The critical care nurse is caring for an older patient admitted with HHS.
What is the first priority in caring for this patient? Fluid replacement to increase blood volume
Nurse is preparing to teach a diabetic patient how to select appropriate shoes.
Which points must be included in the teachin...
Nurs 309 Exam (Ch 64 - Diabetes)
Review Questions and Correct Answers
The critical care nurse is caring for an older patient admitted with HHS.
What is the first priority in caring for this patient? ✅Fluid replacement to increase blood
volume
Nurse is preparing to teach a diabetic patient how to select appropriate shoes.
Which points must be included in the teaching plan? ✅"It is best to have the shoes
fitted by an experienced shoe fitter such as a podiatrist."
"the heels of the shoes should be less than 2 inches high."
"Avoid tight fitting shoes, which can cause tissue damage to your feet."
"You should get at least two pairs of shoes so you can change them midday and in the
evening."
A patient with Dm has signs and symptoms of hypoglycemia. The patient is alert and
oriented with a blood glucose of 56 mg/dL.
What does the nurse do next? ✅Give 8 oz of skim milk and then a carbohydrate and
protein snack.
Which diabetic patient is at greatest risk for diabetic foot ulcer formation? ✅75 year old
African American male with history of cardiovascular disease.
The older dulat with DM asks the nurse for advice about beginning an exercise
program.
What is the nurse's best response? ✅Start low intensity activities in short sessions.
Be sure to include warm up and cool down periods.
Changes in activity should be gradual.
A patient with DM has signs and symptoms of hypoglycemia. The patient has a blood
glucose of 56 mg/dL, is not alert but responds to voice, and is confused and is unable to
swallow fluids.
What does the nurse do next? ✅Administer D50 IV push
, A patient with type 2 DM often has which laboratory value? ✅Elevated triglycerides
Which statement by a patient with DM indicates an understanding of the principles of
self care? ✅"I plan to get my spouse to exercise with me to keep me company."
Which statement about sexual intercourse for patients with diabetes is true?
✅Impotence is associated with DM in male patients.
A patient with type 2 DM, usually controlled with a second generation sulfonylurea,
develops a UTI. Due to the stress of the infection, the patient must be treated with
insulin.
What additional information about this treatment does the nurse relay to the patient?
✅The insulin is necessary to supplement the second generation sulfonylurea until the
infection clears.
A patient asks the nurse how insulin injection site rotation should be accomplished.
What is the nurse's best response? ✅"rotation within one site is preferred to avoid
changes in insulin absorption."
Which statement about insulin administration is correct? ✅Rotating injection sites
improves absorption and prevents lipohypertrophy.
Which statement about insulin is true? ✅Insulin's effectiveness depends on the
individual patient's absorption of the drug.
Which class of antidiabetic medication should be given 1-30 minutes before meals?
✅Meglitinides, includes nateglinide (Starlix)
Which class of antidiabetic medication is most likely to cause a hypoglycemic episode
because of the long duration of action? ✅Second generation sulfonylureas, which
include glipizide
Which oral agent may cause lactic acidosis? ✅Metformin
For which patient should the health care provider avoid prescribing rosiglitazone
(Avandia)? ✅Patient with symptomatic heart failure
The patietn with type 2 diabetes is prescribed sitagliptin for glucose regulation.
Which key changes does the nurse teach a patient to report to the health care provider
immediately? ✅Report any signs of jaundice.
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