a history of vomiting and diarrhea and tells the nurse that no food has
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