NUR 325 Exam 2: Diabetes Actual Questions with
Well Verified Answers |Having Detailed
Rationales |Most Highly Tested Questions and
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Exam and Newest Version| Highly Rationalized!!!!
A client who has Type 2 diabetes mellitus asks the nurse, "Why did I
develop diabetes?" Which of the following responses should the
nurse make?
A. "Your body is destroying the cells that secrete insulin"
B. " Your body has insulin resistance and decreases insulin
secretion"
C. "An infection in your pancreas destroyed the cells that make
insulin"
D. " Your kidneys are not able to reabsorb water which leads to Type
2 Diabetes Mellitus"
ANSWER: B. " Your body has insulin resistance and decreases
insulin secretion"
RATIONALE: A client genetically susceptible can develop Type 2 DM
when obesity and physical inactivity lead to insulin resistance at
cells as well as ↓ secretion of insulin by pancreatic beta-cells.
A nurse is teaching a client who has type 1 diabetes mellitus about
foot care. Which of the following statements by the client indicates
an understanding of the teaching?
A. "I'll wear sandals in warm weather"
B. "I'll put lotion between my toes after drying my feet."
,C. "I'll check my feet everyday for sores and bruises."
D. " I'll soak my feet in cool water everynight before I go to bed"
ANSWER: C. "I'll check my feet everyday for sores and bruises."
RATIONALE: The client should check his feet daily to monitor for any
problems and observe any other changes before they become
serious. He can use a hand mirror to examine areas that are difficult
for him to see.
A nurse is preparing a teaching plan for a client with diabetes
mellitus regarding proper footcare. Which instructions is included in
the plan?
A. Soak feet in hot water
B. Avoid using a mild soap on feet
C. Apply a moisturizing lotion to dry feet but not between toes
D. Always have a podiatrist cut your toenails; never cut them
yourself
ANSWER: C. Apply a moisturizing lotion to dry feet but not between
toes
A nurse teaches a client with diabetes mellitus about differentiating
between hypoglycemia and hyperglycemia. The client demonstrates
an understanding of hypoglycemia by stating that the glucose will be
taken if which of the following symptoms develops?
A. Polyuria
B. Shakiness
C. Blurred Vision
D. Fruity breath odor
ANSWER: B. Shakiness
A nurse is monitoring a client newly diagnosed with diabetes mellitus
for signs of complications. Which of the following, if exhibited in the
client would indicate hyperglycemia and warrant physician
notification?
A. Polyuria
,B. Diaphoresis
C. Hypertension
D. Increased pulse rate
ANSWER: A. Polyuria
The family of a bedridden client with type 2 Diabetes Mellitus and
chronic renal failure calls a nurse to report the following symptoms:
headache, polydipsia, and increased lethargy. Which question is
most important to ask the family?
A. "What is the client's urine output?"
B. "What is the client's capillary blood glucose level?"
C. " Has there been any changes in dietary intake?"
D. "Have you increased the amount of fluids provided?"
ANSWER: B. "What is the client's capillary blood glucose level?"
Diabetes - related retinopathy is the leading cause of new cases of
adult blindness
True or False
ANSWER: TRUE
What is not a risk factor for impaired glucose regulation?
A. Pregnancy
B. Age extreme ( older adults, infants)
C. Low socioeconomic status
D. Alaska Native
ANSWER: C. Low socioeconomic status
Which disease processes are related to diabetes mellitus? (select all
that apply)
A. retinopathy
B. neuropathy
C. osteopathy
D. nephropathy
E. allelopathy
, ANSWER:
A. retinopathy
B. neuropathy
D. nephropathy
Characteristics of Type 2 Diabetes
ANSWER:
-becoming more common in children and adolescents
- insulin resistance
- can be managed with diet/ exercise, oral medication, and or insulin
therapy
- most individuals are overweight or obese
- most common type of diabetes
Characteristics of Type 1 Diabetes
ANSWER:
- new diagnosis more common in children and adolescents
- most individuals are thin or normal weight
-require lifelong insulin replacement
-autoimmune disorder
-insulin deficiency
A nurse is teaching about self-monitoring to a client who has Type 1
DM. Which of the following statement by the client indicates an
understanding of the teaching?
A. " I will check my urine once a day for ketones"
B. " I will notify my provider if per-meal glucose is 120 mg/dL"
C. " I will check my blood glucose every 4 hours when I am sick"
D. " I will check blood glucose every 5 minutes when lightheaded"
ANSWER: C. " I will check my blood glucose every 4 hours when I am
sick"
A nurse is teaching an older adult client who has DM about
preventing the long-term complications or retinopathy and
Well Verified Answers |Having Detailed
Rationales |Most Highly Tested Questions and
Well Reviewed |100% Guarantee Pass |Latest
Exam and Newest Version| Highly Rationalized!!!!
A client who has Type 2 diabetes mellitus asks the nurse, "Why did I
develop diabetes?" Which of the following responses should the
nurse make?
A. "Your body is destroying the cells that secrete insulin"
B. " Your body has insulin resistance and decreases insulin
secretion"
C. "An infection in your pancreas destroyed the cells that make
insulin"
D. " Your kidneys are not able to reabsorb water which leads to Type
2 Diabetes Mellitus"
ANSWER: B. " Your body has insulin resistance and decreases
insulin secretion"
RATIONALE: A client genetically susceptible can develop Type 2 DM
when obesity and physical inactivity lead to insulin resistance at
cells as well as ↓ secretion of insulin by pancreatic beta-cells.
A nurse is teaching a client who has type 1 diabetes mellitus about
foot care. Which of the following statements by the client indicates
an understanding of the teaching?
A. "I'll wear sandals in warm weather"
B. "I'll put lotion between my toes after drying my feet."
,C. "I'll check my feet everyday for sores and bruises."
D. " I'll soak my feet in cool water everynight before I go to bed"
ANSWER: C. "I'll check my feet everyday for sores and bruises."
RATIONALE: The client should check his feet daily to monitor for any
problems and observe any other changes before they become
serious. He can use a hand mirror to examine areas that are difficult
for him to see.
A nurse is preparing a teaching plan for a client with diabetes
mellitus regarding proper footcare. Which instructions is included in
the plan?
A. Soak feet in hot water
B. Avoid using a mild soap on feet
C. Apply a moisturizing lotion to dry feet but not between toes
D. Always have a podiatrist cut your toenails; never cut them
yourself
ANSWER: C. Apply a moisturizing lotion to dry feet but not between
toes
A nurse teaches a client with diabetes mellitus about differentiating
between hypoglycemia and hyperglycemia. The client demonstrates
an understanding of hypoglycemia by stating that the glucose will be
taken if which of the following symptoms develops?
A. Polyuria
B. Shakiness
C. Blurred Vision
D. Fruity breath odor
ANSWER: B. Shakiness
A nurse is monitoring a client newly diagnosed with diabetes mellitus
for signs of complications. Which of the following, if exhibited in the
client would indicate hyperglycemia and warrant physician
notification?
A. Polyuria
,B. Diaphoresis
C. Hypertension
D. Increased pulse rate
ANSWER: A. Polyuria
The family of a bedridden client with type 2 Diabetes Mellitus and
chronic renal failure calls a nurse to report the following symptoms:
headache, polydipsia, and increased lethargy. Which question is
most important to ask the family?
A. "What is the client's urine output?"
B. "What is the client's capillary blood glucose level?"
C. " Has there been any changes in dietary intake?"
D. "Have you increased the amount of fluids provided?"
ANSWER: B. "What is the client's capillary blood glucose level?"
Diabetes - related retinopathy is the leading cause of new cases of
adult blindness
True or False
ANSWER: TRUE
What is not a risk factor for impaired glucose regulation?
A. Pregnancy
B. Age extreme ( older adults, infants)
C. Low socioeconomic status
D. Alaska Native
ANSWER: C. Low socioeconomic status
Which disease processes are related to diabetes mellitus? (select all
that apply)
A. retinopathy
B. neuropathy
C. osteopathy
D. nephropathy
E. allelopathy
, ANSWER:
A. retinopathy
B. neuropathy
D. nephropathy
Characteristics of Type 2 Diabetes
ANSWER:
-becoming more common in children and adolescents
- insulin resistance
- can be managed with diet/ exercise, oral medication, and or insulin
therapy
- most individuals are overweight or obese
- most common type of diabetes
Characteristics of Type 1 Diabetes
ANSWER:
- new diagnosis more common in children and adolescents
- most individuals are thin or normal weight
-require lifelong insulin replacement
-autoimmune disorder
-insulin deficiency
A nurse is teaching about self-monitoring to a client who has Type 1
DM. Which of the following statement by the client indicates an
understanding of the teaching?
A. " I will check my urine once a day for ketones"
B. " I will notify my provider if per-meal glucose is 120 mg/dL"
C. " I will check my blood glucose every 4 hours when I am sick"
D. " I will check blood glucose every 5 minutes when lightheaded"
ANSWER: C. " I will check my blood glucose every 4 hours when I am
sick"
A nurse is teaching an older adult client who has DM about
preventing the long-term complications or retinopathy and
