Endocrine System Disorders | Diabetes Mellitus | NCLEX Quiz 103

Joko has recently been diagnosed with Type I diabetes and asks Nurse Jessica 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?

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

• Increase consumption of simple carbohydrates

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

• Skip meals to help lose weight

When taking a health history. 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?

• Excessive intake of calories. rapid weight gain. and difficulty losing weight

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

• Poor circulation. wound healing. and leg ulcers.

• Lack of energy. weight gain. and depression

The nurse is working with an overweight client who has a high-stress job and smokes. This client 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?

• Comply with medication regimen 100% for 6 months

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

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

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

Billy 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

• Alcohol use.

• Cigarette smoking.

• Diabetes mellitus.

• High-protein diet.

The goal for pre-prandial blood glucose for those with Type 1 diabetes mellitus is:

Harry is a diabetic patient who is experiencing a reaction of alternating periods of nocturnal hypoglycemia and hyperglycemia. The patient might be manifesting which of the following?

• Uncontrolled diabetes

• Somogyi phenomenon

• Brittle diabetes

• Diabetes insipidus

At the time Cherrie Ann found out that the symptoms of diabetes were caused by high levels of blood glucose. she decided to break the habit of eating carbohydrates. With this. the nurse would be aware that the client might develop what complication?

• Retinopathy

• Atherosclerosis

• Glycosuria

• Acidosis

During lecture. the clinical instructor tells the students that 50% to 60% of daily calories should come from carbohydrates. What should the nurse say about the types of carbohydrates that can be eaten?

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

• Simple carbohydrates are absorbed more rapidly than complex carbohydrates.

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

• Simple sugars should never be consumed by someone with diabetes.

Nurse Shey 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.

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

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

• Gestational diabetes usually resolves after the baby is born.

• Insulin injections may be necessary.

• The baby will likely be born with diabetes

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