Diabetes Test 5

Question 1

A nurse is creating a plan of care for a client with hyperglycemia and diabetes mellitus. The following would be the top nursing diagnosis:

Accepted Answer

High risk for deficient fluid volume

Answer

Deficient knowledge: disease process and treatment

Answer

Disabled family coping: compromised

Answer

Imbalanced nutrition: less than body requirements

Question 2

The blood gases of a patient show diabetic acidosis. The nurse should prepare for:

Accepted Answer

Decreased HCO3

Answer

Decreased PO2

Answer

Increased PCO2

Answer

Increased pH

Question 3

When first admitted for treatment of hyperglycemia, a client with DM exhibits severe anxiety. The following would be the most effective intervention to lessen the client's anxiety:

Accepted Answer

Convey empathy, trust, and respect toward the client

Answer

Make sure the client knows all the correct medical terms to understand what is happening

Answer

Administer a sedative

Answer

Ignore the signs and symptoms of anxiety so that they will soon disappear

Question 4

A client with type 2 diabetes mellitus receives a physical evaluation from a nurse. Fasting blood glucose levels were 120 mg/dl, temperature was 101 °F, pulse rate was 88 bpm, respirations were 22 bpm, and blood pressure was 140/84 mmHg. Which finding would worry the nurse the most?

Accepted Answer

Temperature

Answer

Respiration

Answer

Pulse

Answer

Blood pressure

Question 5

The insulin that would be given to a patient who has diabetic ketoacidosis is:

Accepted Answer

Human regular insulin

Answer

Insulin lispro injection

Answer

Insulin glargine injection

Answer

Human NPH insulin

Question 6

When exercising, a client with type 1 diabetes phones the nurse frequently to report episodes of hypoglycemia. Which client comment revealed a lack of knowledge regarding the peak action of NPH insulin with exercise?

Accepted Answer

“The best time for me to exercise is every afternoon.”

Answer

“The best time for me to exercise is after breakfast.”

Answer

“The best time for me to exercise is after my morning snack.”

Answer

“The best time for me to exercise is right after I eat.”

Question 7

An ER patient with DKA is being cared for by a nurse. The most important nursing action during the acute period is to get ready to:

Accepted Answer

Administer regular insulin intravenously

Answer

Administer 5% dextrose intravenously

Answer

Apply an electrocardiogram monitor

Answer

Correct the acidosis

Question 8

A cell needs glucose because it is largely used for the following functions:

Accepted Answer

Extraction of energy

Answer

Building of genetic material

Answer

Formation of cell membranes

Answer

Synthesis of protein

Question 9

A patient with hypoglycemia is being admitted by the nurse. Describe the symptoms and indicators the nurse should look out for. Please check all that apply.

Accepted Answer

Palpitations

Answer

Hyperventilation

Answer

Thirst

Question 10

A patient with diabetes mellitus goes to a clinic for medical attention. Glyburide (Diabeta), 5 mg PO daily, has previously been effective in controlling the client's diabetes, but more lately, the fasting blood glucose has been ranging between 180 and 200 mg/dl. What drug, if it had been added to the client's regimen, might have caused the hyperglycemia?

Accepted Answer

prednisone (Deltasone)

Answer

atenolol (Tenormin)

Answer

phenelzine (Nardil)

Answer

allopurinol (Zyloprim)