Metabolism Challenge Questions

What should a teaching plan about foot care include for a patient with diabetes? (Select all that apply.)

• Wash and carefully dry the feet every day.

• Apply lotion between the toes.

• Protect the feet from extreme temperatures.

• Walk barefoot only indoors.

• Buy shoes that are comfortable and supportive.

A teaching plan for a patient with diabetes is focused on smoking cessation and the control of hypertension for the avoidance of microvascular complications. What are examples of microvascular complications? (Select all that apply.)

• Macular degeneration

• End-stage renal disease (ESRD)

• Coronary artery disease (CAD)

• Peripheral vascular disease (PVD)

• Cerebrovascular accident (CVA)

What should the nurse point out when outlining the characteristics of fat metabolism? (Select all that apply.)

• Are soluble in water

• Use more oxygen than carbohydrates

• Are stored more compactly in the body

• Release more energy than carbohydrates

• Are rich in vitamin A

A nurse in the perinatal clinic explains to a student nurse that which of the following patients are at highest risk of developing gestational diabetes? (Select all that apply.)

• A 17-year-old in her second pregnancy

• A 24-year-old pregnant woman with placenta previa

• A 32-year-old woman with a BMI of 40

• A woman whose first baby weighed 10.5 lb (4.7 kg)

• A woman whose mother and sister had gestational diabetes

A nurse is teaching a new diabetic child and family about sick-day management. What information does the nurse plan to include? (Select all that apply.)

• Check blood sugars every 4 hours.

• Hold insulin if the child is vomiting.

• Provide plenty of rest and sleep.

• Offer calorie-containing liquids.

• Try to follow the usual meal plan.

A nurse is planning care for a school-age child with type 1 diabetes. Which insulin preparations are rapid and short acting (Select all that apply)?

• Novolin N

• Lantus

• NovoLog

• Novolin R

The nurse is caring for a macrosomic newborn of a diabetic patient. What complications will the nurse assess for in the newborn? (Select all that apply.)

• Meconium ileus

• Diarrhea

• Hypoglycemia

• Muscle tremors

• Urine retention

Which process(es) does the nurse explain the endocrine system is primarily responsible for controlling? (Select all that apply.)

• Maturation

• Reproduction

• Stress response

• Sexual identity

• Growth

A child with diabetes mellitus is observed to have cold symptoms. What signs and symptoms will alert parents of the possibility of ketoacidosis? (Select all that apply.)

• Chest congestion

• Ear pain

• Fruity breath

• Hyperactivity

• Nausea

A patient is taking a sulfonylurea medication for new-onset type 2 diabetes mellitus. When reviewing potential adverse effects during patient teaching, the nurse will include information about which of these effects? (Select all that apply.)

• Hypoglycemia

• Nausea

• Diarrhea

• Weight gain

• Peripheral edema