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Terms in this set (82)
1. The MD ORDERS 2 IV's. the first IV is b. Humulin R
infusing normal saline, due to Demetria's
dehydration. A second IV is 5% dexterous &
45% normal saline solution with insulin
added. You review the order and know that
the only insulin preparation that can be
given IV is:
a. Humulin N
b. Humulin R
c. Ultralente
d. Humulin 30/70
The nurse understands that a diagnosis of d. PVD
diabetes means Mrs. James has increased
risk of:
a. Deep vein thrombosis (DVT)
b. Pancreatic cancer
c. Myocardial insufficiency disease
d. Peripheral vascular disease
When teaching Mrs. James about taking an C.
oral antihyperglycemic, the nurse
determines that additional teaching about
the medication is needed when she gives
the following response:
a) "If I overeat at a meal, I should not take an
extra dose of my medication.
b) "If I become ill or stressed, I may have to
take insulin to control my blood
sugar.
c) "Since I can take oral drugs rather than
insulin, my diabetes is not serious
and won't cause many complications.
d) "I should check with my doctor before
taking any other medications
because there are many that will affect
glucose levels."
,Mr. Demetria has received diet instruction as C.
part of his treatment plan. The nurse
determines a need for additional teaching
when he makes which of the following
comments?
a) "I may have an occasional alcoholic drink
if I include it in my meal plan
b) "I will need a bedtime snack because I
take an evening dose of NPH
insulin"
c) "I may eat whatever I want as long as I
cover the calories with sufficient
insulin"
d) "I need to eat meals as scheduled, even if
I am not hungry, to prevent
hypoglycemia
Demetria asks why more than one injection b.
of insulin is required each day,
what is the nurse's best response?
a. "You need to start with multiple injections
until you become more pro
at self-injection"
b. "A single dose of insulin each day would
not match your changing
sugar levels and your food intake pattern
closely enough"
c. "A regimen of a single dose of insulin
injected each day would require that you
eat no more than one meal each day"
d. "A single dose of insulin would be too
large to be absorbed predictably, so you
would be in danger of unexpected insulin
shock"
The nurse is assessing a patient with new a.
onset of type 1 diabetes. Which question
should the nurse ask to determine if the
patient has experienced any of the
symptoms of type 1 diabetes?
a. Have you lost any weight lately?
b. Do you crave fluids containing sugar?
C. How long have you felt anorexic?
d. Is your urine dark in colour?
The nurse is teaching a patient with diabetes d.
mellitus about differentiating between
hypoglycemia and ketoacidosis. The patient
demonstrates an understanding of the
teaching by stating that he should take
some glucose by mouth when the following
symptom develops.
a. Polyuria
b. Dry mouth
c. Fruity breath odour
d. Shakiness
, The patient arrives to the emergency a.
department with decreased Level of
consciousness, shortness of breath and
pallor. He is diagnosed with Diabetic
Ketoacidosis. What is the priority physician
order?
a. IV insertion and IV normal saline bolus
b. Continuous Sp02 monitor
c. Dietician to see
d. urine culture
The nurse is monitoring a patient who has a.
been newly diagnosed with diabetes remember 3 Ps!
mellitus type 1 for signs of complications. polyuria, polydipsia, polyphagia
Which statement made by the patient would
indicate hyperglycemia and the need to
contact a health care provider?
a. "I am urinating a lot"
b. "My pulse is really slow"
C."I am sweating for no reason"
d. "My blood pressure is really high"
Mrs. Jones, a 70-year-old with type 2 c.
diabetes mellitus has a morning blood sugar her blood sugar is normal.
reading of 4.7mmol/L before breakfast. The
nurse's best action is to:
a. Quickly give Mrs. Jones some sweetened
orange juice
b. Call the physician to get Mrs. Jones an
increased insulin order
C. Document the findings in Mrs. Jones'
chart as per policy
d. Call dietary services to arrange for extra
carbohydrates to be added to Mrs. Jones'
breakfast tray
Alex's Mom is worried about what to do if d.
Alex picks up a stomach flu' virus when he
returns to school and is vomiting and unable
to eat. The best response by the nurse is:
(he's type 1 diabetic)
a. "You should wait until you feel better to
take the insulin"
b. "You should take your oral hyperglycemic
medication until you are feeling better then
restart your insulin.
c. "It is safer not to take the insulin since you
are not eating, and you do not want to
become hypoglycemic.
d. "You need to take your insulin even when
you are sick because illness puts your body
in a state of stress which causes your blood
sugar to rise.