A home health nurse visits a client with a diagnosis of type 1 diabetes mellitus. The client states ...

A home health nurse visits a client with a diagnosis of type 1 diabetes mellitus. The client states he has been vomiting and had diarrhea for the past 36 hours. He also has had no food intake in the same time frame.
 
  Which statement by the client indicates a need for further teaching?
  A) I need to stop my insulin.
  B) I need to increase my fluid intake.
  C) I need to monitor my blood glucose every 3 to 4 hours.
  D) I need to call the physician because of these symptoms.

Question 2

The family of a bedridden client with type 2 diabetes mellitus and chronic renal failure calls a nurse to report the following symptoms: headache, polydipsia, and increased lethargy.
 
  To determine a possible diagnosis, the nurse asks the family which most important question?
  A) What is the client's urinary output?
  B) What is the client's capillary blood glucose level?
  C) Has there been any change in the dietary intake?
  D) Have you increased the amount of fluids provided?

Question 3

Which assessment finding is considered a normal change in an older patient's hematological system?
 
  1. Mild anemia
  2. Decrease in lymphocyte function
  3. Decrease in platelet adhesiveness
  4. Increased number of stem cells in the bone marrow

Question 4

A nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of complications. Which of the following, if exhibited in the client, would indicate hyperglycemia and warrant physician notification?
 
  A) Polyuria
  B) Diaphoresis
  C) Hypertension
  D) Increased pulse rate

Question 5

An older patient with intermittent diarrhea has been advised to increase the amount of soluble fiber in the diet. What should the nurse suggest to this patient?
 
  1. Use Metamucil as prescribed.
  2. Restrict the intake of oranges.
  3. Limit eating frozen vegetables.
  4. Do not eat the peels of apples or pears.

Question 6

The nurse is teaching an older patient with diverticulitis on foods that could precipitate a painful attack. How should the nurse instruct this patient?
 
  1. Avoid foods with seeds.
  2. Restrict the intake of high fiber foods.
  3. Limit the intake of eggs and dairy products.
  4. Eat whole grains with sesame seeds for added protein.

Question 7

A client newly diagnosed with diabetes mellitus has been stabilized with daily insulin injections. A nurse prepares a discharge teaching plan regarding the insulin and plans to reinforce which of the following concepts?
 
  A) Always keep insulin refrigerated.
  B) Ketones in the urine signify a need for less insulin.
  C) Increase the amount of insulin before exercise.
  D) Systematically rotate insulin injection sites.

Question 8

The nurse is preparing discharge instructions for an older patient with chronic pancreatitis. Which information should the nurse include in this teaching?
 
  1. Stop smoking.
  2. Limit fluid intake.
  3. Do not drink any alcohol.
  4. Avoid eating organ meats.