Term
| The client has been diagnosed with diabetes mellitus type 1. He asks the nurse what this means. What is the best response by the nurse? Select all that apply. |
|
Definition
1. "Without insulin you will develop ketoacidosis (DKA)."
2. "It means your pancreas cannot secrete insulin."
3. "The endocrine function of your pancreas is to secrete insulin." |
|
|
Term
| The physician orders insulin lispro (Humalog) 10 units for the client. When will the nurse administer this medication? |
|
Definition
| When the client is eating |
|
|
Term
| The physician writes orders for the client with diabetes mellitus. Which order would the nurse validate with the physician? |
|
Definition
|
|
Term
| The client with diabetes mellitus type 1 is found unresponsive in the clinical setting. Which nursing action is a priority? |
|
Definition
| Treat the client for hypoglycemia. |
|
|
Term
| The nurse makes a home visit to the client with diabetes mellitus. During the visit, the nurse notes that the client's additional insulin vials are not refrigerated. What is the best action by the nurse at this time? |
|
Definition
| Have the client place the insulin vials in the refrigerator. |
|
|
Term
| The nurse has finished teaching a client with diabetes mellitus how to administer insulin. The nurse evaluates that learning has occurred when the client makes which statement? |
|
Definition
| I should only use a calibrated insulin syringe for the injections." |
|
|
Term
| A client with diabetes mellitus is taking oral agents, and is scheduled for a diagnostic test that requires him to be NPO (nothing by mouth). What is the best plan of the nurse with regard to giving the client his oral medications? |
|
Definition
| Notify the physician and request orders. |
|
|
Term
| The client has diabetes mellitus type 2. The nurse has taught the client about the illness and evaluates learning has occurred when the client makes which statement? |
|
Definition
| "My cells cannot use the insulin my pancreas makes." |
|
|
Term
| The client has type 1 diabetes and receives insulin. He asks the nurse why he can't just take pills instead. What is the best response by the nurse? |
|
Definition
| "Insulin can't be in a pill because it is destroyed in stomach acid." |
|
|
Term
| The nurse teaches a class for the public about diabetes mellitus. Which individual does the nurse assess as being at highest risk for developing diabetes? |
|
Definition
| The 42-year-old client who is 50 pounds overweight |
|
|
Term
The client injects his insulin as prescribed, but then gets busy and forgets to eat.
What will the best assessment of the nurse reveal? |
|
Definition
| The client will have moist skin. |
|
|
Term
| The client receives metformin (Glucophage). What will the best plan of the nurse include with regard to patient education with this drug? Include all that apply. |
|
Definition
1. It reduces insulin resistance.
2. It must be taken with meals.
3. It decreases sugar production in the liver. |
|
|
Term
| The client has diabetes type 1 and receives insulin for glycemic control. The client tells the nurse that she likes to have a glass of wine with dinner. What will the best plan of the nurse for client education include? |
|
Definition
| The alcohol could predispose you to hypoglycemia. |
|
|
Term
| The client has type 1 diabetes mellitus and receives insulin. Which laboratory test will the nurse assess? |
|
Definition
|
|
Term
| The physician orders intravenous (IV) insulin for the client with a blood sugar of 563. The nurse administers insulin lispro (Humalog) intravenously (IV). What does the best evaluation of the nurse reveal? |
|
Definition
| The nurse should have used regular insulin (Humalin R). |
|
|
Term
| Insulin is released when: |
|
Definition
|
|
Term
| In comparing and contrasting the function of the pancreas and the cluster of cells within the pancreas, the primary function of these cells within the pancreas is to: |
|
Definition
|
|
Term
| In comparing and contrasting the signs and symptoms typical of type 1 diabetes mellitus (DM) with sustained hyperglycemia, a nurse can expect to observe for: |
|
Definition
|
|
Term
| Of the types of insulin available for pharmacotherapy of diabetes mellitus (DM), the most effective form of insulin is: |
|
Definition
|
|
Term
| The nurse understands which of the following drugs falls under the classification of biguanides? |
|
Definition
| Metformin HCI (Glucophage) |
|
|
Term
| The mechanism of action of regular insulin is to: |
|
Definition
| Promote entry of glucose into the cells. |
|
|
Term
| In caring for a client with type 2 diabetes mellitus (DM), the nurse will teach the client to report: |
|
Definition
| Increased blood pressure and pulse. |
|
|
