a patient with diabetes is learning to mix regular insulin and
NPH insulin in the same syringe; the nurse determines that
additional teaching is needed when the patient does what -
...ANSWER...withdraws the NPH dose into the syringe first
the following interventions are planned for a diabetic patient;
which intervention can the nurse delegate to unlicensed
assistive personnel - ...ANSWER...check that the bath water is
not too hot
the home care nurse should intervene to correct a patient
whose insulin administration includes - ...ANSWER...mixing
an evening dose of regular insulin with insulin glargine in one
syringe for administration
when teaching the patient with type 1 diabetes, what should
the nurse emphasize as the major advantage of using an
insulin pump - ...ANSWER...tight glycemic control can be
maintained
a patient taking insulin has recorded fasting glucose levels
above 200 mg/dL on awakening for the last five mornings;
what should the nurse advise the patient to do first -
...ANSWER...monitor the glucose level at bedtime, between 2
and 4am, and on arising
which class of oral glucose-lowering agents is most
commonly used for people with type 2 diabetes because it
reduces hepatic glucose production and enhances tissue
uptake of glucose - ...ANSWER...biguinide
the patient with type 2 diabetes is being put on acarbose
(precose) and wants to know why she is taking it; what should
the nurse include in this patient's teaching - ...ANSWER...take
it with the first bite of each meal; effectiveness is measured by
2-hour postprandial glucose; it delays glucose absorption from
the gastrointestinal tract
the nurse is assessing a newly admitted diabetic patient; which
observation should be addressed as the priority by the nurse -
...ANSWER...rapid respirations with deep inspiration
individualized nutrition therapy for patients using
conventional, fixed insulin regimens should include teaching
the patient to - ...ANSWER...eat regular meals at regular
times
what should the goals of nutrition therapy for the patient with
type 2 diabetes include - ...ANSWER...normal serum glucose
and lipid levels
to prevent hyperglycemia or hypoglycemia related to exercise,
what should the nurse teach the patient using glucoselowering agents about the best time for exercise -
...ANSWER...about 1 hour after eating when blood glucose
levels are rising
the nurse assesses the diabetic patient's technique of selfmonitoring of blood glucose three months after initial
instruction; which error in the performance of self-monitoring
of blood glucose noted by the nurse requires intervention -
...ANSWER...cleaning the puncture site with alcohol before
the puncture
a nurse working in an outpatient clinic plans a screening
program for diabetes; what recommendations for screening
should be included - ...ANSWER...FPG for all individuals at
age 45 and then every three years
a patient with diabetes calls the clinic because she is
experiencing nausea and flu-like symptoms; which advice
form the nurse will be the best for this patient -
...ANSWER...administer the usual insulin dosage
the nurse should observe the patient for symptoms of
ketoacidosis when - ...ANSWER...glucose levels become so
high that osmotic diuresis promotes fluid and electrolyte loss
what are manifestations of diabetic ketoacidosis (DKA) -
...ANSWER...thirst; ketonuria; dehydration; metabolic
acidosis; kussmaul respirations; sweet, fruity breath odor
what describes the primary difference in treatment for diabetic
ketoacidosis and hyperosmolar hyperglycemic syndrome -
...ANSWER...hyperosmolar hyperglycemic syndrome
requires greater fluid replacement to correct the dehydration
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