NURS 842 Endocrine Exam 2 Questions & Answers

NURS 842 Endocrine Exam 2 Questions & Answers What diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous 8 to 12 weeks? Glycosylated hemoglobin (HbA1c) The patient is a 20 year old college student who has type 1 diabetes and normally walks each evening as part of an exercise regimen. The patient plans to enroll in a swimming class. Which adjustment should be made based on this information? Monitor glucose level before, during, and after swimming to determine the need for alterations in food or insulin Which of the following are signs and symptoms of hypoglycemia? (select all that apply) Irritability Diaphoresis Tremors The nurse is teaching a client with type 1 diabetes how to treat adverse reactions to insulin. To reverse a hypoglycemic reaction, the client ideally should ingest an oral carbohydrate. However, this treatment isn't always possible or safe. Therefore, the nurse should advise the client to keep which alternate treatment on hand? Glucagon A client with type 1 diabetes asks the nurse about taking an oral antidiabetic agent. The nurse explains that these medication are only effective if the client: Has type 2 diabetes The nurse is teaching the client about risk factors for diabetes mellitus. Which risk factor for diabetes mellitus is non modifiable Advance age A client with type 1 diabetes takes 15 units of isophane insulin suspension (Humulin N) before breakfast and 8 units before dinner. During a follow-up visit, the nurse evaluates the client’s knowledge about insulin therapy and self-administration skills and learns that the client is unaware that certain over-the-counter (OTC) preparations and other medications may interact with insulin. The nurse should advise the client to avoid with OTC preparations Preparations containing salicylates A client’s blood glucose level is 45 mg/dL. The nurse should be alert for which signs and symptoms ? Coma, anxiety, confusion, headache, and cool, moist skin A client who has had type 2 diabetes for 20 years tells the nurse that sometimes she has diarrhea and other times constipation. In addition, she sometimes feels “full” after eating small amounts. Which of the following would be an appropriate response for the nurse to make? “Sometimes people with diabetes have problems with their digestion.Did you tell your physician about this? Which instruction about insulin administration should the nurse give to a client? “Always follow the same order when drawing the different insulins into the syringe” A client has just been diagnosed with type 1 diabetes. When teaching the client and family how diet and exercise affect insulin requirements, the nurse should include which guideline? “You’ll need less insulin when you exercise or reduce your food intake” A client with type 1 diabetes has been on a regimen of multiple daily injection therapy. He;s being converted to continuous subcutaneous insulin therapy. While teaching the client about continuous subcutaneous insulin therapy, the nurse would be accurate in telling him the regimen includes the use of: Short-acting insulin only A client with type 2 diabetes tells a nurse that he stopped walking at the mall because of his “bad leg pain.” How should the nurse respond to this client? “Did you notify your physician when you started to have the leg pain?” A client with type 1 diabetes must learn how to self-administer insulin. The physician has prescribed 10 units of U-100 regular insulin and 35 units of U-100 isophane insulin suspension (NPH) to be taken before breakfast. When teaching the client how to select and rotate insulin injection sites, the nurse should provide with instruction “Rotate injection sites within sites within the same anatomic region,not among different regions.” A client is diagnosed with diabetes mellitus. Which data collection finding best supports a nursing diagnosis of ineffective coping related to diabetes mellitus?