Exam 45: Nursing Management: Diabetes Mellitus

A patient receives aspart (NovoLog)insulin at 8:00 AM.Which time will it be most important for the nurse to monitor for symptoms of hypoglycemia?

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 (Deltasone).The nurse will anticipate that the patient may

An unresponsive patient with type 2 diabetes is brought to the emergency department and diagnosed with hyperosmolar hyperglycemic syndrome (HHS).The nurse will anticipate the need to

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)?

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

A 38-year-old patient who has type 1 diabetes plans to swim laps daily at 1:00 PM.The clinic nurse will plan to teach the patient to

The nurse identifies a need for additional teaching when the patient who is self-monitoring blood glucose

The nurse has administered 4 oz of orange juice to an alert patient whose blood glucose was 62 mg/dL.Fifteen minutes later,the blood glucose is 67 mg/dL.Which action should the nurse take next?

Which action by a patient indicates that the home health nurse's teaching about glargine and regular insulin has been successful?

A 32-year-old patient with diabetes is starting on intensive insulin therapy.Which type of insulin will the nurse discuss using for mealtime coverage?

A 34-year-old has a new diagnosis of type 2 diabetes.The nurse will discuss the need to schedule a dilated eye exam

A few weeks after an 82-year-old 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 by the nurse is most important to discuss with the health care provider?

The nurse is interviewing a new patient with diabetes who receives rosiglitazone (Avandia)through a restricted access medication program.What is most important for the nurse to report immediately to the health care provider?

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?

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?

A 27-year-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?

The nurse is taking a health history from a 29-year-old pregnant patient at the first prenatal visit.The patient reports no personal history of diabetes but has a parent who is diabetic.Which action will the nurse plan to take first?

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

The nurse is preparing to teach a 43-year-old man who is newly diagnosed with type 2 diabetes about home management of the disease.Which action should the nurse take first?

A 26-year-old patient with diabetes rides a bicycle to and from work every day.Which site should the nurse teach the patient to administer the morning insulin?