Diabetes Problem Solving

1. Diabetes Problem Solving Nursing 132

2. Assessment of the diabetic client for complications should always include examination of the : • 1. • 2. • 3. • 4. • 5.

3. Angiotensin-converting enzyme (ACE) inhibitors may be prescribed for the client with diabetes to reduce vascular changes and prevent or delay development of: • 1. • 2.

4. A client with Type 1 diabetes is ill with the flu. The nurse should instruct the client as follows • 1. Diet • 2. Medication • 3. Monitoring • A. • B. • 4. Call the health provider if:

5. A client with diabetes presents to the emergency room with diabetic ketoacidosis. The nurse identifies the client’s priority problems as: 1. 2. 3. 4. 5.

6. When teaching the diabetic client about foot care, what should the nurse should instruct the client concerning cutting his toenails? • What should he know about buying shoes? • What about footwear?

7. Which of the following findings would increase the risk of complications for a client with diabetes? • Systolic BP 145mm/Hg. • Diastolic BP of 87mm/Hg. • HDL of 30 mg/dL • HbA1C of 10.2% • Triglyceride level of 425 mg/dL. • Urinary ketones negative

8. Which respiratory pattern is an indication of an acute complication of Type 1 diabetes? • Deep, rapid respirations with long expirations • Shallow respirations alternating with long expirations • Regular depth respirations with frequent pauses • Short inspirations and expirations

9. A client is taking insulin lispro (Humalog) with meals and insulin glargine (Lantus) at bedtime. The nurse explains the actions of the insulins as follows: • The nurse teaches the client to prevent hypoglycemia by:

10. The nurse teaches the client about the proper treatment of hypoglycemia as follows:

11. A client is taking Glucophage (metformin) 500 mg po bid and Glucatrol XL (glipizide ) 20 mg. in the morning. What must the nurse teach the client to be safe with his medication?

12. A client tells the home care nurse “I don’t know what is wrong-I eat my dinner at 5pm and my blood sugar is 120 at bedtime. But when I wake up, my morning blood sugar is 150”.