Question 1

The American Diabetes Association recommends a preprandial blood glucose goal of 70 to ________________mg/dL for most patients.

Accepted Answer

The answer of The American Diabetes Association recommends a preprandial...

Question 2

The nurse is teaching a patient at an outpatient clinic whose laboratory tests include an HbA1c. Which of the following client statements indicates teaching has been effective? (Select all that apply.?

Accepted Answer

The answer of The nurse is teaching a patient at...

Question 3

Which of the following are signs or symptoms of diabetic ketoacidosis (DKA)? (Select all that apply.?

Accepted Answer

- Kussmaul's respirations (deep and rapid breathing) are a compensatory mechanism in response to acidosis.
- Flulike symptoms may be present, including nausea, vomiting, abdominal pain, and weakness.
- Dehydration is a common symptom due to loss of fluids through excessive urination and vomiting. Hypertension and edema are typically not present in DKA. Cheyne-Stokes respirations are not a common sign of DKA.

Question 4

Critically ill hospitalized patients should have blood glucose levels maintained between 140 and ________________mg/dL at all times to prevent complications and optimize outcomes.

Accepted Answer

The answer of Critically ill hospitalized patients should have blood...

Question 5

A student nurse is preparing to administer insulin. Which of the following injection sites is acceptable? (Select all that apply.?

Accepted Answer

The answer of A student nurse is preparing to administer...

Question 6

The nurse is providing teaching to a patient with reactive hypoglycemia. Which of the following instructions related to glucose monitoring should be provided? (Select all that apply.?

Accepted Answer

Patients with reactive hypoglycemia should monitor their blood sugar levels at specific times to manage their condition effectively. Checking blood sugar in the morning (A) helps establish a baseline. Monitoring at bedtime (D) ensures levels are stable overnight. Checking 2 hours after meals (E) helps assess how the body is handling post-meal glucose.

Question 7

A patient being treated with rosiglitazone (Avandia) for type 2 diabetes mellitus is receiving a routine follow-up assessment. In addition to hemoglobin A1c and a fasting plasma glucose test, which other laboratory test is important in the patient receiving rosiglitazone?

Accepted Answer

Rosiglitazone has been associated with liver toxicity, so monitoring liver function tests is important to detect any potential liver damage.

Question 8

Goals and recommendations of the American Diabetes Association (ADA) include which of the following? (Select all that apply.?

Accepted Answer

The answer of Goals and recommendations of the American Diabetes...

Question 9

Hypoglycemia is usually defined as a blood glucose level less than ________________mg/dL.

Accepted Answer

The answer of Hypoglycemia is usually defined as a blood...

Question 10

Which of the following is important for the nurse to assess and monitor in a patient prescribed metformin (Glucophage)? (Select all that apply.?

Accepted Answer

It is important for the nurse to assess and monitor presence of congestive heart failure (CHF), need for diagnostic tests involving use of contrast dyes and presence of renal or hepatic disease in a patient prescribed metformin (Glucophage) as these conditions can increase the risk of lactic acidosis, a rare but serious side effect of metformin. Weight gain, fluid retention and family history of glaucoma are not directly related to the use of metformin.

Question 11

While providing care for a patient with type 2 diabetes, the nurse recognizes which of the following symptoms may indicate the patient could be experiencing a Somogyi effect? (Select all that apply.?

Accepted Answer

The answer of While providing care for a patient with...

Question 12

A patient whose blood glucose level usually is 150 to 200 mg/dL has an episode of hypoglycemia. Which of the following activities the patient engaged in before the episode was most likely the cause of the hypoglycemia?

Accepted Answer

Exercise or physical activity can lower blood glucose levels, especially in patients with diabetes who are on medication that increases insulin release or sensitivity. The bicycle ride likely caused the patient's blood glucose level to drop too low, resulting in the hypoglycemic episode.

Question 13

What are characteristics of insulin glargine (Lantus)? (Select all that apply.?

Accepted Answer

Insulin glargine (Lantus) has no peak action time, has a duration of 24 hours, and cannot be mixed with other insulins. It is only available as an injectable medication, and cannot be inhaled.

Question 14

A patient at home with type 1 diabetes has a glucose level of 324 mg/dL. It is usually less than 150 mg/dL. What should the patient do first?

Accepted Answer

The patient should check their urine for ketones and drink water. This high glucose level may indicate diabetic ketoacidosis, a serious complication of diabetes. Checking for ketones and hydrating can help prevent worsening of the condition. The patient should also contact their physician for further guidance. Having a glass of orange juice or exercising could further increase the glucose level and worsen the condition.

Quiz 40: Nursing Care of Patients With Disorders of the Endocrine Pancreas