CHAPTER 67 CARE OF PATIENTS WITH
DIABETES MELLITUS QUESTIONS WITH
CORRECT ANSWERS
Which explanation best assists the client in differentiating type 1 diabetes from type 2 diabetes? Most clients with type 1 diabetes are born with it. People with type 1 diabetes are often obese. Those with type 2 diabetes make insulin, but in inadequate amounts. People with type 2 diabetes do not develop typical diabetic complications. CORRECT ANSWER Those with type 2 diabetes make insulin, but in inadequate amounts.
CHART EXHIBIT
The nurse receives report on a 52-year-old client with type 2 diabetes.
Assessment:
Lungs clear
Right great toe mottled
Diagnostic:
Glucose 179
Hemoglobin A1C 6.9
Prescriptions:
Regular insulin 8 units if blood glucose 250 to 275 and cold to touch
Regular insulin 10 units if glucose 275 to 300
Client states wears eyeglasses to read.
Which complication of diabetes should the nurse report to the provider? Poor glucose control Visual changes Respiratory distress Peripheral tissue perfusion CORRECT ANSWER Peripheral tissue perfusion
The client with type 1 diabetes mellitus received regular insulin at 7 AM. The client should be monitored for hypoglycemia at which time? 7:30 AM 11 AM 2 PM 7:30 PM CORRECT ANSWER 11 AM The client newly diagnosed with diabetes is not ready or willing 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 hyperglycemia Causes and treatment of hypoglycemia Dietary control Insulin administration CORRECT ANSWER Causes and treatment of hypoglycemia
The nurse is providing discharge teaching to the client with diabetes about injury prevention for peripheral neuropathy. Which statement by the client indicates a need for
further teaching? "I can break in my shoes by wearing them all day." "I need to monitor my feet daily for blisters or skin breaks." "I should never go barefoot." "I should quit smoking." CORRECT ANSWER "I can break in my shoes by wearing them all day."
The nurse is teaching the client with type 2 diabetes about the importance of weight control. Which comment by the client indicates a need for further teaching? "I should begin exercising for at least an hour a day." "I should monitor my diet." "If I lose weight, I may not need to use the insulin anymore." "Weight loss can be a sign of diabetic ketoacidosis." CORRECT ANSWER "I should begin exercising for at least an hour a day."
The nurse is providing discharge teaching to the client with newly diagnosed diabetes. Which statement by the client indicates correct understanding about the need to wear a medical alert bracelet? "If I become hyperglycemic, it is a medical emergency." "If I become hypoglycemic, I could become unconscious." "Medical personnel may need confirmation of my insurance." "I may need to be admitted to the hospital suddenly." CORRECT ANSWER "If I become hypoglycemic, I could become unconscious."
The nurse is teaching the client about the manifestations and emergency treatment of hypoglycemia. In assessing the client's knowledge, the nurse asks the client what he or she should do if feeling hungry and shaky. Which response by the client indicates correct understanding of hypoglycemia management? "I should drink a glass of water." "I should eat three graham crackers." "I should give myself 1 mg of glucagon." "I should sit down and rest." CORRECT ANSWER "I should eat three graham crackers."
The client has just been diagnosed with diabetes. Which factor is most important for the nurse to assess before providing instruction about the disease and its management?
DIABETES MELLITUS QUESTIONS WITH
CORRECT ANSWERS
Which explanation best assists the client in differentiating type 1 diabetes from type 2 diabetes? Most clients with type 1 diabetes are born with it. People with type 1 diabetes are often obese. Those with type 2 diabetes make insulin, but in inadequate amounts. People with type 2 diabetes do not develop typical diabetic complications. CORRECT ANSWER Those with type 2 diabetes make insulin, but in inadequate amounts.
CHART EXHIBIT
The nurse receives report on a 52-year-old client with type 2 diabetes.
Assessment:
Lungs clear
Right great toe mottled
Diagnostic:
Glucose 179
Hemoglobin A1C 6.9
Prescriptions:
Regular insulin 8 units if blood glucose 250 to 275 and cold to touch
Regular insulin 10 units if glucose 275 to 300
Client states wears eyeglasses to read.
Which complication of diabetes should the nurse report to the provider? Poor glucose control Visual changes Respiratory distress Peripheral tissue perfusion CORRECT ANSWER Peripheral tissue perfusion
The client with type 1 diabetes mellitus received regular insulin at 7 AM. The client should be monitored for hypoglycemia at which time? 7:30 AM 11 AM 2 PM 7:30 PM CORRECT ANSWER 11 AM The client newly diagnosed with diabetes is not ready or willing 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 hyperglycemia Causes and treatment of hypoglycemia Dietary control Insulin administration CORRECT ANSWER Causes and treatment of hypoglycemia
The nurse is providing discharge teaching to the client with diabetes about injury prevention for peripheral neuropathy. Which statement by the client indicates a need for
further teaching? "I can break in my shoes by wearing them all day." "I need to monitor my feet daily for blisters or skin breaks." "I should never go barefoot." "I should quit smoking." CORRECT ANSWER "I can break in my shoes by wearing them all day."
The nurse is teaching the client with type 2 diabetes about the importance of weight control. Which comment by the client indicates a need for further teaching? "I should begin exercising for at least an hour a day." "I should monitor my diet." "If I lose weight, I may not need to use the insulin anymore." "Weight loss can be a sign of diabetic ketoacidosis." CORRECT ANSWER "I should begin exercising for at least an hour a day."
The nurse is providing discharge teaching to the client with newly diagnosed diabetes. Which statement by the client indicates correct understanding about the need to wear a medical alert bracelet? "If I become hyperglycemic, it is a medical emergency." "If I become hypoglycemic, I could become unconscious." "Medical personnel may need confirmation of my insurance." "I may need to be admitted to the hospital suddenly." CORRECT ANSWER "If I become hypoglycemic, I could become unconscious."
The nurse is teaching the client about the manifestations and emergency treatment of hypoglycemia. In assessing the client's knowledge, the nurse asks the client what he or she should do if feeling hungry and shaky. Which response by the client indicates correct understanding of hypoglycemia management? "I should drink a glass of water." "I should eat three graham crackers." "I should give myself 1 mg of glucagon." "I should sit down and rest." CORRECT ANSWER "I should eat three graham crackers."
The client has just been diagnosed with diabetes. Which factor is most important for the nurse to assess before providing instruction about the disease and its management?
