Exam 64: Care of Patients with Diabetes Mellitus

After teaching a client who is recovering from pancreas transplantation,the nurse assesses the client's understanding.Which statement made by the client indicates a need for additional education?

A nurse develops a dietary plan for a client with diabetes mellitus and new-onset microalbuminuria.Which component of the client's diet should the nurse decrease?

A nurse reviews laboratory results for a client with diabetes mellitus who is prescribed an intensified insulin regimen: •Fasting blood glucose: 75 mg/dL •Postprandial blood glucose: 200 mg/dL •Hemoglobin A1c level: 5.5% How should the nurse interpret these laboratory findings?

A nurse assesses a client who is being treated for hyperglycemic-hyperosmolar state (HHS).Which clinical manifestation indicates to the nurse that the therapy needs to be adjusted?

A nurse teaches a client with type 2 diabetes mellitus who is prescribed glipizide (Glucotrol).Which statement should the nurse include in this client's teaching?

A preoperative nurse assesses a client who has type 1 diabetes mellitus prior to a surgical procedure.The client's blood glucose level is 160 mg/dL.Which action should the nurse take?

After teaching a client 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 teaches a client with diabetes mellitus about foot care.Which statements should the nurse include in this client's teaching? (Select all that apply.)

A nurse cares for a client who is diagnosed with acute rejection 2 months after receiving a simultaneous pancreas-kidney transplant.The client states,"I was doing so well with my new organs,and the thought of having to go back to living on hemodialysis and taking insulin is so depressing." How should the nurse respond?

An emergency department nurse assesses a client with ketoacidosis.Which clinical manifestation should the nurse correlate with this condition?

A nurse cares for a client who has diabetes mellitus.The nurse administers 6 units of regular insulin and 10 units of NPH insulin at 0700.At which time should the nurse assess the client for potential problems related to the NPH insulin?

A nurse assesses a client with diabetes mellitus who self-administers subcutaneous insulin.The nurse notes a spongy,swelling area at the site the client uses most frequently for insulin injection.Which action should the nurse take?

A nurse cares for a client who is prescribed pioglitazone (Actos).After 6 months of therapy,the client reports that his urine has become darker since starting the medication.Which action should the nurse take?

After teaching a client who has diabetes mellitus and proliferative retinopathy,nephropathy,and peripheral neuropathy,the nurse assesses the client's understanding.Which statement made by the client indicates a correct understanding of the teaching?

A nurse reviews the chart and new prescriptions for a client with diabetic ketoacidosis: Which action should the nurse take?

A nurse assesses a client with diabetes mellitus and notes the client only responds to a sternal rub by moaning,has capillary blood glucose of 33 g/dL,and has an intravenous line that is infiltrated with 0.45% normal saline.Which action should the nurse take first?

A nurse assesses a client who has diabetes mellitus and notes the client is awake and alert,but shaky,diaphoretic,and weak.Five minutes after administering a half-cup of orange juice,the client's clinical manifestations have not changed.Which action should the nurse take next?

A nurse teaches a client with diabetes mellitus who is experiencing numbness and reduced sensation.Which statement should the nurse include in this client's teaching to prevent injury?

A nurse assesses clients who are at risk for diabetes mellitus.Which client is at greatest risk?

A nurse teaches a client with type 1 diabetes mellitus.Which statement should the nurse include in this client's teaching to decrease the client's insulin needs?