Exam 48: Diabetes Mellitus

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A 27-yr-old patient admitted with diabetic ketoacidosis (DKA)has a serum glucose level of 732 mg/dL and serum potassium level of 3.1 mEq/L. Which action prescribed by the health care provider should the nurse take first?

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A

Which information will the nurse include when teaching a patient who has type 2 diabetes about glyburide ?

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B

After change-of-shift report,which patient will the nurse assess first?

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C

A patient with diabetes rides a bicycle to and from work every day. Which site should the nurse teach the patient to use to administer the morning insulin?

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The health care provider suspects the Somogyi effect in a 50-yr-old patient whose 6:00 AM blood glucose is 230 mg/dL. Which action will the nurse teach the patient to take?

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To assist an older patient with diabetes to engage in moderate daily exercise,which action is most important for the nurse to take?

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The nurse has been teaching a patient with type 2 diabetes about managing blood glucose levels and taking glipizide (Glucotrol). Which patient statement indicates a need for additional teaching?

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A patient receives aspart (NovoLog)insulin at 8:00 AM. At which time would the nurse anticipate the highest risk for hypoglycemia?

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A 28-yr-old male patient with type 1 diabetes reports how he manages his exercise and glucose control. Which behavior indicates that the nurse should implement additional teaching?

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A patient who has type 1 diabetes plans to swim laps for an hour daily at 1:00 PM. The clinic nurse will plan to teach the patient to

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A female patient is scheduled for an oral glucose tolerance test. Which information from the patient's health history is important for the nurse to communicate to the health care provider regarding this test?

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Which patient action indicates a good understanding of the nurse's teaching about the use of an insulin pump?

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The nurse is interviewing a new patient with diabetes who takes rosiglitazone (Avandia). Which information would the nurse anticipate resulting in the health care provider discontinuing the medication?

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When a patient who takes metformin (Glucophage)to manage type 2 diabetes develops an allergic rash from an unknown cause,the health care provider prescribes prednisone. The nurse will anticipate that the patient may

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The nurse determines a need for additional instruction when the patient with newly diagnosed type 1 diabetes says which of the following?

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A patient who was admitted with diabetic ketoacidosis secondary to a urinary tract infection has been weaned off an insulin drip 30 minutes ago. The patient reports feeling lightheaded and sweaty. Which action should the nurse take first?

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An active 32-yr-old male who has type 1 diabetes is being seen in the endocrine clinic. Which finding indicates a need for the nurse to discuss a possible a change in therapy with the health care provider?

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A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7 mmol/L). The nurse will plan to teach the patient about

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Which question during the assessment of a patient who has diabetes will help the nurse identify autonomic neuropathy?

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In which order will the nurse take these steps to prepare NPH 20 units and regular insulin 2 units using the same syringe? (Put a comma and a space between each answer choice [A,B,C,D,E]).

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