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NURS 309 Quiz 9 - Acute Type 2 Diabetes Questions With Complete Solutions
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NURS 309 Quiz 9 - Acute Type 2 Diabetes Questions With Complete Solutions
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NURS 309 Quiz 9 - Acute Type 2 Diabetes Questions WithComplete Solutions
1. Which descriptors are typical of type 2 diabetes mellitus?
(select all that apply)
a. autoimmune response causes beta cell destruction
b. cells have decreased ability to respond to insulin
c. diagnosis is based on results of 100-g glucose tolerance test
d. most pts diagnosed are obese adults
e. usually has abrupt onset of thirst and weight loss Correct
Answers b,d
1. You are preparing to review a teaching plan for a pt with type
2 diabetes mellitus. To determine the pt's level of compliance
with his prescribed diabetic regimen, which value would you be
sure to review?
1. fasting glucose level
2. oral glucose tolerance test
3. glycosylated hemoglobin (HbgA1C) level
4. fingerstick glucose findings for 24 hours Correct Answers 3
11. Which complications of DM are considered emergencies?
(select all that apply)
a. DKA
b. hypoglycemia
c. diabetic retinopathy
d. hyperglycemic-hyperosmolar state (HHS)
e. diabetic neuropathy Correct Answers a,b,d
14. A pt has a newly diagnosed type 2 diabetes. Which action
should you assign to an LPN/LVN instead of a UAP?
,1. measuring pt's vital signs every shift
2. checking pt's glucose level before each meal
3. administering subcutaneous insulin on a sliding scale as
needed
4. assisting pt with morning care Correct Answers 3
18. While you are performing an admission assessment on a pt
with type 2 diabetes, he tells you that he routinely drinks 3 beers
a day. What is your priority follow-up question at this time?
1. "Do you have any days when you do not drink?"
2. "When during the day do you drink your beers?"
3. "Do you drink any other forms of alcohol?"
4. "Have you ever had a lipid profile completed?" Correct
Answers 2
2. A patient has newly-diagnosed type 2 diabetes. Which task
should you delegate to the UAP?
1. arranging a consult with the dietitian
2. assessing the pt's insulin injection technique
3. teaching the pt to use a glucometer to monitor glucose at
home
4. reminding the pt to check glucose level before each meal
Correct Answers 4
21. Which statements about type 2 DM are accurate? (select all)
a. it peaks at about the age of 50
b. most people with type 2 DM are obese
c. it typically has an abrupt onset
d. people with type 2 DM have insulin resistance
e. it can be treated with oral antidiabetic medications and insulin
Correct Answers a,b,d,e
, 22. Which are modifiable risk factors for type 2 DM? (select
all )
a. age
b. family history
c. working in a low-stress environment
d. maintaining ideal body weight
e. maintaining adequate physical activity Correct Answers d,e
22. You are caring for an 81-year-old adult with type 2 diabetes,
hypertension, and peripheral vascular disease. Which admission
assessment findings increase the pt's risk for development of
hyperglycemic-hyperosmolar syndrome (HHS)? (select all that
apply)
1. hydrochlorothiazide (HCTZ) prescribed to control her
diabetes
2. weight gain of 6 pounds over the past month
3. avoids consuming liquids in the evening
4. BP of 168/94 mmHg
5. urine output of 50-75 mL/hr Correct Answers 1,3
23. A diabetic pt is scheduled to have a blood glucose test the
next morning. What does the nurse tell the pt to do before
coming in for the test?
a. eat the usual diet but have nothing after midnight
b. take the usual oral hypoglycemic tablet in the morning
c. eat a clear liquid breakfast in the morning
d. follow the usual diet and medication regimen Correct
Answers a
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