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