A client with type 1 diabetes mellitus is admitted to the emergency department with Kussmaul's breathing and severe dehydration. The nurse anticipates that the client will have an order for:
1. an IV infusion of Lantus insulin.
2. an IV infusion of Novolin NPH 70/regular 30 insulin.
3. an IV infusion of regular insulin.
4. an IV infusion of Actos.
Question 2The nurse is administering insulin to a client with type I diabetes mellitus and alternates the sites of the injections because:
1. increased bleeding can occur.
2. using the same site is painful.
3. lipoatrophy can occur.
4. absorption is too rapid when using the same site repeatedly.
Question 3A client with diabetes mellitus can effectively monitor the blood sugar at home. The nurse should encourage the client with type 1 diabetes mellitus to monitor:
1. indirect blood glucose monitoring.
2. direct blood glucose monitoring and urine testing for glucose and ketones.
3. hemoglobin A1c testing.
4. home cholesterol testing.
Question 4A client with type 2 diabetes mellitus is starting glipizide (Glucotrol) and metformin (Glucophage). Prior to giving the medication to the client, the nurse should assess for:
1. history of cardiac disease.
2. allergy to sulfonamides.
3. history of renal failure.
4. lesions on the lower limbs.
Question 5A client with diabetes is in the office for a routine diabetic check. The nurse performs a glucose finger stick, which is 95, but notices that the client has a foot wound that is not healed.
The nurse suspects that the client's blood sugar has been high, and plans to review the results of a:
1. CBC.
2. Fasting blood sugar.
3. hemoglobin A1c.
4. glucose tolerance test.
Question 6A client asks the nurse what makes type 2 diabetes different from type 1 diabetes that a family member has. The nurse should respond that:
1. type 1 diabetes can result after rubella infection.
2. type 2 diabetes is caused by the destruction of the beta cells in the pancreas.
3. type 2 diabetics experience fat metabolism that causes ketoacidosis.
4. type 1 diabetes is treated with oral hypoglycemic.
Question 7The nurse explains that symptoms a client with hypothyroidism might experience would include:
1. weight loss, oily skin, and periorbital edema.
2. intolerance to heat, lethargy, and headache.
3. intolerance to cold, dry skin, and menstrual dysfunction.
4. tachycardia, hypertension, and rapid respirations.
Question 8An older client is experiencing symptoms that the client feels are associated with aging. The client says that the symptoms are similar to those of a friend who has diabetes mellitus but the client is not thirsty.
What should the nurse respond to the client?
1. Older clients do not get diabetes.
2. Thirst is diminished in the older client.
3. The best indication of diabetes mellitus is urinary incontinence in the older client.
4. Do you have blurred vision?
Question 9Following a thyroidectomy, the client complains to the nurse that she is having leg spasms and cramps. The nurse realizes that these symptoms could indicate:
1. postanesthesia reaction.
2. potassium depletion.
3. damage to the parathyroid glands during surgery.
4. damage to the cervical nerves.
Question 10Following a hypophysectomy for a pituitary tumor, the client is monitored for the presence of diabetes insipidus. Which finding indicates this condition?
1. Hyponatremia
2. Fluid retention and dependent edema
3. A large amount of dilute urine
4. A rise in blood pressure
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