WorksheetsDiabetes
Total questions: 25
Worksheet time: 14mins
A nurse is participating in a diabetes screening program. Who of the following is (are) at risk for developing type 2 diabetes? Select all that apply.
A 32-year-old female who delivered a 91fz-lb infant.
A 44-year-old Native American Indian who has a body mass index (BMI) of 32.
An 18-year-old Hispanic who jogs four times a week.
A 55-year-old Asian American who has hypertension and two siblings with type 2 diabetes.
A 12-year-old who is overweight.
A client with type 1 diabetes mellitus has diabetic ketoacidosis. Which of the following findings has the greatest effect on fluid loss?
Hypotension.
Decreased serum potassium level.
Rapid, deep respiration's.
Warm, dry skin.
The
A client is to receive glargine (Lantus) insulin in addition to a dose of aspart (NovoLog). When the nurse checks the blood glucose level at the bedside, it is greater than 200 mg/ dL. How should the nurse administer the insulins?
Put air into the glargine insulin vial, and then air into the aspart insulin vial, and draw up the correct dose of aspart insulin first.
Roll the glargine insulin vial, then roll the aspart insulin vial. Draw up the longer-acting glargine insulin first.
Shake both vials of insulin before drawing up each dose in separate insulin syringes.
Put air into the glargine insulin vial, and draw up the correct dose in an insulin syringe; then, with a different insulin syringe, put air into the aspart vial and draw up the correct dose.
Which information should the nurse include when developing a teaching plan for a client newly diagnosed with type 2 diabetes mellitus. Select all that apply.
A major risk factor for complications is obesity and central abdominal obesity.
Supplemental insulin is mandatory for controlling the disease.
Exercise increases insulin resistance.
The primary nutritional source requiring monitoring in the diet is carbohydrates.
Annual eye and foot examinations are recommended by the American Diabetes Association (ADA).
Which of the following findings should the nurse report to the client's physcian for a client with unstable type 1 diabetes mellitus? Select all that apply.
Systolic blood pressure, 145 mm Hg.
Diastolic blood pressure, 87 mm Hg.
High-density lipoprotein (HDL), 30 mg/dL
Glycosylated hemoglobin (HbA1J, 10.2%.
Triglycerides, 425 mg/dL.
The client with type 1 diabetes mellitus is taught to take isophane insulin suspension NPH (Humulin N) at 5 p.m. each day. The client should be instructed that the greatest risk of hypoglycemia will occur at about what time?
11 a.m., shortly before lunch.
1 p.m., shortly after lunch.
6 p.m., shortly after dinner.
1 a.m., while sleeping.
A client with diabetes is taking insulin lispro (Humalog) injections. The nurse should advise the client to eat
Within 10 to 15 minutes after the injection.
1 hour after the injection.
At any time, because timing of meals with lispro injections is unnecessary
2 hours before the injection.
Which of the following is a priority nursing diagnosis for the diabetic client who is taking insulin and has nausea and vomiting from a viral illness or influenza
Imbalanced nutrition: Less than body requirements.
Ineffective health maintenance related to ineffective coping skills.
Acute pain.
Activity intolerance.
During a home visit, a diabetic client begins to cry and says, "I just cannot stand the thought of having to give myself a shot every day." Which of the following would be the best response by the nurse?
"If you do not give yourself your insulin shots, you will die."
"We can teach your daughter to give the shots so you will not have to do it."
"Do what we tell you to do. We know what is best for your health.We are licensed which makes us subject matter experts."
"What is it about giving yourself the insulin shots that bothers you?"
The nurse is assessing the client's use of medications. Which of the following medications may cause a complication with the treatment plan of a client with diabetes?
Aspirin.
Steroids.
Sulfonylureas.
Angiotensin-converting enzyme (ACE) inhibitors
A client with type 1 diabetes mellitus has influenza. The nurse should instruct the client to:
Increase the frequency of self-monitoring (blood glucose testing)
Reduce food intake to diminish nausea
Discontinue that dose of insulin if unable to eat
Take half of the normal dose of insulin.
A client with type 1 diabetes is admitted to the emergency department with dehydration following the flu. The client has a blood glucose level of 325 mg/dL and a serum potassium level of 3.5 mEq. The physician has ordered 1,000 mL 5% dextrose in water to be infused every 8 hours. Prior to implementing the physician orders, the nurse should contact the physician, explain the situation, provide background information, report the current assessment of the client, and:
Suggest adding potassium to the fluids.
Request an increase in the volume of intravenous fluids.
Verify the order for 5% dextrose in water.
Determine if the client should be placed in isolation.
The nurse performs a physical assessment on a client with type 2 diabetes mellitus. Findings include a fasting blood glucose level of 120 mg/dL (6.8 mmol/L), temperature of 101 °F (38.3 °C), pulse of 102 beats/minute, respirations of 22 breaths/minute, and blood pressure of 142/72 mm Hg. Which finding would be the priority concern to the nurse?
Pulse
Respiration
Temperature
Blood Pressure
A client is admitted to an emergency department, and a diagnosis of myxedema coma is made. Which action should the nurse prepare to carry out initially?
Warm the client.
Maintain a patent airway.
Administer thyroid hormone.
Administer fluid replacement.
Glimepiride is prescribed for a client with diabetes mellitus. The nurse instructs the client that which food items are most acceptable to consume while taking this medication? Select all that apply
Alcohol
Red meats
Whole-grain cereals
Low-calorie desserts
Carbonated beverages
The nurse is teaching the client about his prescribed prednisone. Which statement, if made by the client, indicates that further teaching is necessary?
“I can take aspirin or my antihistamine if I need it.”
“I need to take the medication every day at the same time."
“I need to avoid coffee, tea, cola, and chocolate in my diet.”
“If I gain more than 5 pounds (2.25 kg) a week, I will call my health care provider (HCP).”
The doctor ordered Magnesium Sulfate 4gm IV to be given over 20 minutes.
Magnesium Sulfate come in 40gm/1000mL IV bottle. You would set your pump at _____mL/hour.
250 mL/hr
300 mL/hr
350 mL/hr
380 mL/hr
The physician ordered the Pitocin infusion to run at 6mu/min. The pharmacy sent up 10 units of Pitocin in 500mL of D5LR. You would set your pump at _____________mL/hour.
18 mL/hr
19 mL/hr
20 mL/hr
21 mL/hr
The medications scheduled for your patient include Keflex 1.5 grams in 50 ml of a 5% Dextrose solution. According to the pharmacy, this preparation should be administered in 30 minutes. You would set your IV pump at__________mL/hour.
110 mL/hr
100 mL/hr
115 mL/hr
120 mL/hr
The physician orders 1.5 liters of Lactated Ringer's solution to be administered intravenously to your patient over the next 12 hours. Calculate the rate of flow if the IV tubing delivers 20 gtt/ml.
40 gtts/min
41 gtts/min
42 gtts/min
43 gtts/min
A diabetic patient has the following presentation: unresponsive to voice or touch, tachycardia, diaphoresis, and pallor. Which of the following actions by the healthcare provider is the priority?
Send blood to the laboratory for analysis.
Administer the prescribed insulin.
Administer oxygen per nasal cannula.
Administer 50% dextrose IV per protocol.
The healthcare provider is teaching a group of students about the characteristics of type 1 diabetes mellitus. Which of the following describe the underlying cause of the disease?
Increased hepatic glycogenesis.
Cellular resistance to insulin.
Destruction of pancreatic beta cells.
Atrophy of pancreatic alpha cells.
An unresponsive patient who has diabetes is brought to the emergency department with slow, deep respirations. Additional findings include: blood glucose 450 mg/dL (24.9 mmol/L), arterial pH 7.2, and urinalysis showing presence of ketones and glucose.
Which of the following statements best describes the the underlying cause of this patient’s presentation?
Hyperglycemia causes oxidative stress, renal dysfunction, and acidosis.
Hypoglycemia causes release of glucagon resulting in glycogenolysis and hyperglycemia.
Nocturnal elevation of growth hormone results in hyperglycemia in the morning.
Lack of insulin causes increased counter regulatory hormones and fatty acid release.
The healthcare provider is caring for a patient on a ventilator with an endotracheal tube in place. What assessment data indicate the tube has migrated too far down the trachea?
Decreased breath sounds on the left side of the chest.
Increased crackles auscultation bilaterally.
Low pressure alarm sounds.
A high pressure alarm sounds.
A mother brings her 22-month-old infant to the clinic. She tells the healthcare provider the baby has been irritable with a runny nose for the past 4 days. The healthcare provider assesses the baby and notes nasal flaring and intercostal retractions. What is the most appropriate action by the healthcare provider at this time?
Check that the baby is up-to-date with immunizations.
Weigh the baby to assess weight gain.
Call for assistance because the baby is in respiratory distress.
Assure the mother these are normal symptoms of a cold.
