ATI MedSurg Test Bank, Diabetes Mellitus-with 100% verified solutions-2024.docx, Exams of Nursing

Download ATI MedSurg Test Bank, Diabetes Mellitus-with 100% verified solutions-2024.docx and more Exams Nursing in PDF only on Docsity! ATI MedSurg Test Bank, Diabetes Mellitus-with 100% verified solutions-2024 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 Diaphores is 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 The nurse is caring for a client who is hypoglycemic. This client will have a blood glucose level: Below 70 mg/dL The patient is a newly diagnosed diabetic. Until he has diabetes under control. Which of the following tests will furnish valuable immediate feedback information? FBS Another term for hyperglycemic reaction is diabetic Ketoacidosis The nurse discovers the type 1 diabetes (IDDM) patient drowsy and tremulous, the skin is cool and moist, and respirations are 32 and shallow. These are signs of: Hypoglycemic reaction: give 6 oz of orange juice Only insulin can be administered intravenously Regular The nurse teaching a patient with type 1 diabetes mellitus (IDDM) about early signs of insulin reaction would include information about: Hunger and trembling sensation The nurse is administering long-acting insulin once a day, which provides insulin coverage for 24 hours. This insulin is Lantus What instructions should a nurse give to a diabetic patient to prevent injury to the feet? Avoid going barefoot and always wear shoes with soles. For a client with hyperglycemic, which data collection finding best supports a nursing diagnosis of deficient fluid volume? Increased urine osmolarity The physician orders an 1800-calorie diabetic diet and 40 units of (Humulin N) insulin U-100 subcutaneously daily for a patient with diabetes mellitus. A mid- afternoon snack of milk and crackers is give to Prevent an insulin reaction When reviewing the food diary of a client with type 2 diabetes, a nurse notices that the client typically skips breakfast. Which instruction by the nurse would be helpful for this client. “It’s important to maintain a stable blood sugar throughout the day. Can I help you devise a plan so you can eat breakfast each day?” How would the nurse administer insulin to prevent lipohypertrophy? At room temperature A 69 year-old patient with diabetes mellitus is admitted with cellulitis of the right foot.. In applying moist packs to his ulcerated floor, the nurse should use aseptic techniques to Prevent the introduction of additional microorganisms A nurse reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? “ I will carry a complex carbohydrate snack with me when I exercise” What should the nurse caution a tpe 1 diabetic about excessive exercise? It can decrease the need for insulin and may result in hypoglycemia The health care provider prescribes glyburide (micronase DiBeta, glynase) for a patient, age 57 when diet and exercise have not been able to control type 2 diabetes. What should the nurse include in the teaching plan about this medication? It is thought to stimulate insulin production and increase sensitivity to insulin at receptor sites A client with type 1 diabetes tells a nurse in the clinic “ I sometimes skip my insulin dose in the morning so I won't gain back any of the weight I’ve lost.” Which of the following would be an appropriate response for the nurse to make to this client? “You are worried about your weight? There are safer ways to prevent weight gain?” Every morning a client with type 1 diabetes receives 15 units of Humulin 70/30. What does this type of insulin contain? 70% NPH insulin and 30% regular insulin