Exam 64: Care of Patients with Diabetes Mellitus

A nurse cares for a client who has a family history of diabetes mellitus.The client states,"My father has type 1 diabetes mellitus.Will I develop this disease as well?" How should the nurse respond?

A nurse is teaching a client with diabetes mellitus who asks,"Why is it necessary to maintain my blood glucose levels no lower than about 60 mg/dL?" How should the nurse respond?

A nurse assesses a client who is experiencing diabetic ketoacidosis (DKA).For which manifestations should the nurse monitor the client? (Select all that apply.)

A nurse assesses a client who has a 15-year history of diabetes and notes decreased tactile sensation in both feet.Which action should the nurse take first?

A nurse assesses clients at a health fair.Which clients should the nurse counsel to be tested for diabetes? (Select all that apply.)

A nurse collaborates with the interdisciplinary team to develop a plan of care for a client who is newly diagnosed with diabetes mellitus.Which team members should the nurse include in this interdisciplinary team meeting? (Select all that apply.)

A nurse reviews the medication list of a client with a 20-year history of diabetes mellitus.The client holds up the bottle of prescribed duloxetine (Cymbalta)and states,"My cousin has depression and is taking this drug.Do you think I'm depressed?" How should the nurse respond?

A nurse cares for a client with diabetes mellitus who asks,"Why do I need to administer more than one injection of insulin each day?" How should the nurse respond?

A nurse provides diabetic education at a public health fair.Which disorders should the nurse include as complications of diabetes mellitus? (Select all that apply.)

After teaching a client with type 2 diabetes mellitus who is prescribed nateglinide (Starlix),the nurse assesses the client's understanding.Which statement made by the client indicates a correct understanding of the prescribed therapy?

After teaching a client who is newly diagnosed with type 2 diabetes mellitus,the nurse assesses the client's understanding.Which statement made by the client indicates a need for additional teaching?

A nurse prepares to administer insulin to a client at 1800.The client's medication administration record contains the following information: •Insulin glargine: 12 units daily at 1800 •Regular insulin: 6 units QID at 0600,1200,1800,2400 Based on the client's medication administration record,which action should the nurse take?

A nurse assesses a client with diabetes mellitus.Which clinical manifestation should alert the nurse to decreased kidney function in this client?

A nurse assesses a client who has diabetes mellitus.Which arterial blood gas values should the nurse identify as potential ketoacidosis in this client?

A nurse teaches a client who is prescribed an insulin pump.Which statement should the nurse include in this client's discharge education?

A nurse teaches a client about self-monitoring of blood glucose levels.Which statement should the nurse include in this client's teaching to prevent bloodborne infections?

A nurse assesses a client with diabetes mellitus 3 hours after a surgical procedure and notes the client's breath has a "fruity" odor.Which action should the nurse take?

A nurse reviews laboratory results for a client with diabetes mellitus who presents with polyuria,lethargy,and a blood glucose of 560 mg/dL.Which laboratory result should the nurse correlate with the client's polyuria?

When teaching a client recently diagnosed with type 1 diabetes mellitus,the client states,"I will never be able to stick myself with a needle." How should the nurse respond?

A nurse teaches a client who is diagnosed with diabetes mellitus.Which statement should the nurse include in this client's plan of care to delay the onset of microvascular and macrovascular complications?