NUR 325 Exam 3 Actual Questions and Correct
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Polydipsia and polyuria related to diabetes are primarily due to
the release of ketones from cells during fat metabolism.
fluid shifts resulting from the osmotic effect of hyperglycemia.
damage to the kidneys from exposure to high levels of glucose.
changes in RBCs resulting from attachment of excess glucose to
hemoglobin.
ANSWER: fluid shifts resulting from the osmotic effect of
hyperglycemia.
A patient with type 1 diabetes calls the clinic with complaints of
nausea, vomiting, and diarrhea. It is most important that the nurse
advise the patient to?
A.Withhold the regular dose of insulin.
B.Drink cool fluids with high glucose content.
C.Check the blood glucose level every 2 to 4 hours.
D. Use a less strenuous form of exercise than usual until the illness
resolves.
ANSWER: Check the blood glucose level every 2 to 4 hours.
,The nurse plans a class for patients who have newly diagnosed type
2 diabetes mellitus. Which goal is most appropriate?
Make all patients responsible for the management of their disease.
Involve the family and significant others in the care of these patients.
Enable the patients to become active participants in the
management of their disease.
Provide the patients with as much information as soon as possible to
prevent complications.
ANSWER: Enable the patients to become active participants in the
management of their disease.
A patient screened for diabetes at a clinic has a fasting plasma
glucose level of 120 mg/dL (6.7 mmoL/L). Which statement by the
nurse is best?
“You will develop type 2 diabetes within 5 years.”
“You are at increased risk for developing diabetes.”
“The test is normal, and diabetes is not a problem.”
“The laboratory test result is positive for type 2 diabetes.”
ANSWER: “You are at increased risk for developing diabetes.”
explanation-
Defined as imparied glucose tolerance (IGT),
impared fasting glucose (TFG), or both
ICT 140-199 mg/dL
IFG 100-125 mg/dL
The nurse is caring for a patient with type 1 diabetes mellitus who is
admitted for diabetic ketoacidosis. The nurse would expect which
laboratory test result?
,A.Hypokalemia
B.Fluid overload
C.Hypoglycemia
D.Hyperphosphatemia
ANSWER: A.Hypokalemia
Keto acidosis is a profound deficiency of insulin (most common type
1)
early signs lethargy & weakness
BG 250 or more
-need to replace potassium and monitor it
-may need to give bicarbonate if severe acidosis
Which statement would be correct for a patient with type 2 diabetes
who was admitted to the hospital with pneumonia?
The patient must receive insulin therapy to prevent ketoacidosis.
The patient has islet cell antibodies that have destroyed the
pancreas’s ability to make insulin.
The patient has minimal or absent endogenous insulin secretion and
requires daily insulin injections.
The patient may have enough endogenous insulin to prevent ketosis
but is at risk for hyperosmolar hyperglycemic syndrome.
ANSWER: The patient may have enough endogenous insulin to
prevent ketosis but is at risk for hyperosmolar hyperglycemic
syndrome.
Explanation- (common with type 2) life threatening syndrome that
can occur in patient with diabetes who is able to make enough
insulin to prevent DKA but not enough to prevent severe
hyperglycemia, osmotic diuresis, and extracellular fluid depletion
, common causes are: UTI's Pneumonia, sepsis, any acute illness and
newly diagnosed type 2 DM
signs- BG over 600, thirst, fever, confusion, hallucinations, ketone
bodies absent or minimal
Analyze the following diagnostic findings for your patient with type 2
diabetes. Which result will need further assessment?
A1C 9%
BP 126/80 mmHg
FBG 130 mg/dL (7.2 mmol/L)
LDL cholesterol 100 mg/dL (2.6 mmol/L)
ANSWER: A1C 9%
A1C of 6% or higher is used to diagnose diabetes but the goal is for
diabetic patients to be less than 7%
LDL less than 100 is the goal
FBG goal is 70-130
Which statement by the patient with type 2 diabetes is accurate?
“I will limit my alcohol intake to 1 drink each day.”
“I am not allowed to eat any sweets because of my diabetes.”
“I cannot exercise because I take a blood glucose-lowering
medication.”
“The amount of fat in my diet is not important. Only carbohydrates
raise my blood sugar.”
ANSWER: "I will limit my alcohol intake to 1 drink each day."
Verified Answers|100% Guarantee Pass ,Graded
A+ and Well Reviewed |Most Highly Tested
Questions and Detailed Answers| Latest Exam
and Newest Version!!!
Polydipsia and polyuria related to diabetes are primarily due to
the release of ketones from cells during fat metabolism.
fluid shifts resulting from the osmotic effect of hyperglycemia.
damage to the kidneys from exposure to high levels of glucose.
changes in RBCs resulting from attachment of excess glucose to
hemoglobin.
ANSWER: fluid shifts resulting from the osmotic effect of
hyperglycemia.
A patient with type 1 diabetes calls the clinic with complaints of
nausea, vomiting, and diarrhea. It is most important that the nurse
advise the patient to?
A.Withhold the regular dose of insulin.
B.Drink cool fluids with high glucose content.
C.Check the blood glucose level every 2 to 4 hours.
D. Use a less strenuous form of exercise than usual until the illness
resolves.
ANSWER: Check the blood glucose level every 2 to 4 hours.
,The nurse plans a class for patients who have newly diagnosed type
2 diabetes mellitus. Which goal is most appropriate?
Make all patients responsible for the management of their disease.
Involve the family and significant others in the care of these patients.
Enable the patients to become active participants in the
management of their disease.
Provide the patients with as much information as soon as possible to
prevent complications.
ANSWER: Enable the patients to become active participants in the
management of their disease.
A patient screened for diabetes at a clinic has a fasting plasma
glucose level of 120 mg/dL (6.7 mmoL/L). Which statement by the
nurse is best?
“You will develop type 2 diabetes within 5 years.”
“You are at increased risk for developing diabetes.”
“The test is normal, and diabetes is not a problem.”
“The laboratory test result is positive for type 2 diabetes.”
ANSWER: “You are at increased risk for developing diabetes.”
explanation-
Defined as imparied glucose tolerance (IGT),
impared fasting glucose (TFG), or both
ICT 140-199 mg/dL
IFG 100-125 mg/dL
The nurse is caring for a patient with type 1 diabetes mellitus who is
admitted for diabetic ketoacidosis. The nurse would expect which
laboratory test result?
,A.Hypokalemia
B.Fluid overload
C.Hypoglycemia
D.Hyperphosphatemia
ANSWER: A.Hypokalemia
Keto acidosis is a profound deficiency of insulin (most common type
1)
early signs lethargy & weakness
BG 250 or more
-need to replace potassium and monitor it
-may need to give bicarbonate if severe acidosis
Which statement would be correct for a patient with type 2 diabetes
who was admitted to the hospital with pneumonia?
The patient must receive insulin therapy to prevent ketoacidosis.
The patient has islet cell antibodies that have destroyed the
pancreas’s ability to make insulin.
The patient has minimal or absent endogenous insulin secretion and
requires daily insulin injections.
The patient may have enough endogenous insulin to prevent ketosis
but is at risk for hyperosmolar hyperglycemic syndrome.
ANSWER: The patient may have enough endogenous insulin to
prevent ketosis but is at risk for hyperosmolar hyperglycemic
syndrome.
Explanation- (common with type 2) life threatening syndrome that
can occur in patient with diabetes who is able to make enough
insulin to prevent DKA but not enough to prevent severe
hyperglycemia, osmotic diuresis, and extracellular fluid depletion
, common causes are: UTI's Pneumonia, sepsis, any acute illness and
newly diagnosed type 2 DM
signs- BG over 600, thirst, fever, confusion, hallucinations, ketone
bodies absent or minimal
Analyze the following diagnostic findings for your patient with type 2
diabetes. Which result will need further assessment?
A1C 9%
BP 126/80 mmHg
FBG 130 mg/dL (7.2 mmol/L)
LDL cholesterol 100 mg/dL (2.6 mmol/L)
ANSWER: A1C 9%
A1C of 6% or higher is used to diagnose diabetes but the goal is for
diabetic patients to be less than 7%
LDL less than 100 is the goal
FBG goal is 70-130
Which statement by the patient with type 2 diabetes is accurate?
“I will limit my alcohol intake to 1 drink each day.”
“I am not allowed to eat any sweets because of my diabetes.”
“I cannot exercise because I take a blood glucose-lowering
medication.”
“The amount of fat in my diet is not important. Only carbohydrates
raise my blood sugar.”
ANSWER: "I will limit my alcohol intake to 1 drink each day."
