Diabetes Management- ATI – Flashcards

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question
A nurse is caring for a patient with type 1 diabetes mellitus who reports feeling anxious and having palpitations. The glucometer reads 50mg/dL. The nurse should give the patient
answer
6 oz of apple juice
question
A nurse is reviewing the results of routine laboratory tests performed as part of a 50-year-old woman's annual physical examination. The nurse notes a blood glucose level of 120 mg/dL. The nurse should interpret this as an abnormal result for a
answer
fasting blood glucose measurement
question
A nurse is documenting the plan of care for a patient who has type 1 diabetes mellitus that has remained unstable despite conventional insulin therapy. The provider has explained to the patient that the new plan will incorporate the use of a long-acting insulin preparation. The nurse should anticipate seeing a prescription for the addition of which of the following insulin preparations?
answer
insulin glargine (Lantus)
question
A nurse is teaching a patient newly diagnosed with type 2 diabetes mellitus about the biguanide she has been prescribed, which is metformin (Glucophage). The nurse should explain that this type of medication acts by
answer
reducing hepatic glucose production
question
A nurse is reviewing self-administration of insulin using a prefilled pen administration system with a patient who started using the pen system the previous week. The patient asks what he can do to reduce injection pain. The nurse should suggest that he
answer
keep the pen at room temperature for a few minutes
question
A nurse is teaching a patient newly diagnosed with type 1 diabetes mellitus how to check blood glucose levels. Which of the following is the appropriate instruction for transferring the patient's blood to the reagent portion of the test strip/monitor in most situations?
answer
hold the test strip next to the blood on the patient's fingertip
question
A nurse is instructing a patient about using an insulin pump should explain that the risk of diabetic ketoacidosis (DKA) increases with the use of a pump because
answer
the tubing could be become occluded
question
A nurse is teaching a patient with type 1 diabetes mellitus who is beginning a complex regimen of glycemic control about the properties and actions of the various types of insulin. The nurse should explain that the type of insulin that has an onset of 60 to 120 minutes, peaks in 6 to 14 hours, and has a duration of 16 to 24 hours is
answer
neutral protamine hagedorn NPH insulin
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