2
Diabetes
1.The client, an 18yearold female, 5’4”tall, weighing 113 kg, comes to the clinic for a
wound on her lower leg that has not healed for the last two (2) weeks. Which disease
process would the nurse suspect that the client has developed?
1. Type 1 diabetes.
2.Type 2 diabetes.
3.Gestational diabetes.
4.Acanthosis nigricans.
TYPE 2 DIABETES IS A DISORDER THAT USUALLY OCCURS
AROUND THE AGE OF 40, BUT IT IS NOW BEING DETECTED IN
CHILDREN AND YOUNG ADULTS AS A RESULT OF OBESITY AND
SEDENTARY LIFE STYLES. WOUNDS THAT DO NOT HEAL ARE A
HALLMARK SIGN OF TYPE 2 DIABETES. THIS CLIENT WEIGHS 248.6
POUNDS AND IS SHORT
2. The client diagnosed with Type 1 diabetes has a glycosylated hemoglobin (A1c) of
8.1%. Which interpretation should the nurse make based on this result?
1.This result is below normal levels.
2.This result is within acceptable levels.
3. THIS RESULT IS ABOVE RECOMMENDED LEVELS.
4. This result is dangerously high.
THIS RESULT PARALLELS A SERUM BLOOD GLUCOSELEVEL OF
APPROXIMATELY 180 TO 200 MG/DL. AN A1 C IS A BLOOD TEST
THAT REFLECTS AVERAGE BLOOD GLUCOSE LEVELS OVER A
PERIOD OF 2– 3MONTHS; CLIENTS WITH ELEVATED BLOOD
GLUCOSE LEVELS ARE AT RISK FOR DEVELOPING LONG TERM
COMPLICATIONS
https://www.coursehero.com/file/18610285/Diabetes-
sucess/
, 2
3.The nurse administered 28 units of Humulin N, an intermediateacting insulin, to a
client diagnosed with Type 1 diabetes at 1600. Which action should the nurse
imple ment?
1.Ensure the client eats the bedtime snack.
2.Determine how much food the client ate at
lunch. 3.Perform a glucometer reading at 0700.
4.Offer the client protein after administering insulin.
Humulin N peaks in 6–8 hours, making the client at risk for hypoglycemia around
midnight, which is why the client should receive a bedtime snack. This snack will prevent
nighttime hypoglycemia
4. The client diagnosed with Type 1 diabetes is receiving Humalog, a rapidacting insulin,
by sliding scale. The order reads blood glucose level: 150, 0 units; 151–200, 3 units;
201–250, 6 units; 251, contact healthcare provider. The unlicensed nursing assistant
reports to the nurse that the client’s glucometer reading is 189. How much insulin
should the nurse administer to the client? 3 units
https://www.coursehero.com/file/18610285/Diabetes-
sucess/
Diabetes
1.The client, an 18yearold female, 5’4”tall, weighing 113 kg, comes to the clinic for a
wound on her lower leg that has not healed for the last two (2) weeks. Which disease
process would the nurse suspect that the client has developed?
1. Type 1 diabetes.
2.Type 2 diabetes.
3.Gestational diabetes.
4.Acanthosis nigricans.
TYPE 2 DIABETES IS A DISORDER THAT USUALLY OCCURS
AROUND THE AGE OF 40, BUT IT IS NOW BEING DETECTED IN
CHILDREN AND YOUNG ADULTS AS A RESULT OF OBESITY AND
SEDENTARY LIFE STYLES. WOUNDS THAT DO NOT HEAL ARE A
HALLMARK SIGN OF TYPE 2 DIABETES. THIS CLIENT WEIGHS 248.6
POUNDS AND IS SHORT
2. The client diagnosed with Type 1 diabetes has a glycosylated hemoglobin (A1c) of
8.1%. Which interpretation should the nurse make based on this result?
1.This result is below normal levels.
2.This result is within acceptable levels.
3. THIS RESULT IS ABOVE RECOMMENDED LEVELS.
4. This result is dangerously high.
THIS RESULT PARALLELS A SERUM BLOOD GLUCOSELEVEL OF
APPROXIMATELY 180 TO 200 MG/DL. AN A1 C IS A BLOOD TEST
THAT REFLECTS AVERAGE BLOOD GLUCOSE LEVELS OVER A
PERIOD OF 2– 3MONTHS; CLIENTS WITH ELEVATED BLOOD
GLUCOSE LEVELS ARE AT RISK FOR DEVELOPING LONG TERM
COMPLICATIONS
https://www.coursehero.com/file/18610285/Diabetes-
sucess/
, 2
3.The nurse administered 28 units of Humulin N, an intermediateacting insulin, to a
client diagnosed with Type 1 diabetes at 1600. Which action should the nurse
imple ment?
1.Ensure the client eats the bedtime snack.
2.Determine how much food the client ate at
lunch. 3.Perform a glucometer reading at 0700.
4.Offer the client protein after administering insulin.
Humulin N peaks in 6–8 hours, making the client at risk for hypoglycemia around
midnight, which is why the client should receive a bedtime snack. This snack will prevent
nighttime hypoglycemia
4. The client diagnosed with Type 1 diabetes is receiving Humalog, a rapidacting insulin,
by sliding scale. The order reads blood glucose level: 150, 0 units; 151–200, 3 units;
201–250, 6 units; 251, contact healthcare provider. The unlicensed nursing assistant
reports to the nurse that the client’s glucometer reading is 189. How much insulin
should the nurse administer to the client? 3 units
https://www.coursehero.com/file/18610285/Diabetes-
sucess/
