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WorksheetsDiabetes analyze quiz
Total questions: 17
Worksheet time: 26mins
A nurse is caring for four clients with suspected diabetes. Based on the signs and symptoms, which client is most likely demonstrating type 1 diabetes rather than type 2 diabetes?
A. A 55-year-old client with obesity, recurrent yeast infections, and gradual fatigue.
B. A 42-year-old client with blurred vision, slow wound healing, and fasting blood glucose of 126.
C. A 19-year-old client with sudden weight loss, severe thirst and fruity breath.
D. A 60-year-old client with hypertension, central obesity, and elevated fasting glucose.
A nurse is teaching a client with type 2 diabetes about the importance of HbA1c monitoring. Which statement best explains the connection between an elevated HbA1c and the risk of long-term complications?
High HbA1c levels indicate short-term spikes in blood sugar, which can cause immediate hypoglycemia.
An elevated HbA1c means your blood sugar has been high over several months, increasing the risk of complications such as neuropathy, retinopathy, and kidney damage.
A low HbA1c indicates poor blood sugar control and increases the risk of heart disease.
HbA1c only reflects fasting blood sugar and is not related to complications.
The nurse evaluates teaching for a client with type 2 diabetes regarding foot care. Which client statements indicate a need for further teaching? Select all that apply.
“I will walk barefoot at home to strengthen my feet.”
“I’ll trim my toenails straight across and file the edges.”
“I only need to see my provider if I notice foot pain or numbness.”
“I’ll wear shoes that fit well and cotton socks every day.”
A client with diabetes presents with a bleeding blister on the plantar surface of the foot. What is the nurse’s priority action?
Apply an over-the-counter antibiotic ointment
Cover it with a bandage and monitor at home
Notify the healthcare provider immediately
Soak the foot in warm water to promote healing
A nurse is reviewing lab results with a client at risk for diabetes. The client’s labs show: • Fasting blood glucose: 114 mg/dL • HbA1c: 6.1% The client asks, “Do these results mean I have diabetes?” Which response by the nurse is most appropriate, and which teaching should the nurse provide?
You have diabetes; you will need insulin immediately.
Your blood sugar is slightly elevated, which is called prediabetes. Making lifestyle changes now can prevent diabetes.
These numbers are normal, so you don’t need to do anything.
You only need to worry if your blood sugar goes above 200 mg/dL.
A client with diabetes asks when the best time to exercise is. Which is the nurse’s correct response?
Immediately after taking rapid-acting insulin.
After meals, when blood glucose levels are more stable.
Before eating in the morning on an empty stomach.
Late at night before bedtime.
A client with type 2 diabetes is prescribed glyburide. Which concurrent condition places the client at greatest risk for hypoglycemia?
Hypertension managed with ACE inhibitors
Chronic kidney disease with decreased renal clearance
Hyperlipidemia managed with statins
COPD with steroid use
A client on continuous subcutaneous insulin infusion (insulin pump) reports nausea and fruity-smelling breath. Which is the nurse’s priority action?
Reassure the client this is a normal effect of insulin
Check the infusion site and tubing for kinks or disconnection
Give an additional bolus dose of insulin through the pump
Encourage oral fluids and retest blood glucose later
The nurse teaches a client with type 1 diabetes about alcohol use. Which statement indicates understanding?
Drinking alcohol before bedtime may increase my morning blood sugar.
Alcohol can lower my blood sugar, especially if I don’t eat with it.
“Alcohol prevents my insulin from causing hypoglycemia.”
“I should skip insulin if I drink alcohol with a meal.”
The nurse is caring for a client with DKA receiving IV regular insulin. Which monitoring is most important?
Serum potassium levels
Hemoglobin A1C
Daily urine output
Blood urea nitrogen
A client with type 1 diabetes reports feeling shaky, sweaty, and slightly confused. Blood glucose is 58 mg/dL. Which is the nurse’s best action?
Call 911 and send the client to the emergency department
Encourage the client to eat some crackers with jelly
Instruct the client to take their scheduled insulin dose
Have the client lie down and rest until symptoms improve
A client with type 2 diabetes feels shaky and lightheaded. Blood glucose is 65 mg/dL. The nurse gives 4 oz of orange juice. Fifteen minutes later, blood glucose is 80 mg/dL and symptoms have improved. Which snack should the nurse provide next to maintain the glucose level?
Half a peanut butter sandwich
Call EMS and transfer the client to the emergency department
Administer the scheduled dose of insulin
Give another 8 oz of juice
A client with type 1 diabetes reports shakiness, sweating, and dizziness. Blood glucose is 58 mg/dL. Which is the best initial intervention?
Eat half a peanut butter sandwich
Drink 4 oz of orange juice
A sugar packet
Call 911
The nurse is evaluating teaching for a client starting insulin therapy. Which client statements indicate correct understanding of insulin administration? select all that apply
“I will rotate injection sites in the same body area to keep absorption consistent.”
“If I miss a meal, I should still take my rapid-acting insulin.”
“I will roll the NPH insulin vial gently before using it.”
“I should avoid injecting insulin into scar tissue or areas of lipodystrophy.”
The nurse is reviewing insulin self-administration with a client. Which statement requires immediate follow-up?
I’ll rotate injections within my abdomen to prevent complications.
I’ll keep my unopened insulin vials in the refrigerator.
I’ll inject insulin into my thigh before jogging so it works faster.
I’ll dispose of used needles in a hard plastic container.
A client states, “I always draw up my NPH insulin first, then my regular insulin.” What is the nurse’s best response?
That’s correct; cloudy insulin is always drawn up before clear.
Actually, you should draw up the clear insulin before the cloudy insulin.
It doesn’t matter which insulin is drawn first as long as you give it right away.
You should not mix these insulins together under any circumstances.
A client is admitted with diabetic ketoacidosis (DKA). Which nursing intervention should the nurse implement first?
Administer IV regular insulin
Start IV fluid replacement with 0.9% NaCl
Monitor blood glucose every 4 hours
Provide patient education on preventing DKA
