ATI diabetes

a nurse is preparing a teaching plan for a client who has just found out she has type 2 diabetes mellitus. What is the nurse’s priority in preparing for this plan?
Determine what the client knows about managing her diabetes
a nurse is interviewing a female client who is Hispanic. The client’s partner answers the question and states “She speaks only a little English”. Which of the following actions should the nurse take?
arrange to complete the assessment with only the client and a translator present.
a student nurse is performing postmortem care on a Muslim client. Which of the following actions by the student nurse should prompt a nurse to intervene
prepares to cleanse the body
a nurse is planning education for a female client who is at risk for developing type 2 diabetes. Which of the following increases the risk for developing type 2 diabetes?
blood pressure of 138/98
a nurse is preparing to inject insulin lispro to a client who has type 1 diabetes mellitus. which of the following nursing actions is appropriate?
inject the insulin 15 minutes before a meal
a nurse is caring for a client with a new diagnosis of diabetes mellitus type 1. Which of the following is an appropriate teaching intervention that focuses on affective learning?
explore the client’s feelings about dietary modifications
a nurse is providing teaching to a client who has diabetes mellitus and has a new prescription for chlorpropamide. The nurse should teach the client to avoid which of the following while taking this medication?
alcohol
a nurse is reinforcing teaching to a client who has diabetes. which of the following statements by the client requires more teaching about the symptoms of hyperglycemia?
I will feel shaky
a client who is at 22 weeks of gestation has been unable to control her gestational diabetes with diet and exercise. The nurse should explain to the client that it is likely that the provider will prescribe which of the following medications to control her blood glucose levels?
regular insulin (Humulin)
a nurse is caring for a client with diabetes mellitus who receives 25 units of NHP insulin every morning if her blood glucose level is above 200 mg/dl. The nurse monitors this client for hypoglycemia because NPH insulin peaks how long after administration?
4-12 hr
a nurse is caring for a client who has diabetes and reports an occasional sensation in her feet. Which of the following complications is the client likely experiencing?
neuropathy
a nurse in the prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which statement by the client indicates a need for further teaching?
I will reduce my exercise schedule to 3 days a week
a nurse is caring for a 4 year old child who has been diagnosed with diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize as therapeutic in helping the child deal with the injection?
a needless syringe and doll
a nurse is assessing a client who has diabetes mellitus and is experiencing foot pain. Which of the following are signs and symptoms of infection? Select all that apply.
increased neutrophils
localized edema
a nurse is caring for a client with diabetes mellitus and is not adhering to guidelines for therapy. Which of the following should the nurse consider as a contributing factor? Select all that apply.
culture
literacy
dexterity
motivation
a nurse is caring for a client who has a diagnosis of diabetes mellitus and hypertension and recently began taking propranolol (Inderal). When the client reports dizziness upon standing, the nurse should perform which of the following actions?
monitor blood pressure, lying, sitting and standing
a nurse is teaching a client who has diabetes about which dietary source should provide the greatest percentage of her calories. Which of the following statements indicates the client understands the teaching?
i should eat more calories from complex carbohydrates than anything else
a nurse is providing teaching to an adolescent diagnosed with type 1 diabetes. Which of the following should the nurse include in the teaching?
obtain a influenza vaccine annually
a nurse is caring for a client with type 1 diabetes mellitus. The nurse finds the client lying in bed, sweating, tachycardic, reporting lightheadedness and palpations. Which of the following complications should the nurse suspect?
hypoglycemia
a nurse is providing education on site rotation for insulin injections to a client who is newly diagnosed with type 1 diabetes mellitus. Which of the following reasons should the nurse include in the teaching for site rotation?
decreases the risk for lipoatrophy with insulin injections
a nurse is caring for a 7 year old client who has a diagnosis of upper respiratory infection and history of type 1 diabetes mellitus. Which of the following statements made by the mother indicates a need for further teaching?
I will continue to check his blood sugar two times a day
a nurse is caring for a client who is at risk of diabetes mellitus. Which of the following laboratory results indicates the client meets the criteria for diagnosis with DM?
fasting plasma glucose 155 mg/dL
a nurse is reviewing guidelines to prevent diabetic ketoacidosis during periods of illness with a client who has type 1 diabetes. Which of the following should the nurse include in the guidelines?
administer daily dose of insulin
a nurse is providing dietary teaching to a client who has nephropathy secondary to diabetes and plans to make dietary adjustments. The nurse should instruct the client to consume
less than 0.08 g/kg of body weight of protein per day
a nurse working for a home health agency is teaching a client who has diabetes about disease management. Which of the following HbA1c values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glycemic index?
6.3%
a nurse is caring for an adolescent client who has a long history of diabetes and is being admitted to the ER confused, flushed ans with acetone odor on breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?
Regular (Humulin R)
An adult client diagnosed with type 2 diabetes says to a nurse “How can I have diabetes? Which of the following is an appropriate response by the nurse?
Type 2 diabetes involves insulin resistance with decreased insulin secretion
a nurse is caring for a client diagnosed with diabetes and observes mild hand tremors. Which of the following actions should the nurse take after obtaining a glucometer reading of 60 mg/dl?
administer 10-15 g of carbohydrates
a nurse is teaching a client who has type 1 diabetes about foot care. Which of the following client statements should indicate to the nurse that he understands the instructions?
I’ll check my feet everyday for sores and bruises
a nurse is educating a client who is prescribed metformin (Glucophage) for type 2 diabetes. Which if the following information should the nurse include?
Take the medication with your meal
a nurse is providing teaching about self-administration of insulin to the parent of a school aged child newly diagnosed with diabetes. Which of the following statements by the parent indicates a need for further teaching?
I will be sure my child aspirates before injecting the insulin
a school age child who has type 1 diabetes has been vomiting for the past 24 hrs. Which of the following should be the nurse’s first action?
test the urine for ketones
a nurse is caring for a client with type 1 diabetes who reports feeling shaky and having palpitations. When the nurse finds the client’s blood glucose level to be 48 mg/dL, he should give the client which of the following?
3 glucose tablets
a nurse is reinforcing teaching with a client who has diabetes. Which of the following should the nurse include in the teaching? Select all that apply
reduce cholesterol and saturated fat intake
increase physical activity and daily exercise
enroll in a smoking cessation program
maintain optimal blood pressure to prevent kidney damage
a nurse is talking with a client who has type 2 diabetes that has responded well to hypoglycemic medication. The client reports morning fasting levels above 180 for the past week. In reviewing the clients medication history, the nurse should identify which of the following medications as a possible contributing factor to the recent change in glycemic control?
prednisone
a client who has type 1 diabetes is to have IV fluid that contains 48 units of regular insulin in 1000 ml to infuse at 2 units/hr. The nurse should set the IV pump to deliver how many ml/hr? round to nearest who number.
42 ml/hr
a nurse is performing teaching with a client who has newly diagnosed type 2 diabetes. The nurse should recognize that the client understands the teaching when he identifies which of the following manifestations of hypoglycemia? Select all that apply
vertigo
tachycardia
moist, clammy skin
a nurse is preparing to administer a prescribed dose of 19 units of regular insulin and 20 units of NPH insulin to a client who has diabetes. The nurse should take which of the following actions when mixing the 2 types of insulin
inject 20 units of air into the NPH insulin bottle
a nurse is discussing the care of a client who has type 1 diabetes with the AP. Which of the following situations should the nurse instruct the AP to report immediately
the client refuses breakfast and requests to sleep
a nurse is caring for several clients at various developmental stages. The nurse understands that according to Erikson, acceptance of death occurs at which of the following stages of psychosocial development?
integrity vs. despair

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