STUVIA 2024/2025
EVOLVE QUIZ ON DIABETES
A client has a glycosylated hemoglobin measurement of 6%. What should the nurse conclude about
this client when planning a teaching plan based on the results of this laboratory test?
1
Is experiencing a rebound hyperglycemia
2
Needs the insulin changed to a different type
3
Has followed the treatment plan as prescribed
4
Requires further teaching regarding nutritional guidelines - ✔✔3
Has followed the treatment plan as prescribed
A client has a hypoglycemic reaction to insulin. Which client responses should the nurse document as
clinical manifestations of hypoglycemia? (Select all that apply.)
A client is admitted to the hospital with a diagnosis of diabetic ketoacidosis. What is the initial
intervention that the nurse should expect the health care provider to prescribe for this client?
A client is admitted to the hospital with diabetic ketoacidosis. The nurse concludes that the client's
elevated ketone level is caused by incomplete oxidation of which nutrient?
A client is learning alternate site testing (AST) for glucose monitoring. Which client statement
indicates to the nurse that additional teaching is necessary?
1
"I need to rub my forearm vigorously until warm before testing at this site."
2
"The fingertip is preferred for glucose monitoring if hyperglycemia is suspected."
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, STUVIA 2024/2025
3
"Alternate site testing is unsafe if I am experiencing a rapid change in glucose levels."
4
"I have to make sure that my current glucose monitor can be used at an alternative site." - ✔✔2
"The fingertip is preferred for glucose monitoring if hyperglycemia is suspected."
A client is taught how to recognize indications of a hypoglycemic reaction. Which signs and
symptoms identified by the client indicate to the nurse that the teaching was effective? (Select all that
apply.)
A client newly diagnosed as having type 1 diabetes is taught to exercise on a regular basis primarily
because exercise has been shown to:
1
Decrease insulin sensitivity
2
Stimulate glucagon production
3
Improve the cellular uptake of glucose
4
Reduce metabolic requirements for glucose - ✔✔3
Improve the cellular uptake of glucose
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, STUVIA 2024/2025
A client newly diagnosed with type 1 diabetes receives information about insulin. The client states, "I
hate shots. Why can't I take the insulin in pill form?" What is the nurse's best response?
1
"Your diabetic condition is too serious for oral insulin."
2
"Insulin is poorly absorbed and its action is erratic when taken by mouth."
3
"Insulin by mouth causes a high incidence of allergic and adverse reactions."
4
"Once your diabetes is controlled, your physician might consider oral insulin." - ✔✔2
"Insulin is poorly absorbed and its action is erratic when taken by mouth."
A client newly diagnosed with type 2 diabetes is receiving glyburide (Micronase) and asks the nurse
how this drug works. The nurse explains that glyburide:
1
Stimulates the pancreas to produce insulin
2
%
Accelerates the liver's release of stored glycogen
3
Increases glucose transport across the cell membrane
4
Lowers blood glucose in the absence of pancreatic function - ✔✔1
Stimulates the pancreas to produce insulin
A client tells the nurse during the admission history that an oral hypoglycemic agent is taken daily. For
which condition does the nurse conclude that an oral hypoglycemic agent may be prescribed by the
health care provider?
1
Ketosis
2
Obesity
3
Type 1 diabetes
4
Reduced insulin production - ✔✔4
Reduced insulin production
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