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Nurs 309 Exam (Ch 64 - Diabetes) Questions With Complete Solutions
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Nurs 309 Exam (Ch 64 - Diabetes) Questions With Complete Solutions
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Nurs 309 Exam (Ch 64 - Diabetes) Questions With CompleteSolutions
90% of people with DM have this type Correct Answers type 2
DM
A 25 year old female patient with type 1 DM tells the nurse, "I
have 2 kidneys and I'm still young, I expect to be around for a
long time, so why should I worry about my blood sugar?"
What is the nurse's BEST response? Correct Answers "keeping
your blood sugar under control now can help to prevent damage
to both kidneys."
A client expresses fear and anxiety over life changes associated
with DM stating, "I am scared I can't do it all and I will get sick
and be a burden on my family."
What is the BEST response? Correct Answers "Let's tackle it
piece by piece. What is most scary to you?"
A client has just been diagnosed with DM.
Which factor is MOST important for the nurse to assess in the
client before providing instruction about the disease and its
management? Correct Answers Education and literacy level
A client newly diagnosed with DM is not ready/willing to learn
diabetes contorl during the hospital stay.
,Which information is the priority for the nurse to teach the client
and the client's family? Correct Answers Causes and treatment
of hypoglycemia
A client recently admitted with new onset type 2 DM will be
discharged with a self monitoring blood glucose machine.
What is the BEST time for the nurse to explain to the client the
proper use of the machine? Correct Answers While performing
the test in the hospital.
A client with type 1 DM arrives in the ED breathing deeply and
stating, "I can't catch my breath."
The client's vital signs are: T 98.4 F, P 112 bpm, R 38 bpm, Bp
91/54 mmHg, and O2 Sat 99% on room air.
Which action does the nurse take first? Correct Answers Check
the blood glucose
A client with type 1 DM received regular insulin at 7am.
The client should be monitored for hypoglycemia at which time?
Correct Answers 11am
A client with type 2 DM has been admitted for surgery, and the
health care provider has placed the client on insulin in addition
to the current does of metformin (glucophage).
The client wants to know the purpose of taking the insulin.
, What is the nurse's BEST response? Correct Answers "Your
body is under more stress, so you'll need insulin to support your
medication."
A client with type 2 DM who is taking metformin (glucophage)
is seen in the DM clinic.
The fasting blood glucose is 108 mg/dL, and the HbA1c is 8.2%.
Which action does the nurse plan to take next? Correct Answers
Ask the client about current dietary intake and medication use.
A cold, mottled toe may indicate ___ in DM patients Correct
Answers arterial occlusion secondary to arterial occlusive
disease/embolization
A diabetic patient is scheduled to have a blood glucose test in
the next morning.
What does the nurse tell the patient to do before coming in for
the test? Correct Answers Eat the usual diet but have nothing
after midnight.
A DM client has a HbA1C of 9.4%.
What does the nurse say to the client regarding this finding?
Correct Answers "what are you doing differently?"
A patient asks the nurse how insulin injection site rotation
should be accomplished.
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