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WorksheetsDiabetes
Total questions: 33
Worksheet time: 1hrs 6mins
For the patient with type 1 diabetes, which intervention would the nurse consider teaching when the patient reports multiple episodes of hypoglycemia?
Administer insulin in the legs only
Check blood glucose every hour
Avoid the use of insulin aspart
Only use the fingertips for blood glucose checks
What action would the caregiver of a patient with diabetes implement for treatment of moderate hypoglycemia?
Provide half a cup of fruit juice
Offer 4 cubes, or teaspoons of sugar
Subcutaneously inject 1 mg of glucagon
Provide 15 g of carbohydrate and cheese
Which intervention would the nurse implement when a patient presents to the emergency department with vomiting and abdominal pain, as well as rapid, deep respirations and a current blood glucose of 480 mg/dL?
Restrict fluids
Check the urine for ketones
Provide mechanical ventilation
Administer subcutaneous insulin
When teaching a community group about diabetes care, the nurse would teach which information regarding alcohol use and diabetes mellitus?
Avoid alcohol use
Drink alcohol with meals
Check blood glucose after each drink
Prepare to administer large doses than normal
For the patient diagnosed with type 2 diabetes and receiving discharge teachings about signs of hypoglycemia, which patient statement indicates understanding of the nurse's teachings? [SATA]
"I may experience weakness."
"It can cause a fast heart rate."
"Sometimes it causes vomiting."
"I might feel anxious or nervous."
Which intervention would the nurse implement first when providing care for a patient who obtains an elevated reading from continuous glucose monitoring (CGM)?
Administer insulin
Notify the health care provider
Continue to monitor hourly readings
Confirm the results with a finger stick test
A patient scheduled for surgery in the morning has insulin glargine scheduled before bed and then is placed on NPO status at midnight. Which action would the nurse implement regarding the scheduled insulin?
Give the insulin
Hold the insulin
Contact the health care provider
Reduce the dose based on the blood glucose level
After a patient received discharge instructions about managing hypoglycemia at home, which patient food selection to treat mild hypoglycemia demonstrates effective teaching? [SATA]
2 hard candies
6 saltine crackers
1 cup of fruit juice
3 graham crackers
4 teaspoons of sugar
When providing educational information about sick day rules, the nurse would include which information for the patient with diabetes? [SATA]
Avoid antidiarrheal medications
Notify the health care provider if ill
Drink 8 to 12 oz of sugar-free liquid each hour while awake
Test the urine for ketones if the blood glucose level is greater than 180 mg/dL
If unable to eat, consume liquids equal to the carbohydrate content normally eaten
The nurse would instruct a patient newly diagnosed with diabetes to self-check the blood glucose level at which time? [SATA]
After eating
Before meals
Frequently if you are ill
If you are thirsty and urinate frequently
1 hour after taking a rapid-acting insulin
Which insulin selection indicates patient understanding of teachings received from the nurse about the use of basal insulin for glucose stabilization?
Insulin lispro
Insulin aspart
Insulin glargine
Insulin glulisine
After administering insulin aspart at 7:00 a.m., the nurse would assess the patient for signs of hypoglycemia at which time?
9:00 a.m.
11:00 a.m.
12:00 p.m.
2:00 p.m.
When a patient with diabetes mellitus received insulin aspart at 8:00 a.m., at which time would the nurse anticipate a potential hypoglycemic event to occur?
8:30 a.m.
4:00 p.m.
8:30 p.m.
11:00 a.m.
Which medication would the nurse associate with lowering blood glucose levels by inhibiting liver glucose production, decreasing intestinal absorption of glucose, and increasing insulin sensitivity?
Pioglitazone
Glipizide
Glimepiride
Metformin
When the nurse is providing postoperative cholecystectomy care for a patient with diabetes mellitus, for which reason would the nurse prioritize blood glucose management in the patient's plan of care?
Patients diagnosed with diabetes have increased anxiety
Patients with postoperative hyperglycemia are prone to poor wound healing
Patients with diabetes who undergo surgery are likely to develop hypoglycemia
Patients with diabetes should not receive insulin when they do not eat a meal
Which of the following symptoms do NOT present in hyperglycemia?
Extreme thirst
Hunger
Blood glucose <60 mg/dL
Glycosuria
Type 1 diabetics typically have the following characteristics:
Thin and young with ketones present in the urine
Overweight and young with no ketones present in the urine
Thin and older adults with glycosuria
Overweight, adult-aged with ketones present in the urine
When fatty acids are used for energy, organic molecules called ______ are released into the bloodstream.
Lipids
Glucose
ketones
melanocytes
True or false: Although autoimmune destruction of beta cells does not occur, people with type 2 diabetes may eventually require insulin.
True
False
In conditions of hyperglycemia, the A1C is:
Increased
Decreased
A patient who received insulin glargine subcutaneously 30 minutes ago is now cool, clammy, and anxious with a current blood glucose level of 54 mg/dL. The patient states, "Something is wrong with me." Which intervention would the nurse implement?
Administer IV insulin
Administer IV dextrose
Administer IM glucagon
Administer a carbohydrate replacement
For the patient with type 2 diabetes who is admitted for surgery, which response would the nurse use when the patient wants to know why the heath care provider added insulin to the current dose of metformin?
"You can't take your metformin while in the hospital."
"Your diabetes is worse, so you will need to take insulin."
"Your body is under more stress, so you'll need insulin to support your medication."
"You must take insulin from now on because the surgery will affect your diabetes."
For the patient diagnosed with hypoglycemia, the nurse would assess for the presence of which clinical manifestation? [SATA]
Urine ketones
Confusion
Weakness
Dehydration
Cool, clammy skin
Which finding would the nurse associate with a diagnosis of hyperglycemia? [SATA]
Hunger
Nervousness
Warm, moist skin
Ketones in urine
Kussmaul respiration
For a patient using an insulin pump to treat type 1 diabetes mellitus (DM), which intervention to manage blood glucose levels would the nurse teach the patient to implement?
Manage hyperglycemia by increasing insulin dosage
Avoid additional carbohydrates after unplanned exercise
Consume additional carbohydrates after planned exercise
Reduce the insulin dosage before planned exercise
Four assigned patients take metformin. Which patient would the nurse consider at the highest risk for developing lactic acidosis?
Patient who is receiving dialysis
Patient who has hyperglycemia
Patient who is also taking warfarin
Patient who is also taking oral contraceptives
WHich aciton would the nurse perform when a patient in the ICU with diabetic ketoacidosis (DKA) has an insulin infusion and the cardiac monitor indicates ventricular ectopy?
Evaluate the urine output for the past 24 hours
Examine or obtain the current potassium level
Adjust the rate of IV fluids per facility protocol
Obtain an order for a 12-lead ECG
For a patient newly diagnosed with type 1 diabetes, which patient selection indicates effective teaching of the types of premeal insulin by the nurse?
Insulin aspart
Insulin detemir
Insulin glargine
Isophane insulin NPH
When providing care for an older-adult patient with diabetes mellitus, acute renal failure, history of thyroid tumor, and periodic angina, the nurse would anticipate administering which medication safely to control the patient's diabetes?
Glipizide
Liraglutide
Metformin
Pioglitazone
When receiving the health care provider's admission prescriptions for a patient admitted with a hyperglycemic-hyperosmolar state, the nurse understands that which prescription is consistent with this diagnosis? [SATA]
Sodium bicarbonate (NaHCO3) IV, 1 ampule now
Regular insulin IV at 2 unites/hr
Normal saline IV at 100 mL/hr
Addition of 20 mEq potassium chloride (KCl) for each liter of fluids
Which patient statement indicates understanding of the nurse's teachings related to a newly prescribed medication, insulin glargine? [SATA]
"I will administer it subcutaneously."
"I cannot mix this with other insulins."
"The insulin will start working in 2 to 4 hours."
"I will take this before meals and bedtime."
"If I am hospitalized, I can receive this medication IV."
Which feature of the glycosylated hemoglobin A1c (HbA1c) test is important?
Eating habits, within 24 hours before the test, do not alter the results
The patient must drink a 75-g glucose load 1 hour before the test
The test determines the average blood glucose levels of the previous 14 days
The patient must not have any caloric intake for at least 8 hours before the test.
When the nurse is administering metformin before breakfast to a patient with type 2 diabetes, which patient finding would require further follow-up by the nurse before administering the medication?
Episode of diarrhea overnight
Pulse oximetry reading of 95% at 7:00 am
Premeal blood glucose level of 120 mg/dL
Scheduled angiogram of the leg later today
