Uhhcs Diabetes Mellitus Quiz (September)

26 Questions | Total Attempts: 137

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Uhhcs Diabetes Mellitus Quiz (September) - Quiz

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Questions and Answers
  • 1. 
    If a dietician would require 50% to 60% of daily calories should come from carbohydrates. What should the nurse say about the types of carbohydrates that can be eaten?
    • A. 

      Try to limit simple sugars to between 10% and 20% of daily calories.

    • B. 

      Simple carbohydrates are absorbed more rapidly than complex carbohydrates.

    • C. 

      Simple sugars cause rapid spike in glucose levels and should be avoided.

    • D. 

      Simple sugars should never be consumed by someone with diabetes.

  • 2. 
    At the time Louie found out that the symptoms of diabetes were caused by high levels of blood glucose, he decided to break the habit of eating carbohydrates. With this, the nurse would be aware that the client might develop what complication?
    • A. 

      Retinopathy

    • B. 

      Atherosclerosis

    • C. 

      Glycosuria

    • D. 

      Acidosis

  • 3. 
    Salah has recently been diagnosed with Type I diabetes and asks Nurse Jemma for help formulating a nutrition plan. Which of the following recommendations would the nurse make to help the client increase calorie consumption to offset absorption problems?
    • A. 

      Eat small meals with two or three snacks throughout the day to keep blood glucose levels steady

    • B. 

      Increase consumption of simple carbohydrates

    • C. 

      Eating small meals with two or three snacks may be more helpful in maintaining blood glucose levels than three large meals.

    • D. 

      Skip meals to help lose weight

  • 4. 
    Amir is being asked concerning his health in the emergency department. When obtaining a health history from a patient with acute pancreatitis, the nurse asks the patient specifically about a history of
    • A. 

      Alcohol use.

    • B. 

      Cigarette smoking.

    • C. 

      Diabetes Mellitus.

    • D. 

      High-protein diet.

  • 5. 
    The goal for pre-prandial blood glucose for those with Type 1 Diabetes Mellitus is:
    • A. 

    • B. 

    • C. 

    • D. 

  • 6. 
    Nurse Sherryl is educating a pregnant client who has gestational diabetes. Which of the following statements should the nurse make to the client? Select all that apply.
    • A. 

      Cakes, candies, cookies, and regular soft drinks should be avoided.

    • B. 

      Gestational diabetes increases the risk that the mother will develop diabetes later in life.

    • C. 

      Gestational diabetes usually resolves after the baby is born.

    • D. 

      Insulin injections may be necessary.

    • E. 

      The baby will likely be born with diabetes

    • F. 

      The mother should strive to gain no more weight during the pregnancy.

  • 7. 
    The guidelines for Carbohydrate Counting as medical nutrition therapy for Diabetes Mellitus includes all of the following EXCEPT:
    • A. 

      Flexibility in types and amounts of foods consumed

    • B. 

      Unlimited intake of total fat, saturated fat and cholesterol

    • C. 

      Including adequate servings of fruits, vegetables and the dairy group

    • D. 

      Applicable to with either Type 1 or Type 2 diabetes mellitus

  • 8. 
    Omar, one of the clients who has classic diabetic symptoms had an eight-hour fasting plasma glucose (FPG) test done. The nurse realizes that diagnostic criteria developed by the American Diabetes Association for diabetes include classic diabetic symptoms plus which of the following fasting plasma glucose levels?
    • A. 

      Higher than 106 mg/dl

    • B. 

      Higher than 126 mg/dl

    • C. 

      Higher than 140 mg/dl

    • D. 

      Higher than 160 mg/dl

  • 9. 
    When taking the health history of Kareen, the nurse screens for manifestations suggestive of Diabetes Type I. Which of the following manifestations are considered the primary manifestations of Diabetes Type I and would be most suggestive and require follow-up investigation?
    • A. 

      Excessive intake of calories, rapid weight gain, and difficulty losing weight

    • B. 

      An increase in three areas: thirst, intake of fluids, and hunger

    • C. 

      Poor circulation, wound healing, and leg ulcers

    • D. 

      Lack of energy, weight gain, and depression

  • 10. 
    Nurse Mara is working with an overweight client who has a high-stress job and smokes. This client, Adhara, has just received a diagnosis of Type II Diabetes and has just been started on an oral hypoglycemic agent. Which of the following goals for the client which if met, would be most likely to lead to an improvement in insulin efficiency to the point the client would no longer require oral hypoglycemic agents?
    • A. 

      Comply with medication regimen 100% for 6 months

    • B. 

      Quit the use of any tobacco products by the end of three months

    • C. 

      Lose a pound a week until weight is in normal range for height and exercise 30 minutes daily

    • D. 

      Practice relaxation techniques for at least five minutes five times a day for at least five months

  • 11. 
    During a home visit, nurse Nida will recommend routine screening for diabetes when the person has one or more of seven risk criteria. Which of the following persons that the nurse comes in contact with most needs to be screened for diabetes based on the seven risk criteria?
    • A. 

      A client with an HDL cholesterol level of 40 mg/dl and a triglyceride level of 300 mg/dl

    • B. 

      A woman who is at 90% of standard body weight after delivering an eight-pound baby

    • C. 

      A middle-aged Caucasian male

    • D. 

      An older client who is hypotensive

  • 12. 
    During the admission of patient Mahra having signs of diabetic ketoacidosis, Nurse Kara will anticipate the physician ordering which of the following types of intravenous solution if the client cannot take fluids orally?
    • A. 

      Lactated Ringer’s solution

    • B. 

      0.9 normal saline solution

    • C. 

      5% dextrose in water

    • D. 

      0.45% normal saline solution

  • 13. 
    You are giving health teaching with Abdullah who is starting on a sulfonylurea antidiabetic agent. He mentions that he usually has a couple of beers each night and takes an Aspirin each day to prevent heart attack and/or strokes. Which of the following responses would be best on the part of the nurse?
    • A. 

      As long as you only drink two beers and take one aspirin, this should not be a problem

    • B. 

      The aspirin is alright but you need to give up drinking any alcoholic beverages

    • C. 

      Taking alcohol and/or aspirin with a sulfonylurea drug can cause development of hypoglycemia

    • D. 

      Aspirin and alcohol will cause the stomach to bleed more when on a sulfonylurea drug

  • 14. 
    Which of the following if stated by the nurse is correct about Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS)?
    • A. 

      This syndrome occurs mainly in people with Type I Diabetes

    • B. 

      It has a higher mortality rate than Diabetic Ketoacidosis

    • C. 

      The client with HHNS is in a state of overhydration

    • D. 

      This condition develops very rapidly

  • 15. 
    Nurse Robe is teaching Meera, a thin client about the proper methods/techniques when giving insulin. Which one of the following is proper?
    • A. 

      Pinch the skin up and use a 90 degree angle

    • B. 

      Use a 45 degree angle with the skin pinched up

    • C. 

      Massage the area of injection after injecting the insulin

    • D. 

      Warm the skin with a warmed towel or washcloth prior to the injection

  • 16. 
    Nurse Pamela is explaining to the client about Type II Diabetes. Risk factors of such condition include all of the following except:
    • A. 

      Advanced age

    • B. 

      Physical inactivity

    • C. 

      Obesity

    • D. 

      Smoking

  • 17. 
    Blood sugar is well controlled when Hemoglobin A1C is:
    • A. 

      Below 5.7%

    • B. 

      Between 12%-15%

    • C. 

      Less than 180 mg/dL

    • D. 

      Between 90 and 130 mg/dL

  • 18. 
    Which of the following diabetes drugs acts by decreasing the amount of glucose produced by the liver?
    • A. 

      Alpha-glucosidase inhibitors

    • B. 

      Biguanides

    • C. 

      Meglitinides

    • D. 

      Sulfonylureas

  • 19. 
    Ameen, a 39-year-old company driver presents with shakiness, sweating, anxiety, and palpitations and tells the nurse he has Type I Diabetes Mellitus. Which of the follow actions should the nurse do first?
    • A. 

      Inject 1 mg of glucagon subcutaneously.

    • B. 

      Administer 50 mL of 50% glucose I.V.

    • C. 

      Give 4 to 6 oz (118 to 177 mL) of orange juice.

    • D. 

      Give the client four to six glucose tablets.

  • 20. 
    An external insulin pump is prescribed for Mahra with diabetes mellitus and she asks the nurse about the functioning of the pump. The nurse bases the response on the information that the pump:
    • A. 

      Is timed to release programmed doses of regular or NPH insulin into the bloodstream at specific intervals

    • B. 

      Gives a small continuously dose of regular insulin subcutaneously, and the client can self-administer a bolus with an additional dose from the pump before each meal

    • C. 

      Continuously infuses small amounts of NPH insulin into the bloodstream while regularly monitoring blood glucose levels

    • D. 

      Is surgically attached to the pancreas and infuses regular insulin into the pancreas, which in turn releases the insulin into the bloodstream

  • 21. 
    Which of the following persons would most likely be diagnosed with Diabetes Mellitus? A 44-year-old:
    • A. 

      Caucasian woman.

    • B. 

      Asian- Arabic woman.

    • C. 

      African-American woman.

    • D. 

      Hispanic male.

  • 22. 
    Which of the following factors are risks for the development of Diabetes Mellitus? Select all that apply.
    • A. 

      Age over 45 years

    • B. 

      Overweight with a waist/hip ratio >1

    • C. 

      Having a consistent HDL level above 40 mg/dl

    • D. 

      Maintaining a sedentary lifestyle

  • 23. 
    Muneer received 6 units of regular insulin 3 hours ago. The nurse would be MOST concerned if which of the following was observed?
    • A. 

      Kussmaul respirations and diaphoresis

    • B. 

      Anorexia and lethargy

    • C. 

      Diaphoresis and trembling

    • D. 

      Headache and polyuria

  • 24. 
    Fatima requested his grandfather to check his blood sugar levels. Which test should a nurse anticipate a physician would order when an older person is identified as high-risk for Diabetes Mellitus? Select all that apply.
    • A. 

      Fasting Plasma Glucose (FPG)

    • B. 

      Two-hour Oral Glucose Tolerance Test (OGTT)

    • C. 

      Glycosylated hemoglobin (HbA1C)

    • D. 

      Finger stick glucose three times daily

  • 25. 
    Mohammed is newly diagnosed with Type I DM and is being seen by the home health nurse. The doctors orders include: 1200 calorie ADA diet, 15 units NPH insulin before breakfast, and check blood sugar qid. When the nurse visits the patient at 5 pm, the nurse observes the man performing blood sugar analysis. The result is 50 mg/dL. The nurse would expect the patient to be
    • A. 

      Confused with cold, clammy skin and pulse of 110

    • B. 

      Lethargic with hot dry skin and rapid deep respirations

    • C. 

      Alert and cooperative with BP of 130/80 and respirations of 12

    • D. 

      Short of breath, with distended neck veins and bounding pulse of 96.

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