Hide definitions
A client recently admitted with new-onset type 2 diabetes will be discharged with a meter
for self-monitoring of blood glucose (SMBG) levels. When is the best time for the nurse to
explain to the client the proper use of the glucose monitor?
While performing the test in the hospital
An intensive care client with diabetic ketoacidosis (DKA) is receiving an insulin infusion.
When the cardiac monitor shows ventricular ectopy, which assessment will the nurse make?
Potassium level
A client with type 2 diabetes who is taking metformin (Glucophage) is seen in the diabetic
clinic. The fasting blood glucose is 108 mg/dL (6.0 mmol/L), and the glycosylated
hemoglobin (HbA1C) is 8.2%. Which action will the nurse take next?
Ask the client about current dietary intake and medication use.
,The nurse is providing discharge teaching to a client with type 2 diabetes and peripheral
neuropathy. Which statement by the client indicates a need for further teaching about injury
prevention?
"I can break in my shoes by wearing them all day."
A client with type 1 diabetes arrives in the emergency department breathing deeply and
stating, "I can't catch my breath." The client's vital signs are: T 98.4°F (36.9°C), P 112 beats/min,
R 38 breaths/min, BP 91/54 mm Hg, and O2 saturation 99% on room air. Which action will the
nurse take first?
Check the blood glucose.
The clinic nurse is providing teaching to a client with newly diagnosed diabetes. Which
statement by the client indicates a correct understanding about the need to wear a
MedicAlert bracelet?
"If I become hypoglycemic, I could become unconscious."
,The nurse in the endocrine clinic is reviewing type 1 and type 2 diabetes with a group of
nursing students. Which explanation by the students indicates their understanding of the
types of diabetes?
Those with type 2 diabetes make insulin, but in inadequate amounts.
Which nursing action will the home health nurse delegate to a home health aide who is
making daily visits to a client with newly diagnosed type 2 diabetes?
Assist the client with washing the feet and applying moisturizing lotion.
The nurse has just taken change-of-shift report on a group of clients on the medical-surgical
unit. Which client does the nurse assess first?
Client taking glyburide (Diabeta) who is dizzy and sweaty
, Which is the best referral that the community health nurse can suggest to a client who has
been newly diagnosed with diabetes?
American Diabetes Association (ADA)
A client expresses fear and anxiety over the life changes associated with diabetes, 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
nurse's best response?
"Let's tackle it piece by piece. What is most scary to you?"
A client with type 2 diabetes controlled with Metformin is recovering from surgery. The
primary health care provider has placed the client on insulin in addition to the metformin.
What is the nurse's best response about why the client needs to take insulin?
Stress, such as surgery, increases blood glucose levels. You'll need insulin to control your
blood glucose temporarily."
A client recently admitted with new-onset type 2 diabetes will be discharged with a meter
for self-monitoring of blood glucose (SMBG) levels. When is the best time for the nurse to
explain to the client the proper use of the glucose monitor?
While performing the test in the hospital
An intensive care client with diabetic ketoacidosis (DKA) is receiving an insulin infusion.
When the cardiac monitor shows ventricular ectopy, which assessment will the nurse make?
Potassium level
A client with type 2 diabetes who is taking metformin (Glucophage) is seen in the diabetic
clinic. The fasting blood glucose is 108 mg/dL (6.0 mmol/L), and the glycosylated
hemoglobin (HbA1C) is 8.2%. Which action will the nurse take next?
Ask the client about current dietary intake and medication use.
,The nurse is providing discharge teaching to a client with type 2 diabetes and peripheral
neuropathy. Which statement by the client indicates a need for further teaching about injury
prevention?
"I can break in my shoes by wearing them all day."
A client with type 1 diabetes arrives in the emergency department breathing deeply and
stating, "I can't catch my breath." The client's vital signs are: T 98.4°F (36.9°C), P 112 beats/min,
R 38 breaths/min, BP 91/54 mm Hg, and O2 saturation 99% on room air. Which action will the
nurse take first?
Check the blood glucose.
The clinic nurse is providing teaching to a client with newly diagnosed diabetes. Which
statement by the client indicates a correct understanding about the need to wear a
MedicAlert bracelet?
"If I become hypoglycemic, I could become unconscious."
,The nurse in the endocrine clinic is reviewing type 1 and type 2 diabetes with a group of
nursing students. Which explanation by the students indicates their understanding of the
types of diabetes?
Those with type 2 diabetes make insulin, but in inadequate amounts.
Which nursing action will the home health nurse delegate to a home health aide who is
making daily visits to a client with newly diagnosed type 2 diabetes?
Assist the client with washing the feet and applying moisturizing lotion.
The nurse has just taken change-of-shift report on a group of clients on the medical-surgical
unit. Which client does the nurse assess first?
Client taking glyburide (Diabeta) who is dizzy and sweaty
, Which is the best referral that the community health nurse can suggest to a client who has
been newly diagnosed with diabetes?
American Diabetes Association (ADA)
A client expresses fear and anxiety over the life changes associated with diabetes, 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
nurse's best response?
"Let's tackle it piece by piece. What is most scary to you?"
A client with type 2 diabetes controlled with Metformin is recovering from surgery. The
primary health care provider has placed the client on insulin in addition to the metformin.
What is the nurse's best response about why the client needs to take insulin?
Stress, such as surgery, increases blood glucose levels. You'll need insulin to control your
blood glucose temporarily."
