Exam 45: Management of Clients with Diabetes Mellitus

The ED nurse who is giving insulin by continuous IV infusion to a client with DKA would plan to monitor the client's blood glucose level every

The nurse would counsel a diabetic client who has developed nephropathy that the best dietary alteration to manage this complication is a

A client with diabetes mellitus recently discharged from the hospital calls the nursing unit to report that she is nauseated and cannot remember what she has to do about her insulin injection. The nurse should remind the client to

Evaluating a young man with type 1 diabetes, the nurse would consider a classic clinical manifestation of diabetes to be the client's

A teenage diabetic client is admitted for a fourth episode of profound hypoglycemia in 6 months. Besides assessing the client's knowledge level, the nurse should also question the client about

The nurse must carefully monitor the client who is being aggressively treated for DKA for the common, immediate complication of

A client is being admitted to the nursing unit with hyperglycemic hyperosmolar nonketotic syndrome (HHNS). The nurse understands that compared with the care of DKA clients, the care of HHNK clients differs in that

The nurse would instruct a client who is on a rowing team to avoid injecting insulin in his arms on rowing practice days because

The nurse counsels a client that in the beta-cell destruction process toward type 1 diabetes, the client may experience a "honeymoon period," during which the pancreas

A newly diagnosed diabetic client is crying and says "I can't learn to live with this. It's overwhelming and people with diabetes get their feet cut off and just die!" The best response by the nurse is

A client is having a second amputation on the same leg for a nonhealing wound. He is visibly upset and states "With one leg, I am not a man anymore and won't be able to provide for my family." Which response by the nurse best demonstrates caring communication?

The nurse explains to a client that the results of a glycosylated hemoglobin study provide information about the client's control of blood sugar over the last

For a diabetic client weighing 80 pounds, the nurse would anticipate that the starting dose of insulin will be

A client frustrated with self-monitoring his blood glucose levels tells the nurse he wants an insulin pump. The nurse's most helpful response would be

The nurse caring for a client with a history of experiencing the Somogyi effect would monitor the client's blood sugar level between

The nurse teaches a client with type 1 diabetes that in order to prevent complications from exercising, before exercising the client should (Select all that apply)

The nurse would recognize that the trend in the lipid levels of a client with diabetes follows the pattern that accompanies macrovascular disease, which is

The diabetic nurse educator would emphasize to a group class that quality of life in diabetes can be enhanced by

A client with diabetes who has properly learned the principles of foot care would be most likely to say

The nurse teaching a type 2 diabetic client how to manage the disease while on a prescribed diet and taking an oral antidiabetic agent would recognize that the client has an accurate understanding of diabetes management when the client states