Question 1

A nurse is teaching a client with diabetes about carbohydrate counting, the glycemic index (GI), and glycemic load (GL). Which statements by the nurse are accurate? Select all that apply.

Accepted Answer

B,C,D,E

Question 2

Which of the following has also been called "insulin-dependent diabetes mellitus"?

Accepted Answer

Type 1 diabetes is also known as insulin-dependent diabetes mellitus because individuals with this condition typically require insulin injections to manage their blood sugar levels, as their pancreas produces little to no insulin.

Question 3

A nurse is caring for a pregnant client who is also obese. The client indicates that her mother and sister both had gestational diabetes during assessment. When should the nurse expect that client will be tested for gestational diabetes?

Accepted Answer

The nurse should expect that the client will be tested for gestational diabetes as soon as possible because she has a family history of the condition.

Question 4

A client with type 1 diabetes is brought to the emergency department after experiencing acute illness and dehydration. Which condition does a nurse know may occur?

Accepted Answer

Diabetic ketoacidosis (DKA) is a common acute complication of type 1 diabetes, especially in the context of acute illness and dehydration, as these conditions can exacerbate the body's deficiency in insulin.

Question 5

Which of the following are considered the cornerstones of managing diabetes? Select all that apply.

Accepted Answer

The answer of Which of the following are considered the...

Question 6

A nurse is educating a client on fasting hypoglycemia. Which statements by the client indicate education has been successful? Select all that apply.

Accepted Answer

Fasting hypoglycemia is defined by low blood glucose levels after not eating (fasting), typically in the morning, with levels less than 70 mg/dL indicating hypoglycemia. It is not exclusive to diabetes and can occur in various situations, including after critical illness or binge drinking, due to the body's depleted glycogen stores and impaired glucose production.

Question 7

A nurse is caring for a pediatric client with hyperglycemia and excessive ketones. Which of the following should the nurse suspect?

Accepted Answer

Ketoacidosis is characterized by hyperglycemia (high blood sugar) and excessive ketones in the body, which is consistent with the symptoms described.

Question 8

A nurse is caring for a client with type 1 diabetes. The client reports a headache and double vision. The nurse also notes the client is sweating. After testing, the nurse finds a blood glucose level of 65 mg/dL. Which actions should be taken? Select all that apply.

Accepted Answer

The answer of A nurse is caring for a client...

Question 9

While educating a client who has diabetes, a nurse states "Your primary concern should be to achieve optimal glucose, blood pressure, and lipid goals." Which type of diabetes does the client likely have?

Accepted Answer

The focus on achieving optimal glucose, blood pressure, and lipid goals is particularly relevant for individuals with Type 2 diabetes, as they are at a higher risk for cardiovascular diseases. Managing these factors helps in preventing complications associated with Type 2 diabetes.

Question 10

How many carbohydrate servings are included in a bowl of cereal that contains 45 total grams of carbohydrates?

Accepted Answer

One carbohydrate serving is equivalent to 15 grams of carbohydrates. Therefore, 45 grams of carbohydrates divided by 15 grams per serving equals 3 servings.

Question 11

Which of the following may be responsible for secondary diabetes? Select all that apply.

Accepted Answer

The answer of Which of the following may be responsible...

Question 12

Which of the following are symptoms of hypoglycemia? Select all that apply.

Accepted Answer

Hypoglycemia, or low blood sugar, can cause a variety of symptoms including headache, double vision, sweating, and seizures. Polyuria, or excessive urination, is more commonly associated with hyperglycemia, not hypoglycemia.

Question 13

A nurse is teaching a seminar on types of hypoglycemia not related to diabetes. Which of the statements made by the nurse is true?

Accepted Answer

The answer of A nurse is teaching a seminar on...

Question 14

Which of the following are considered part of the classic triad of signs and symptoms that indicate diabetes? Select all that apply.

Accepted Answer

The classic triad of signs and symptoms indicating diabetes includes polyuria (excessive urination), polydipsia (excessive thirst), and polyphagia (excessive hunger). These symptoms occur as the body tries to manage high blood sugar levels.

Question 15

Which of the following refers to an abnormally high amount of glucose in the urine?

Accepted Answer

Glycosuria is the condition characterized by an excess amount of glucose in the urine, typically resulting from high blood sugar levels.

Question 16

Which of the following should a nurse note when counseling a client with type 1 diabetes on physical exercise? Select all that apply.

Accepted Answer

The answer of Which of the following should a nurse...

Question 17

Which statement made by a client with type 1 diabetes indicates education about nutritional goals has been effective?

Accepted Answer

The statement about coordinating exercise, food intake, and insulin injections carefully indicates an understanding of the comprehensive management approach necessary for type 1 diabetes. This involves balancing these factors to maintain blood glucose levels within a target range, which is crucial for preventing complications associated with diabetes.

Question 18

A nurse is educating a woman with type 1 diabetes. Which statement made by the nurse is true regarding alcohol consumption?

Accepted Answer

Drinking alcohol can indeed lead to delayed hypoglycemia, especially in individuals with type 1 diabetes. Alcohol inhibits gluconeogenesis in the liver, which can prevent the liver from releasing glucose into the bloodstream, thereby increasing the risk of hypoglycemia, particularly if the individual has not eaten or is taking insulin or insulin secretagogues.

Question 19

A nurse is teaching a client with type 1 diabetes. Which statement made by the client indicates teaching has been successful?

Accepted Answer

Type 1 diabetes is an autoimmune condition where the body's immune system attacks the insulin-producing cells in the pancreas. This is different from type 2 diabetes, which is often associated with obesity and insulin resistance.

Question 20

A nurse is caring for a critically ill client who has type 2 diabetes. Which treatment should the nurse expect in this client?

Accepted Answer

The answer of A nurse is caring for a critically...

Quiz 17: Diet in Diabetes Mellitus and Hypoglycemia

A nurse is teaching a client with diabetes about carbohydrate counting, the glycemic index (GI) , and glycemic load (GL) . Which statements by the nurse are accurate? Select all that apply.