Question 1

What dietary instructions should the nurse provide a client who is prescribed repaglinide (Prandin)?
Select all that apply.

Accepted Answer

Repaglinide's effectiveness can be affected by grapefruit juice, which can increase its blood levels, potentially leading to hypoglycemia. Garlic can also affect blood glucose levels, making it important for patients on repaglinide to avoid it to maintain stable glucose levels.

Question 2

Which client statements indicate to the nurse that instruction about type 2 diabetes mellitus and insulin resistance has been effective?
Select all that apply.

Accepted Answer

A) Exercise can improve insulin sensitivity, allowing the body's cells to use blood glucose more effectively, reducing blood sugar levels. B) While a healthy diet may not "reverse" insulin resistance completely, it can significantly improve blood sugar control and insulin sensitivity, contributing to better management of type 2 diabetes.

Question 3

What should the nurse include when teaching a client about insulin?
Select all that apply.

Accepted Answer

A) It is important for the client to rotate injection sites to prevent lipohypertrophy and make sure the insulin is being absorbed properly.

B) Recognizing the signs of hypoglycemia is crucial in preventing severe complications and being able to treat the client if necessary.

D) Having a readily available supply of sugar, such as glucose tablets or hard candy, can help quickly raise the client's blood sugar if it becomes too low.

E) Wearing a medic alert bracelet can notify others of the client's diabetes and potential need for prompt medical attention.

C) Insulin should not be stored in the freezer as it can cause damage to the medication.

Question 4

The nurse knows that the prescribed dose of insulin should not be administered in to a client whose blood glucose is lower than:

Accepted Answer

It is not recommended to administer insulin when blood glucose levels are below 70 mg/dL, as this increases the risk of hypoglycemia (low blood sugar) and its associated symptoms, such as shakiness, confusion, dizziness, and in severe cases, seizures and loss of consciousness. In this situation, the client should be treated with a fast-acting source of glucose, such as orange juice or glucose gel, to raise their blood sugar levels before administering insulin.

Question 5

The nurse decides to withhold a prescribed dose of metformin to a client after reviewing the medical record.For which conditions is this medication contraindicated or used with caution?
Select all that apply.

Accepted Answer

The answer of The nurse decides to withhold a prescribed...

Question 6

Which statements indicate that instruction provided to a client with type 1 diabetes mellitus regarding exercise has been effective?
Select all that apply.

Accepted Answer

- Starting a new exercise regimen slowly helps to prevent hypoglycemia and allows the body to adjust.- Exercising an hour after a meal utilizes the food consumed for energy, reducing the risk of hypoglycemia.- Having a snack of 10 to 15 grams of carbohydrate before exercising helps maintain blood glucose levels.- Taking 10- to 15-gram carbohydrate snacks for exercises longer than 30 minutes helps prevent hypoglycemia during prolonged activity.

Question 7

The nurse is concerned that a client is at risk for developing gestational diabetes after collecting which assessment data?
Select all that apply.

Accepted Answer

The answer of The nurse is concerned that a client...

Question 8

The nurse is planning care for a client with diabetic ketoacidosis.What interventions will the nurse most likely perform for this client?
Select all that apply.

Accepted Answer

Diabetic ketoacidosis is a complication of diabetes that is characterized by high blood glucose levels, the presence of ketones in the urine, and metabolic acidosis. The primary goals of treatment are to correct hyperglycemia, dehydration, and electrolyte imbalances and to prevent complications such as cerebral edema. Therefore, the nurse would administer intravenous fluids, electrolyte replacements, and a loading dose of insulin to help manage the client's condition. Intravenous antibiotics and nebulized bronchodilators are not typically indicated for the treatment of diabetic ketoacidosis.

Question 9

After an assessment,the nurse suspects that a client is experiencing signs of type 2 diabetes mellitus.What did the nurse assess in this client?
Select all that apply.

Accepted Answer

Excessive urination (polyuria), excessive thirst (polydipsia), blurred vision, and tingling of the fingers and toes (neuropathy) are all common symptoms of type 2 diabetes mellitus. Itchy skin rash (pruritus) is not typically associated with diabetes.

Question 10

What should the nurse teach a client with diabetes about how to reduce the risk of cardiovascular complications from the disorder?
Select all that apply.

Accepted Answer

A) Stop smoking: Smoking increases the risk of developing cardiovascular complications as it damages the blood vessels and increases blood pressure. Therefore, quitting smoking can reduce the risk of developing cardiovascular disease.

B) Follow a low-fat diet: Eating a diet that is high in fat and cholesterol can lead to the development of atherosclerosis, a condition in which plaque builds up in the arteries and can cause cardiovascular disease. Therefore, following a low-fat diet can reduce the risk of developing cardiovascular complications.

C) Take blood pressure medication as prescribed: High blood pressure is a major risk factor for cardiovascular disease in people with diabetes. Therefore, taking medication as prescribed by the healthcare provider can help to control blood pressure and reduce the risk of developing cardiovascular disease.

D) Keep blood glucose levels within normal limits: High blood glucose levels can damage blood vessels and increase the risk of developing cardiovascular disease. Therefore, keeping blood glucose levels within normal limits can reduce the risk of developing cardiovascular complications.

E) Prevent constipation: While constipation can cause discomfort, it is not directly related to the risk of developing cardiovascular complications in people with diabetes.

Question 11

The nurse is instructing a client on the role of the pancreas in controlling blood glucose levels.When does the pancreas excrete glucagon to maintain an adequate amount of glucose in the blood?
Select all that apply.

Accepted Answer

The answer of The nurse is instructing a client on...

Question 12

When administering insulin to a client,the nurse will rotate injection sites primarily to prevent:

Accepted Answer

Rotating injection sites prevents lipodystrophy, which is the localized thickening or thinning of fatty tissue where insulin is injected. This insulin absorption issue can lead to variations in insulin absorption and unpredictable changes in blood glucose levels. Systemic absorption of insulin, abscess development, and ineffective dosing can also be prevented through appropriate injection techniques, but rotation of injection sites primarily prevents lipodystrophy.

Question 13

When reviewing a client's current medications,the nurse is concerned that the insulin dose will need to be adjusted because the client is currently prescribed which medications?
Select all that apply.

Accepted Answer

The answer of When reviewing a client's current medications,the nurse...

Quiz 66: Pharmacotherapy of Diabetes Mellitus

What dietary instructions should the nurse provide a client who is prescribed repaglinide (Prandin) ? Select all that apply.

Which client statements indicate to the nurse that instruction about type 2 diabetes mellitus and insulin resistance has been effective? Select all that apply.

What should the nurse include when teaching a client about insulin? Select all that apply.

The nurse knows that the prescribed dose of insulin should not be administered in to a client whose blood glucose is lower than:

The nurse decides to withhold a prescribed dose of metformin to a client after reviewing the medical record.For which conditions is this medication contraindicated or used with caution? Select all that apply.

Which statements indicate that instruction provided to a client with type 1 diabetes mellitus regarding exercise has been effective? Select all that apply.

The nurse is concerned that a client is at risk for developing gestational diabetes after collecting which assessment data? Select all that apply.

The nurse is planning care for a client with diabetic ketoacidosis.What interventions will the nurse most likely perform for this client? Select all that apply.

After an assessment,the nurse suspects that a client is experiencing signs of type 2 diabetes mellitus.What did the nurse assess in this client? Select all that apply.

What should the nurse teach a client with diabetes about how to reduce the risk of cardiovascular complications from the disorder? Select all that apply.

The nurse is instructing a client on the role of the pancreas in controlling blood glucose levels.When does the pancreas excrete glucagon to maintain an adequate amount of glucose in the blood? Select all that apply.

When administering insulin to a client,the nurse will rotate injection sites primarily to prevent:

When reviewing a client's current medications,the nurse is concerned that the insulin dose will need to be adjusted because the client is currently prescribed which medications? Select all that apply.