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SESSIONS 12-14 NUR 149

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SESSION 12: DIABETES MELLITUS

A nurse performs a physical assessment on a client with type 2 DM. * 1 point

Findings include a fasting blood glucose of 120mg/dl, temperature of 101,


pulse of 88, respirations of 22, and a BP of 140/84. Which finding would be
of most concern of the nurse?

A. Pulse

B. BP

C. Respiration

D. Temperature

Glucose is an important molecule in a cell because this molecule is * 1 point

primarily used for:

A. Extraction of energy

B. Synthesis of protein

C. Building of genetic material

D. Formation of cell membranes.


When a client is in diabetic ketoacidosis, the insulin that would be * 1 point

administered is:

A. Human NPH insulin

B. Human regular insulin

C. Insulin lispro injection

D. Insulin glargine injection

A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in * 1 point

the ER. Which finding would a nurse expect to note as confirming this
diagnosis?

A. Elevated blood glucose level and a low plasma bicarbonate

B. Decreased urine output

C. Increased respirations and an increase in pH

D. Comatose state

A client with type 1 DM calls the nurse to report recurrent episodes of * 1 point
hypoglycemia with exercise. Which statement by the client indicated an
inadequate understanding of the peak action of NPH insulin and exercise?

A. “The best time for me to exercise is every afternoon.”

B. “The best time for me to exercise is right after I eat.”

C. “The best time for me to exercise is after breakfast.”

D. “The best time for me to exercise is after my morning snack.”


The nurse is admitting a client with hypoglycemia. Identify the signs and * 1 point

symptoms the nurse should expect. Select all that apply.

A. Thirst

B. Palpitations

C. Diaphoresis

D. Slurred speech

E. Hyperventilation

A nurse is caring for a client admitted to the ER with DKA. In the acute * 1 point
phase the priority nursing action is to prepare to:

A. Administer regular insulin intravenously

B. Administer 5% dextrose intravenously

C. Correct the acidosis

D. Apply an electrocardiogram monitor

When a client is first admitted with hyperglycemic hyperosmolar nonketotic * 1 point

syndrome (HHNS), the nurse’s priority is to provide:

A. Oxygen

B. Carbohydrates

C. Fluid replacement

D. Dietary instruction
A client is taking NPH insulin daily every morning. The nurse instructs the * 1 point
client that the most likely time for hypoglycemic reaction to occur is:

A. 2-4 hours after administration

B. 6-14 hours after administration

C. 16-18 hours after administration

D. 18-24 hours after administration

A nurse is preparing a plan of care for a client with DM who has * 1 point
hyperglycemia. The priority nursing diagnosis would be:

A. High risk for deficient fluid volume

B. Deficient knowledge: disease process and treatment

C. Imbalanced nutrition: less than body requirements

D. Disabled family coping: compromised.

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