15th Edition, Ch. 46
Quiz by Darwin
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- Q1
A patient with type 1 diabetes has told the nurse that his most recent urine test for ketones was positive. What is the nurses most plausible conclusion based on this assessment finding?
The patient should withhold his next scheduled dose of insulin.
The patient should promptly eat some protein and carbohydrates.
The patients insulin levels are inadequate.
The patient would benefit from a dose of metformin (Glucophage).
60s - Q2
A patient presents to the clinic complaining of symptoms that suggest diabetes. What criteria would support checking blood levels for the diagnosis of diabetes?
Fasting plasma glucose greater than or equal to 126 mg/dL
Random plasma glucose greater than 150 mg/dL
Fasting plasma glucose greater than 116 mg/dL on 2 separate occasions
Random plasma glucose greater than 126 mg/dL
60s - Q3
A patient newly diagnosed with type 2 diabetes is attending a nutrition class. What general guideline would be important to teach the patients at this class?
Low fat generally indicates low sugar.
Protein should constitute 30% to 40% of caloric intake.
Most calories should be derived from carbohydrates.
Animal fats should be eliminated from the diet.
60s - Q4
A nurse is providing health education to an adolescent newly diagnosed with type 1 diabetes mellitus and her family. The nurse teaches the patient and family that which of the following nonpharmacologic measures will decrease the body's need for insulin?
Adequate sleep
Low stimulation
Exercise
Low-fat diet
60s - Q5
A medical nurse is caring for a patient with type 1 diabetes. The patients medication administration record includes the administration of regular insulin three times daily. Knowing that the patients lunch tray will arrive at 11:45, when should the nurse administer the patients insulin?
10:45
11:15
11:45
11:50
60s - Q6
A patient has just been diagnosed with type 2 diabetes. The physician has prescribed an oral antidiabetic agent that will inhibit the production of glucose by the liver and thereby aid in the control of blood glucose. What type of oral antidiabetic agent did the physician prescribe for this patient?
A sulfonylurea
A biguanide
A thiazolidinedione
An alpha glucosidase inhibitor
60s - Q7
A diabetes nurse educator is teaching a group of patients with type 1 diabetes about sick day rules. What guideline applies to periods of illness in a diabetic patient?
Do not eliminate insulin when nauseated and vomiting.
Report elevated glucose levels greater than 150 mg/dL.
Eat three substantial meals a day, if possible.
Reduce food intake and insulin doses in times of illness.
60s - Q8
The nurse is discussing macrovascular complications of diabetes with a patient. The nurse would address what topic during this dialogue?
The need for frequent eye examinations for patients with diabetes
The fact that patients with diabetes have an elevated risk of myocardial infarction
The relationship between kidney function and blood glucose levels
The need to monitor urine for the presence of albumin
60s - Q9
A school nurse is teaching a group of high school students about risk factors for diabetes. Which of the following actions has the greatest potential to reduce an individuals risk for developing diabetes?
Have blood glucose levels checked annually.
Stop using tobacco in any form.
Undergo eye examinations regularly.
Lose weight, if obese.
60s - Q10
A 15-year-old child is brought to the emergency department with symptoms of hyperglycemia and is subsequently diagnosed with diabetes. Based on the fact that the childs pancreatic beta cells are being destroyed, the patient would be diagnosed with what type of diabetes?
Type 1 diabetes
Type 2 diabetes
Noninsulin-dependent diabetes
Prediabetes
60s - Q11
A newly admitted patient with type 1 diabetes asks the nurse what caused her diabetes. When the nurse is explaining to the patient the etiology of type 1 diabetes, what process should the nurse describe?
The tissues in your body are resistant to the action of insulin, making the glucose levels in your blood increase.
Damage to your pancreas causes an increase in the amount of glucose that it releases, and there is not enough insulin to control it.
The amount of glucose that your body makes overwhelms your pancreas and decreases your production of insulin.
Destruction of special cells in the pancreas causes a decrease in insulin production. Glucose levels rise because insulin normally breaks it down.
60s - Q12
An occupational health nurse is screening a group of workers for diabetes. What statement should the nurse interpret as suggestive of diabetes?
I've always been a fan of sweet foods, but lately Im turned off by them.
Lately, I drink and drink and cant seem to quench my thirst.
No matter how much sleep I get, it seems to take me hours to wake up.
When I went to the washroom the last few days, my urine smelled odd.
60s - Q13
A diabetes educator is teaching a patient about type 2 diabetes. The educator recognizes that the patient understands the primary treatment for type 2 diabetes when the patient states what?
I read that a pancreas transplant will provide a cure for my diabetes.
I will take my oral antidiabetic agents when my morning blood sugar is high.
I will make sure to follow the weight loss plan designed by the dietitian.
I will make sure I call the diabetes educator when I have questions about my insulin.
60s - Q14
A diabetes nurse educator is presenting the American Diabetes Association (ADA) recommendations for levels of caloric intake. What do the ADAs recommendations include?
10% of calories from carbohydrates, 50% from fat, and the remaining 40% from protein
10% to 20% of calories from carbohydrates, 20% to 30% from fat, and the remaining 50% to 60% from protein
20% to 30% of calories from carbohydrates, 50% to 60% from fat, and the remaining 10% to 20% from protein
50% to 60% of calories from carbohydrates, 20% to 30% from fat, and the remaining 10% to 20% from protein
60s - Q15
An older adult patient with type 2 diabetes is brought to the emergency department by his daughter. The patient is found to have a blood glucose level of 623 mg/dL. The patients daughter reports that the patient recently had a gastrointestinal virus and has been confused for the last 3 hours. The diagnosis of hyperglycemic hyperosmolar syndrome (HHS) is made. What nursing action would be a priority?
Administration of antihypertensive medications
Administering sodium bicarbonate intravenously
Reversing acidosis by administering insulin
Fluid and electrolyte replacement
60s