1
Chapter 48 Diabetes Mellitus 2025.
Questions and Correct Answers. Graded
A
A 26-yr-old female who has type 1 diabetes develops a sore throat and
runny nose after caring
for her sick toddler. The patient calls the clinic for advice about her
symptoms and reports a
blood glucose level of 210 mg/dL despite taking her usual glargine (Lantus)
and lispro
(Humalog) insulin. What should the nurse advise the patient to do?
a. Use only the lispro insulin until the symptoms are resolved.
b. Limit intake of calories until the glucose is less than 120 mg/dL.
c. Monitor blood glucose every 4 hours and contact the clinic if it rises.
d. Decrease carbohydrates until glycosylated hemoglobin is less than 7%. -
ANSC
a 27yr old admitted with DKA has a serum glucose level of 732 mg/dL and
serum potassium level of 3.1 mEq/L. Which action prescribed by the HCP
should the nurse take first? - ANSPlace pt on cardiac monitor.
A 28-yr-old male patient with type 1 diabetes reports how he manages his
exercise and
glucose control. Which behavior indicates that the nurse should implement
additional
teaching?
1
, 2
a. The patient always carries hard candies when engaging in exercise.
b. The patient goes for a vigorous walk when his glucose is 200 mg/dL.
c. The patient has a peanut butter sandwich before going for a bicycle ride.
d. The patient increases daily exercise when ketones are present in the
urine. - ANSD
When the patient is ketotic, exercise may result in an increase in blood
glucose level. Patients
with type 1 diabetes should be taught to avoid exercise when ketosis is
present. The other
statements are correct.
A 30-yr-old patient has a new diagnosis of type 2 diabetes. When should
the nurse
recommend the patient schedule a dilated eye examination?
a. Every 2 years
b. Every 6 months
c. As soon as available
d. At the age of 39 years - ANSC
Because many patients have some diabetic retinopathy when they are first
diagnosed with
type 2 diabetes, a dilated eye examination is recommended at the time of
diagnosis and
annually thereafter.
A female patient is scheduled for an oral glucose tolerance test. Which
information from the
2
, 3
patient's health history is important for the nurse to communicate to the
health care provider
regarding this test?
a. The patient uses oral contraceptives.
b. The patient runs several days a week.
c. The patient has been pregnant three times.
d. The patient has a family history of diabetes. - ANSA
Oral contraceptive use may falsely elevate oral glucose tolerance test
(OGTT) values.
Exercise and a family history of diabetes both can affect blood glucose but
will not lead to
misleading information from the OGTT. History of previous pregnancies
may provide
informational about gestational glucose tolerance but will not lead to
misleading information
from the OGTT.
A few weeks after an 82-yr-old patient with a new diagnosis of type 2
diabetes has been
placed on metformin (Glucophage) therapy, the home health nurse makes
a visit. Which
finding should the nurse promptly discuss with the health care provider?
a. Hemoglobin A1C level is 7.9%.
b. Glomerular filtration rate is decreased.
c. Last eye examination was 18 months ago.
d. Patient has questions about the prescribed diet. - ANSB
3
Chapter 48 Diabetes Mellitus 2025.
Questions and Correct Answers. Graded
A
A 26-yr-old female who has type 1 diabetes develops a sore throat and
runny nose after caring
for her sick toddler. The patient calls the clinic for advice about her
symptoms and reports a
blood glucose level of 210 mg/dL despite taking her usual glargine (Lantus)
and lispro
(Humalog) insulin. What should the nurse advise the patient to do?
a. Use only the lispro insulin until the symptoms are resolved.
b. Limit intake of calories until the glucose is less than 120 mg/dL.
c. Monitor blood glucose every 4 hours and contact the clinic if it rises.
d. Decrease carbohydrates until glycosylated hemoglobin is less than 7%. -
ANSC
a 27yr old admitted with DKA has a serum glucose level of 732 mg/dL and
serum potassium level of 3.1 mEq/L. Which action prescribed by the HCP
should the nurse take first? - ANSPlace pt on cardiac monitor.
A 28-yr-old male patient with type 1 diabetes reports how he manages his
exercise and
glucose control. Which behavior indicates that the nurse should implement
additional
teaching?
1
, 2
a. The patient always carries hard candies when engaging in exercise.
b. The patient goes for a vigorous walk when his glucose is 200 mg/dL.
c. The patient has a peanut butter sandwich before going for a bicycle ride.
d. The patient increases daily exercise when ketones are present in the
urine. - ANSD
When the patient is ketotic, exercise may result in an increase in blood
glucose level. Patients
with type 1 diabetes should be taught to avoid exercise when ketosis is
present. The other
statements are correct.
A 30-yr-old patient has a new diagnosis of type 2 diabetes. When should
the nurse
recommend the patient schedule a dilated eye examination?
a. Every 2 years
b. Every 6 months
c. As soon as available
d. At the age of 39 years - ANSC
Because many patients have some diabetic retinopathy when they are first
diagnosed with
type 2 diabetes, a dilated eye examination is recommended at the time of
diagnosis and
annually thereafter.
A female patient is scheduled for an oral glucose tolerance test. Which
information from the
2
, 3
patient's health history is important for the nurse to communicate to the
health care provider
regarding this test?
a. The patient uses oral contraceptives.
b. The patient runs several days a week.
c. The patient has been pregnant three times.
d. The patient has a family history of diabetes. - ANSA
Oral contraceptive use may falsely elevate oral glucose tolerance test
(OGTT) values.
Exercise and a family history of diabetes both can affect blood glucose but
will not lead to
misleading information from the OGTT. History of previous pregnancies
may provide
informational about gestational glucose tolerance but will not lead to
misleading information
from the OGTT.
A few weeks after an 82-yr-old patient with a new diagnosis of type 2
diabetes has been
placed on metformin (Glucophage) therapy, the home health nurse makes
a visit. Which
finding should the nurse promptly discuss with the health care provider?
a. Hemoglobin A1C level is 7.9%.
b. Glomerular filtration rate is decreased.
c. Last eye examination was 18 months ago.
d. Patient has questions about the prescribed diet. - ANSB
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