EAQ #1 NURS 1873 SP21 (Lewis Ch. 48 -
Diabetes Mellitus) UPDATED ACTUAL
Questions and CORRECT Answers
A patient with type 2 diabetes who takes oral hypoglycemics at home is admitted to the hospital with an
infection and asks why insulin injections have been prescribed. Which explanation would the nurse
provide? - CORRECT ANSWER The infection increases the glucose level, resulting in a need for
more insulin.
Which goal of the treatment plan for a patient with diabetic ketoacidosis (DKA) would be the initial
focus? - CORRECT ANSWER Rehydration through IV fluid replacement
A patient diagnosed with type 1 diabetes has had elevated blood sugar readings each morning for the past
four days. Which intervention by the nurse would be performed initially? - CORRECT
ANSWER Check the patient's blood sugar at 3:00 AM.
Which action would the nurse take first when teaching the patient with type 2 diabetes to become an
active participant in his or her care? - CORRECT ANSWER Assess the patient's understanding of
the disease.
Which statement is characteristic of metformin? - CORRECT ANSWER It decreases hepatic
glucose production.
Which assessment parameter would the nurse review to determine how well a patient's diabetes mellitus
has been controlled over the past two to three months? - CORRECT ANSWER Glycosylated
hemoglobin
Which class of drugs used to treat diabetes may be referred to as "insulin sensitizers"? - CORRECT
ANSWER Thiazolidinediones
The nurse would instruct the patient with diabetes to fast for which period of time when scheduled for a
fasting blood glucose level at 8:00 a.m.? - CORRECT ANSWER At least eight hours
, The nurse would encourage a patient newly diagnosed with type 2 diabetes to limit intake of which foods
to help reduce the percent of fat in the diet? - CORRECT ANSWER Cheese
When teaching the patient with diabetes about repaglinide, which instruction regarding the timing of the
medication would the nurse teach the patient? - CORRECT ANSWER Immediately before meals
A college student, newly diagnosed with type 1 diabetes, has a headache, changes in vision, and is
anxious, but does not have the portable blood glucose monitor with him or her. Which action would the
campus nurse advise the patient to take? - CORRECT ANSWER Eat 15 g of simple carbohydrates
Which defining characteristics are associated with the Somogyi effect? Select all that apply. - CORRECT
ANSWER -Documented morning hyperglycemia
-Avoided by consuming a bedtime snack
-Treated with a lower dose of insulin in the evening
-Documented hypoglycemia between 2:00 AM and 4:00 AM
A patient's blood glucose level before breakfast is 324 mg/dL. The nurse reviews the electronic medical
record and notes that the patient receives a high dose of insulin each evening at bedtime. The nurse
suspects that the patient's hyperglycemia is most likely due to which problem with insulin therapy? -
CORRECT ANSWER Somogyi effect
Who can serve as a health care proxy? - CORRECT ANSWER Anyone the patient chooses.
Which instruction, in relation to mealtimes, would the nurse give to a patient who is prescribed lispro? -
CORRECT ANSWER Take it within 15 minutes of mealtime.
During which timeframe would the nurse monitor the patient for hypoglycemia after administering 10
units regular insulin subcutaneously at 8:30 p.m.? - CORRECT ANSWER 10:30 p.m. to 1:30 a.m.
Diabetes Mellitus) UPDATED ACTUAL
Questions and CORRECT Answers
A patient with type 2 diabetes who takes oral hypoglycemics at home is admitted to the hospital with an
infection and asks why insulin injections have been prescribed. Which explanation would the nurse
provide? - CORRECT ANSWER The infection increases the glucose level, resulting in a need for
more insulin.
Which goal of the treatment plan for a patient with diabetic ketoacidosis (DKA) would be the initial
focus? - CORRECT ANSWER Rehydration through IV fluid replacement
A patient diagnosed with type 1 diabetes has had elevated blood sugar readings each morning for the past
four days. Which intervention by the nurse would be performed initially? - CORRECT
ANSWER Check the patient's blood sugar at 3:00 AM.
Which action would the nurse take first when teaching the patient with type 2 diabetes to become an
active participant in his or her care? - CORRECT ANSWER Assess the patient's understanding of
the disease.
Which statement is characteristic of metformin? - CORRECT ANSWER It decreases hepatic
glucose production.
Which assessment parameter would the nurse review to determine how well a patient's diabetes mellitus
has been controlled over the past two to three months? - CORRECT ANSWER Glycosylated
hemoglobin
Which class of drugs used to treat diabetes may be referred to as "insulin sensitizers"? - CORRECT
ANSWER Thiazolidinediones
The nurse would instruct the patient with diabetes to fast for which period of time when scheduled for a
fasting blood glucose level at 8:00 a.m.? - CORRECT ANSWER At least eight hours
, The nurse would encourage a patient newly diagnosed with type 2 diabetes to limit intake of which foods
to help reduce the percent of fat in the diet? - CORRECT ANSWER Cheese
When teaching the patient with diabetes about repaglinide, which instruction regarding the timing of the
medication would the nurse teach the patient? - CORRECT ANSWER Immediately before meals
A college student, newly diagnosed with type 1 diabetes, has a headache, changes in vision, and is
anxious, but does not have the portable blood glucose monitor with him or her. Which action would the
campus nurse advise the patient to take? - CORRECT ANSWER Eat 15 g of simple carbohydrates
Which defining characteristics are associated with the Somogyi effect? Select all that apply. - CORRECT
ANSWER -Documented morning hyperglycemia
-Avoided by consuming a bedtime snack
-Treated with a lower dose of insulin in the evening
-Documented hypoglycemia between 2:00 AM and 4:00 AM
A patient's blood glucose level before breakfast is 324 mg/dL. The nurse reviews the electronic medical
record and notes that the patient receives a high dose of insulin each evening at bedtime. The nurse
suspects that the patient's hyperglycemia is most likely due to which problem with insulin therapy? -
CORRECT ANSWER Somogyi effect
Who can serve as a health care proxy? - CORRECT ANSWER Anyone the patient chooses.
Which instruction, in relation to mealtimes, would the nurse give to a patient who is prescribed lispro? -
CORRECT ANSWER Take it within 15 minutes of mealtime.
During which timeframe would the nurse monitor the patient for hypoglycemia after administering 10
units regular insulin subcutaneously at 8:30 p.m.? - CORRECT ANSWER 10:30 p.m. to 1:30 a.m.
