Case Study Diabetes Type 1 – Flashcards
Unlock all answers in this set
Unlock answersquestion
What is the mechanism that results in Kussmaul respiration?
answer
To compensate for metabolic acidosis, the respiration are deep and rapid
question
To achieve the goal of restoring Lara's fluid volume, the nurse would expect to implement which intervention?
answer
Maintain an infusion of normal saline solution
question
To restore Lara's blood glucose to a normal level, what should the nurse prepare to administer?
answer
An IV solution containing regular insulin
question
In addition to monitoring Lara's blood glucose level, what additional lab values should the nurse monitor carefully
answer
Calcium Hemoglobin Blood Urea Nitrogen (BUN) Potassium
question
The nurse's decision about what to tell these callers should be based on what primary consideration
answer
Lara's right to privacy regarding her health information
question
Which response is best for the charge nurse to provide
answer
The lab values can be copied as long as there is no identifying client data
question
The nurse identifies that Lara has experienced classic symptoms of diabetes, which are
answer
Polyuria, Polyphagia, and polydipsia
question
How should the nurse respond
answer
The symptoms have an abrupt onset that is often brought on by a viral illness, like the flu
question
What is the best initial response by the nurse
answer
It must be quite a shock to learn that you have diabetes
question
What is the best response by the nurse
answer
I'll leave you alone for now, but I will stop back by in 30 minutes
question
Which statement made by Lara indicates that she correctly understands self-administration of insulin
answer
The amount of short-acting insulin I take every day is based on my blood sugar readings
question
What action should the nurse implement
answer
Encourage Lara to inject the insulin with the needle in place, as inserted
question
What is priority nursing action
answer
Check Lara's blood glucose
question
What action should the nurse take first
answer
Administer IV dextrose to a diabetic client with blood glucose level of 25 mg/dl
question
What action should the nurse take first
answer
Ask the unit clerk to find out when the trays will be available
question
What is the best response by the nurse
answer
Alcohol does contain a lot of empty calories, but it is also likely to cause your blood glucose to decrease
question
What is the best response by the nurse
answer
Advise Lara that extra insulin should not generally be taken before exercise
question
What is the best nursing action
answer
Ask the roommate if Lara has emergency supplies such as Glucagon or icing available
question
Once Lara is more alert, what instructions should the nurse provide the roommate
answer
Give Lara some crackers and milk while waiting for the emergency transport
question
What technique should the nurse use to assess for this occurrence
answer
Monitor blood glucose levels during the night and before breakfast
question
Which statement by Lara reflects understanding of glycosylated Hgb
answer
"At least I won't have this done again for 3 months. I will really work at following my diet between now and then"
question
How should the nurse respond
answer
She needs a second test performed before a diagnosis is made
question
How should the nurse respond
answer
Being sick increases your blood sugar. Taking your usual insulin dose is important
question
How should the nurse respond
answer
There is no direct correlation, but family history is important in diabetes
question
What is the best response
answer
Women with gestational diabetes are at high risk for developing diabetes after pregnancy, but not all will get the disease
question
How should the nurse respond
answer
HHNS is caused by persistent hyperglycemia, but ketosis does not occur
question
What intervention should the nurse implement
answer
Tell Lara that HHNS is less likely to occur in Type 1 diabetes than in Type 2 diabetes
question
Which lab value indicates that Lara is working to reduce her risk for cardiovascular disease
answer
Low-density lipoprotein (LDL) cholesterol of 80 mg/dl
question
Which finding(s) indicate that Lara is experiencing complications of diabetes
answer
Protein in urine Burning sensation in her toes A sore on her foot that is having trouble healing
question
What response should the nurse make
answer
You're absolutely right, and your health care team will be there to help you
