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Exam (elaborations)

Diabetes Mellitus Exam Questions with Correct Detailed Answers

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  • Module
  • Diabetes Mellitus
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  • Diabetes Mellitus

Diabetes Mellitus Exam Questions with Correct Detailed Answers A nurse is teaching a client who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching? A. " I will feel shaky." B. "I will be mo...

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  • November 9, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Diabetes Mellitus
  • Diabetes Mellitus
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Diabetes Mellitus Exam Questions
with Correct Detailed Answers

A nurse is teaching a client who has diabetes mellitus about the manifestations of
hypoglycemia. Which of the following statements by the client indicates an
understanding of the teaching?

A. " I will feel shaky."
B. "I will be more thirsty than usual."
C. "My skin will be warm and moist."
D. "My appetite will be decreased." - Answer- A. "I will feel shaky."

Hypoglycemia: shaky, nervous, cool, clammy skin.
Hyperglycemia: increased thirst, dehydration, warm, moist skin, hunger, weakness.

A nurse is teaching an older adult client who has diabetes mellitus about preventing the
long-term complications of retinopathy and nephropathy. Which of the following
instructions should the nurse include?

A. "Have an eye examination once per year."
B. "Examine your feet carefully every day."
C. "Wear compression stockings daily."
D. "Maintain stable blood glucose levels." - Answer- D. "Maintain stable blood glucose
levels."

Keeping blood glucose under control is pt's best protection against long-term
complications of DM, increased BG contributes to neuropathic disease, & microvascular
complications (like retinopathy & neuropathy), as well as to macrovascular
complications. Annual eye exams & daily feet exams are important, but not
preventative. Constant use of compression stockings can impair circulation and
increase risk of complications. Pts with DM should NOT wear them routinely.

A nurse is caring for a client who has diabetes and a new prescription for 14 units of
regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is
the total number of units of insulin that the nurse should prepare in the insulin syringe?

A. 14 units
B. 28 units
C. 32 units
D. 42 units - Answer- D. 42 units

, Each order for units of insulin is combined in the same syringe. The nurse should
withdraw the regular insulin into the syringe first.

A nurse is preparing a teaching session about reducing the risk of complications of
diabetes mellitus. Which of the following information should the nurse plan to include in
the teaching? (Select all that apply.)

A. Reduce cholesterol and saturated fat intake.
B. Increase physical activity and daily exercise.
C. Enroll in a smoking-cessation program.
D. Sustain hyperglycemia to reduce deterioration of nerve cells.
E. Maintain optimal blood pressure to prevent kidney damage. - Answer- A. Reduce
cholesterol and saturated fat intake.
B. Increase physical activity and daily exercise.
C. Enroll in a smoking-cessation program.
E. Maintain optimal blood pressure to prevent kidney damage.

Hyperglycemia leads to neuropathy through blood vessels changes that cause nerve
hypoxia.

A nurse is reviewing the medication list for a client who has a new diagnosis of type 2
diabetes mellitus. The nurse should recognize which of the following medications can
cause glucose intolerance?

A. Ranitidine
B. Guafenesin
C. Prednisone
D. Atorvastatin - Answer- C. Prednisone

Prednisone- glucose intolerance and hyperglycemia, pt might require increased dosage
of hypoglycemic med.
Ranitidine- serum creatinine levels
Guafenesin- drowsiness and dizziness
Atorvastatin- thyroid fxn tests

A nurse is caring for a client who has type 1 diabetes mellitus. Which of the following
recommendations should the nurse make to the client for a sweetener?

A. Corn syrup
B. Natural honey
C. Nonnutritive sugar substitute
D. Guava nectar - Answer- C. Nonnutritive sugar substitute

Pts with DM 1 need to limit carbohydrate intake. Nonnutritive sugar substitutes allow pt
to sweeten taste of foods w/out increasing carb intakes.

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