Exam 3 NUR 170 QUESTIONS WITH
CORRECT ANSWERS
A client recently admitted with new-onset type 2 diabetes will be discharged with
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|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?
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While performing the test in the hospital
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An intensive care client with diabetic ketoacidosis (DKA) is receiving an insulin
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infusion. When the cardiac monitor shows ventricular ectopy, which assessment
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will the nurse make?
| | |
Potassium level |
A client with type 2 diabetes who is taking metformin (Glucophage) is seen in the
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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?
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Ask the client about current dietary intake and medication use.
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The nurse is providing discharge teaching to a client with type 2 diabetes and
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peripheral neuropathy. Which statement by the client indicates a need for further
| | | | | | | | | | |
teaching about injury prevention?
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"I can break in my shoes by wearing them all day."
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A client with type 1 diabetes arrives in the emergency department breathing
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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.
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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."
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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.
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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?
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Assist the client with washing the feet and applying moisturizing lotion.
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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
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Which is the best referral that the community health nurse can suggest to a client
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who has been newly diagnosed with diabetes?
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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 newly diagnosed with diabetes is not ready to learn diabetes control
| | | | | | | | | | | | |
during the hospital stay. Which information is the priority for the nurse to teach
| | | | | | | | | | | | | |
the client and the client's family?
| | | | |
Causes and treatment of hypoglycemia
| | | |
Insulin administration
|
The nurse is teaching a client with newly diagnosed type 2 diabetes about the
| | | | | | | | | | | | | |
importance of weight control. Which comment by the client indicates a need for
| | | | | | | | | | | | |
further teaching? |
"I will begin exercising for at least an hour a day."
| | | | | | | | | |
Which of these clients with diabetes will the endocrine unit charge nurse assign
| | | | | | | | | | | | |
to an RN who has floated from the labor/delivery unit?
| | | | | | | | |
A client who needs blood glucose monitoring and insulin before each meal
| | | | | | | | | | |
The nurse working on a medical surgical endocrine unit has just received change-
| | | | | | | | | | | |
of-shift report. Which client will the nurse see first?
| | | | | | | |
Client with type 1 diabetes whose insulin pump is beeping "occlusion"
| | | | | | | | | |
The nurse is teaching a client about the manifestations and emergency
| | | | | | | | | | |
management of hypoglycemia. Which response by the client indicates a correct
| | | | | | | | | | |
understanding of what to do if the client feels hungry and shaky? | | | | | | | | | | |
"I will eat three graham crackers."
| | | | |
The nurse caring for four clients with diabetes has these activities to perform.
| | | | | | | | | | | | |
Which activity is appropriate to delegate to unlicensed assistive personnel (UAP)?
| | | | | | | | | |
Perform a blood glucose check on a client who requires insulin.
| | | | | | | | | |
A client with typically well controlled diabetes has a glycosylated hemoglobin
| | | | | | | | | | |
(HbA1C) level of 9.4%. Which response by the nurse is most appropriate?
| | | | | | | | | | |
"Have you been doing something differently?
| | | | |
The nurse is performing an admission assessment on a 52-year-old client
| | | | | | | | | | |
admitted with type 2 diabetes.Physical AssessmentDiagnostic FindingsProvider
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CORRECT ANSWERS
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 newly diagnosed with diabetes is not ready to learn diabetes control
| | | | | | | | | | | | |
during the hospital stay. Which information is the priority for the nurse to teach
| | | | | | | | | | | | | |
the client and the client's family?
| | | | |
Causes and treatment of hypoglycemia
| | | |
Insulin administration
|
The nurse is teaching a client with newly diagnosed type 2 diabetes about the
| | | | | | | | | | | | | |
importance of weight control. Which comment by the client indicates a need for
| | | | | | | | | | | | |
further teaching? |
"I will begin exercising for at least an hour a day."
| | | | | | | | | |
Which of these clients with diabetes will the endocrine unit charge nurse assign
| | | | | | | | | | | | |
to an RN who has floated from the labor/delivery unit?
| | | | | | | | |
A client who needs blood glucose monitoring and insulin before each meal
| | | | | | | | | | |
The nurse working on a medical surgical endocrine unit has just received change-
| | | | | | | | | | | |
of-shift report. Which client will the nurse see first?
| | | | | | | |
Client with type 1 diabetes whose insulin pump is beeping "occlusion"
| | | | | | | | | |
The nurse is teaching a client about the manifestations and emergency
| | | | | | | | | | |
management of hypoglycemia. Which response by the client indicates a correct
| | | | | | | | | | |
understanding of what to do if the client feels hungry and shaky? | | | | | | | | | | |
"I will eat three graham crackers."
| | | | |
The nurse caring for four clients with diabetes has these activities to perform.
| | | | | | | | | | | | |
Which activity is appropriate to delegate to unlicensed assistive personnel (UAP)?
| | | | | | | | | |
Perform a blood glucose check on a client who requires insulin.
| | | | | | | | | |
A client with typically well controlled diabetes has a glycosylated hemoglobin
| | | | | | | | | | |
(HbA1C) level of 9.4%. Which response by the nurse is most appropriate?
| | | | | | | | | | |
"Have you been doing something differently?
| | | | |
The nurse is performing an admission assessment on a 52-year-old client
| | | | | | | | | | |
admitted with type 2 diabetes.Physical AssessmentDiagnostic FindingsProvider
| | | | | | |
