SOLVED

Chapter 32 Question 1 A patient tells the nurse that there is a history of diabetes in the family and even though she has always tried to keep her blood glucose level on the “low side” she still developed diabetes. What information should the nurse provide? 1. Body weight is a big contributor to the development of all types of diabetes. 2. There is no way to stop the development of diabetes. 3. Diabetes can be caused by taking some medications. 4. It is thought that genetics is involved with the development of both type 1 and type 2 diabetes. Question 2 A patient with acute pancreatitis asks the nurse why everyone is concerned about his blood glucose level. Which nursing response is appropriate? 1. Pancreatitis can injure the cells that produce insulin. 2. Since you are not eating, there is concern you won’t have enough glucose in your system. 3. Nearly everyone with pancreatitis develops diabetes. 4. Pancreatitis requires treatment with high amounts of intravenous fluids that can increase blood glucose. Question 3 A patient receiving an insulin injection for the first time asks the nurse how it works to reduce the blood glucose. Which of the following would be the best response for the nurse to make to the patient? 1. Insulin makes sure that fat is used as the body’s main energy source. 2. Insulin helps prevent fluid overload in the cells. 3. Insulin helps break down protein. 4. Insulin helps with cellular uptake of glucose. Question 4 A patient with type 2 diabetes mellitus experiences a hypoglycemic reaction. The capillary blood glucose level is 60 mg/dL and the patient is given 4 ounces of orange juice. What should the nurse do next? 1. Recheck the patient’s blood glucose in 15 minutes. 2. Mark the medication administration record to hold the next scheduled dose of insulin. 3. Recheck the blood glucose before the next meal. 4. Give the patient another 4 ounces of orange juice in 30 minutes. Question 5 The nurse is preparing to administer an intravenous insulin drip to a patient admitted with diabetic ketoacidosis. Which laboratory is of most concern to the nurse? 1. Phosphorus level of 2.8 mEq/L 2. Bicarbonate level of 16 mEq/L 3. Sodium level of 130 mEq/L 4. Potassium level of 3.2 mEq/L Question 6 The nurse is planning the care for a patient admitted with diabetic ketoacidosis. How does the nurse anticipate this condition will be medically managed? 1. BID dosing of NPH insulin and PRN coverage with regular insulin 2. A continuous low-dose intravenous infusion of regular insulin 3. Once-per-evening dose of Lantus insulin with daytime coverage with regular insulin 4. sliding scale coverage with regular insulin Question 7 A patient with type 1 diabetes mellitus is admitted with hyperglycemia and dehydration, and is being evaluated for diabetic ketoacidosis. The nurse recognizes that which laboratory finding would support this diagnosis? 1. Potassium of 4.5 mEq/L 2. Anion gap of 20 mEq/L 3. Sodium of 140 mEq/L 4. Bicarbonate level of 36 mmol/L Question 8 The nurse is preparing to administer an intravenous infusion containing regular insulin for a patient diagnosed with diabetic ketoacidosis. Which nursing intervention added to the patient’s plan of care has the highest priority? 1. Check urine for ketone bodies every shift 2. Check blood glucose levels every 2 hours 3. Monitor serum calcium levels closely 4. Adjust infusion rate according to glucose readings. Question 9 A patient with type 2 diabetes mellitus, lethargy, and a blood glucose level of 650 mg/dL has been diagnosed with hyperglycemic hyperosmolar syndrome. The nurse monitors this patient for the development of which complication? 1. Hyperkalemia 2. Seizures 3. Metabolic acidosis 4. Fluid volume overload Question 10 The nurse is caring for a patient with a history of type 2 diabetes who has recently experienced a myocardial infarction. The nurse would increase monitoring for findings of diabetic ketoacidosis when which medication is added to the patient’s drug regimen? 1. Warfarin sodium 2. Hydrochlorothiazide diuretic 3. Aspirin 4. Calcium channel blocker