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  • What are the clinical features of diabetic retinopathy?
    What are the clinical features of diabetic retinopathy?
    Advanced diabetic eye disease can cause retrohyaloid or intra gel haemorrhages and can cause retinal detachment

  • Which statement by the nurse about type 2 diabetes is correct? A patient with newly diagnosed type 2 diabetes mellitus asks the nurse what “type 2” means in relation to diabetes.
    Which statement by the nurse about type 2 diabetes is correct? A patient with newly diagnosed type 2 diabetes mellitus asks the nurse what “type 2” means in relation to diabetes.
    The correct answer to this question is D. Type II diabetes is the most common form of diabetes. If a patient has Type II, their body does not use insulin correctly, also known as insulin resistance. In this case, changing the patient's diet and increase in exercise may be sufficient enough to control blood glucose levels. When patients with Type II diabetes have a healthy diet and exercise regularly, they tend to lose weight, which will cause their body to use up glucose as energy. This change will make their cells more sensitive to insulin. If the patient's parent or sibling has Type II, the chance of them getting Type II increases.

  • Which patient action indicates a good understanding of the nurse’s teaching about the use of an insulin pump?
    Which patient action indicates a good understanding of the nurse’s teaching about the use of an insulin pump?
    1. The patient programs the pump to deliver an insulin bolus after eating. ANS: B In addition to the basal rate of insulin infusion, the patient will adjust the pump to administer a bolus after each meal, with the dosage depending on the oral intake. The insertion site should be changed every 2 or 3 days. There is more flexibility in diet and exercise when an insulin pump is used. The pump will deliver a basal insulin rate 24 hours a day.

  • Why are diabetic patients asked to get their feet checked every day?
    Why are diabetic patients asked to get their feet checked every day?
    To check for any cuts, sores, or dry cracked skin so they can be treated early to prevent infection or gangrene.

  • Which option completes this sentence? A male client with type 1 diabetes mellitus has a highly elevated glycosylated hemoglobin (Hb) test result. In discussing the result with the client, nurse...
    Which option completes this sentence? A male client with type 1 diabetes mellitus has a highly elevated glycosylated hemoglobin (Hb) test result. In discussing the result with the client, nurse...
    €It tells us about your sugar control for the last 3 months.” The glycosylated Hb test provides an objective measure of glycemic control over a 3-month period. The test helps identify trends or practices that impair glycemic control, and it doesnt require a fasting period before blood is drawn. The nurse cant conclude that the result occurs from poor dietary management or inadequate insulin coverage.

  • Which question by the nurse will help identify autonomic neuropathy in a diabetic patient?
    Which question by the nurse will help identify autonomic neuropathy in a diabetic patient?
    €Do you notice any bloating feeling after eating?” ANS: B Autonomic neuropathy can cause delayed gastric emptying, which results in a bloated feeling for the patient. The other questions also are appropriate to ask, but would not help in identifying autonomic neuropathy.

  • Where should the client be referred by the nurse? A home health nurse is at the home of a client with diabetes and arthritis. The client has difficulty drawing up insulin. This question...
    Where should the client be referred by the nurse? A home health nurse is at the home of a client with diabetes and arthritis. The client has difficulty drawing up insulin. This question...
    An occupational therapist from the community center An occupational therapist can assist a client to improve the fine motor skills needed to prepare an insulin injection.

  • Which action should the nurse take? A patient is admitted with diabetic ketoacidosis (DKA) and has a serum potassium level of 2.9 mEq/L.
    Which action should the nurse take? A patient is admitted with diabetic ketoacidosis (DKA) and has a serum potassium level of 2.9 mEq/L.
    Place the patient on a cardiac monitor. ANS: B Hypokalemia can lead to potentially fatal dysrhythmias such as ventricular tachycardia and ventricular fibrillation, which would be detected with ECG monitoring. Since potassium must be infused over at least 1 hour, the nurse should initiate cardiac monitoring before infusion of potassium. Insulin should not be administered without cardiac monitoring, since insulin infusion will further decrease potassium levels. Urine glucose and ketone levels are not urgently needed to manage the patients care.

  • The diabetic patients lab work comes back with a pH of 7.4, serum blood sugar of 950, serum osmolarity of 460, pCO2 of 35, HCO3 of 25. The patient is confused and dehydrated. This patient is...
    The diabetic patients lab work comes back with a pH of 7.4, serum blood sugar of 950, serum osmolarity of 460, pCO2 of 35, HCO3 of 25. The patient is confused and dehydrated. This patient is...
    Hyperosmolar hyperglycemic noketotic coma

  • The nurse knows to monitor the patient with DKA for Hyperkalemia.
    The nurse knows to monitor the patient with DKA for Hyperkalemia.
    FalseThe nurse would monitor for Hypokalemia

  • Which statement below is CORRECT regarding initiation of long term insulin therapy in diabetes?
    Which statement below is CORRECT regarding initiation of long term insulin therapy in diabetes?
    Patients with Type 2 diabetes should be initiated on basal insulin alone

  • A patient receives aspart (NovoLog) insulin at 8:00 AM. Which time will it be most important for the nurse to monitor for symptoms of hypoglycemia?
    A patient receives aspart (NovoLog) insulin at 8:00 AM. Which time will it be most important for the nurse to monitor for symptoms of hypoglycemia?
    9:00 AM ANS: A The rapid-acting insulins peak in 1 to 3 hours. The patient is not at a high risk for hypoglycemia at the other listed times, although hypoglycemia may occur.