Exam 48: Diabetes Mellitus

A few weeks after an 82-yr-old patient with a new diagnosis of type 2 diabetes has been placed on metformin (Glucophage)therapy and taught about appropriate diet and exercise,the home health nurse makes a visit. Which finding should the nurse promptly discuss with the health care provider?

The nurse is assessing a 22-yr-old patient experiencing the onset of symptoms of type 1 diabetes. To which question would the nurse anticipate a positive response?

A 26-yr-old female with type 1 diabetes develops a sore throat and runny nose after caring for her sick toddler. The patient calls the clinic for advice about her symptoms and a blood glucose level of 210 mg/dL despite taking her usual glargine (Lantus)and lispro (Humalog)insulin. The nurse advises the patient to

Which statement by the patient indicates a need for additional instruction in administering insulin?

The nurse is assessing a 55-yr-old female patient with type 2 diabetes who has a body mass index (BMI)of 31 kg/m².Which goal in the plan of care is most important for this patient?

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

Which information will the nurse include in teaching a female patient who has peripheral arterial disease,type 2 diabetes,and sensory neuropathy of the feet and legs?

Which nursing action can the nurse delegate to experienced unlicensed assistive personnel (UAP)who are working in the diabetic clinic?

Which action should the nurse take after a patient treated with intramuscular glucagon for hypoglycemia regains consciousness?

The nurse is taking a health history from a 29-yr-old pregnant patient at the first prenatal visit. The patient reports that she has no personal history of diabetes,but her mother has diabetes. Which action will the nurse plan to take?

A patient with diabetic ketoacidosis is brought to the emergency department. Which prescribed action should the nurse implement first?

A patient who has diabetes and reported burning foot pain at night receives a new prescription. Which information should the nurse teach the patient about amitriptyline ?

A patient with type 2 diabetes is scheduled for a follow-up visit in the clinic several months from now. Which test will the nurse schedule to evaluate the effectiveness of treatment for the patient?

A patient with diabetes is starting on intensive insulin therapy. Which type of insulin will the nurse discuss using for mealtime coverage?

A patient who has type 2 diabetes is being prepared for an elective coronary angiogram. Which information would the nurse anticipate might lead to rescheduling the test?

Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is correct?

A 30-yr-old patient has a new diagnosis of type 2 diabetes. The nurse will discuss the need to schedule a dilated eye examination

When a patient with type 2 diabetes is admitted for a cholecystectomy,which nursing action can the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)?

Which patient action indicates good understanding of the nurse's teaching about administration of aspart (NovoLog)insulin?

After the nurse has finished teaching a patient who has a new prescription for exenatide (Byetta),which patient statement indicates that the teaching has been effective?