Exam 14: Care of the Patient With Problems in Glucose Metabolism

A patient says that following a high-fat, high-protein diet has helped with weight loss. What should the nurse respond about this patient's eating approach? Select all that apply.

An older patient being treated for pneumonia has signs of metabolic syndrome but denies the presence of diabetes. Serum glucose is 220 mg/dL, and the hemoglobin A_1C is 5%. What can be inferred from these findings?

The certified diabetes educator (CDE) encourages a patient with metabolic syndrome who experienced hyperglycemia during hospitalization to attend outpatient diabetes education classes. The patient asks why the classes are needed if diabetes is not a health problem. What is the nurse's best response?

The nurse is concerned that a patient in the critical care area is experiencing short-term complications of diabetes. What did the nurse find when assessing this patient? Select all that apply.

A patient with diabetes has a serum osmolarity level of 325 mmol/L. What is the correct interpretation and action for the nurse to take based on this result?

A newly admitted patient with HHNK has a serum glucose of 850 mg/dL and a potassium level of 3.9 mEq/L. What is an important nursing consideration that should precede replacement of potassium?

The nurse is determining if a patient is experiencing DKA or HHNS. Which information should the nurse use to make this determination?

A patient is admitted to the hospital with acute myocardial infarction and has a blood sugar of 180 mg/dL. The patient has never been diagnosed with diabetes. What is the best explanation for a high glucose in a patient without diabetes? Select all that apply.

When calculating the initial rate of an insulin infusion as treatment for diabetic ketoacidosis in a patient weighing 80 kg, the nurse should expect to administer insulin at what rate?

When instructing a patient about metabolic syndrome, the nurse should include that which finding is a risk factor for the development of diabetes?

The nurse monitors the blood glucose levels of a patient being treated with insulin for diabetic ketoacidosis. Why should the nurse ensure glucose levels decline at the rate of 50-70 mg/dL/hour?

The nurse is reviewing the purpose of insulin with a patient newly diagnosed with type 2 diabetes mellitus. What should the nurse teach the patient about the function of insulin in the body? Select all that apply.

When creating the care plan for a patient in the critical care unit, the nurse includes checking capillary blood glucose levels every morning. Why is it important for the nurse to check blood glucose levels daily and maintain them at normal levels even though the patient does not have diabetes? Select all that apply.

The nurse reviews critically ill patients assigned for care. Which patients should the nurse expect to have a lower than expected blood glucose level? Select all that apply.

The nurse preparing instruction for a patient recovering from a critical illness will include ways to prevent the onset of type 2 diabetes. What caused the nurse to provide this patient teaching? Select all that apply.

A patient being treated with an insulin infusion for diabetic ketoacidosis (DKA) receives an injection of subcutaneous insulin. When should the nurse expect to discontinue the insulin infusion? Select all that apply.

When instructing a patient about metabolic syndrome, what should the nurse include?