Exam 37: Diabetes Mellitus and Its Complications

The staff development nurse is teaching a class on diabetes to newly hired nurses at General Hospital. The nurse explains that during glycogenolysis which of the following occurs?

Which patient statement indicates to the nurse that the patient needs more teaching about type 2 diabetes?

When conducting community screening for diabetes, which population should the community health nurse recognize as being at highest risk?

When preparing a nursing care plan for an adolescent with diabetes, which concept should the nurse keep in mind?

The nurse caring for a patient with uncontrolled diabetes notes deep and rapid respirations. The nurse documents this respiratory pattern as:

Which laboratory finding indicates to the nurse that a patient has an impaired fasting glucose (IFG)?

Which finding should the nurse expect when assessing a patient with symmetrical distal polyneuropathy due to diabetes?

When teaching a patient newly diagnosed with type 1 diabetes about autonomic nervous system symptoms of hypoglycemia, which would the nurse include?

A woman in her 26th week of pregnancy is undergoing a one-step 75-gram oral glucose tolerance test (OGTT). Which finding indicates that gestational diabetes is present?

The plan of care for a patient in diabetic ketoacidosis, with a blood glucose level of 450 mg/dL, should include strategies for:

Which laboratory values should the nurse expect in a patient with diabetic ketoacidosis?

A child diagnosed with type 1 diabetes six months ago is being seen in the clinic because the mother has questions about why her child has not needed insulin for the past week. Which response by the mother indicates that more teaching is needed?

How should the nurse respond when a patient with diabetes asks about the role of beta cells in the pancreas?

The public health nurse is conducting a community screening for diabetes. Which of the following people does the nurse identify as being at highest risk for type 1 diabetes?

What is the most appropriate response by the nurse when a 20-year-old woman pregnant with her first child and diagnosed with gestational diabetes mellitus (GDM) asks if she will develop diabetes in the future?

Which statement by the parent of a child with an eating disorder indicates that more teaching is needed?

When developing a care plan for a patient with type 1 diabetes, the nurse should consider which pathophysiological concept?

The ethics committee at General Hospital is discussing issues involved in genomic screening of patients with type 2 diabetes. Which factor should be considered by the interdisciplinary team when making a decision about implementing genomic screening?

Which data indicates a diagnosis of diabetes in a patient being assessed for unexplained weight loss?

The nurse is assessing a patient with hyperglycemic hyperosmolar syndrome (HHS). Which finding would differentiate HHS from diabetic ketoacidosis (DKA)?