NUR 2243 Module 1 EAQs - Questions and Answers Which hormone is responsible for maintaining blood glucose levels during periods of fasting from food?
... [Show More] Glucagon The patient with diabetes is at risk for eye and vision complications. What is the distinguishing characteristic of proliferative diabetic retinopathy? Formation of new retinal blood vessels Which medication taken by a patient with diabetes mellitus will protect the kidneys and help prevent diabetic nephropathy? Lisinopril What information should be included when teaching a patient with diabetes about foot care? Check bath water temperature before stepping in the water. Which assessment finding is identified as a risk for type 2 diabetes mellitus (DM) and cardiovascular disease (CVD)? Waist circumference of 40 inches or more What techniques should a patient with diabetes use to administer insulin injections? Select all that apply. Avoid injecting insulin on scarred sites. Avoid injecting within a 2-inch radius around the navel. Grasp a fold of the skin and inject insulin subcutaneously. The nurse is teaching a patient who has just been prescribed insulin glargine about administration. What statements by the patient indicate a need for further teaching? Select all that apply. "I will take this before meals and at bedtime." "If I am hospitalized, I can receive this medication intravenously." A diabetic patient has a glycosylated hemoglobin (A1C) level of 9.4%. What does the nurse say to the patient regarding this finding? "What are you doing differently?" The nurse is teaching a group of nursing students about the American Diabetes Association (ADA) recommendations for patient care. Which recommendation made by a nursing student indicates understanding? The LDL cholesterol should be below 100 mg/dL for patients without signs of CVD. The nurse is providing discharge teaching to a patient with newly diagnosed diabetes. Which statement by the patient indicates a correct understanding about the need to wear a MedicAlert bracelet? "If I become hypoglycemic, I could become unconscious." The nurse is reviewing the implications of culture on the development of diabetes. Which patient will the nurse determine has the greatest risk for developing type 2 diabetes mellitus? 44-year-old healthy American Indian patient with a family history of type 2 diabetes The home health care nurse is providing teaching to an insulin-dependent patient regarding infection. What symptom is priority for the patient to report to the health care provider? Hyperglycemia The nurse is providing instructions to a patient scheduled for a fasting plasma glucose (FPG) test for diabetes screening. What statement by the patient reflects a need for further teaching? "It is important not to eat 12 hours before the labs are drawn." The nurse is providing education to a patient with diabetes mellitus who has manifestations of cardiovascular disease. What is the nurse's priority action? Reduce modifiable risk factors What information about exercise should the nurse include for patients diagnosed with diabetes? Select all that apply. Exercise increases insulin sensitivity. Hypoglycemia can occur from increased muscle glucose uptake. Exercise can lead to hyperglycemia and ketones if diabetes is not controlled. The nurse is teaching a patient with diabetes about proper foot care. Which statement by the patient indicates that teaching was effective? "I must inspect my shoes for foreign objects before putting them on." A patient is in an education class for diabetes care. What teaching should be provided to a patient regarding alcohol use and diabetes mellitus? Drink alcohol with meals. Which is a chronic complication that can occur in patients with diabetes? Cell death from macrovascular changes A 5'8", 225-pound patient with metabolic syndrome has a blood pressure of 158/96 mm Hg, a high-density lipoprotein cholesterol level of 39 mg/dL, and a waist size of 44 inches. Which recommendation does the nurse make to this patient? "Consume fewer calories to reduce your weight." What teaching regarding insulin administration should the nurse include in patient teaching? Select all that apply. Disposable syringes should be used only once. It is important to use the same type of syringe regularly. The nurse is caring for a patient with diabetes mellitus who received insulin aspart at 8:00 AM. At which time does the nurse expect hypoglycemia most likely to occur in this patient? 11:00 AM The nurse is providing teaching to a patient diagnosed with peripheral neuropathy secondary to diabetes. Which instructions regarding footwear should be included for the patient? Socks or stockings should be fitted properly. A patient with type 2 diabetes, retinopathy, and complaints of painful "pins and needles" sensations in the feet presents to the primary care clinic. The nurse notes the patient's low-density lipoprotein cholesterol (LDL) level is at 75 mg/dL. What can the nurse determine regarding the patient's LDL level? The level is higher than the recommended level and should be addressed by the health care provider. A patient who is scheduled for surgery in the morning is placed on NPO status. The patient is scheduled to receive insulin glargine before bed. What action by the nurse should be taken? Give the insulin A patient diagnosed with type 1 diabetes has had multiple episodes of hypoglycemia. What teaching by the nurse is indicated? Use the fingertip only for blood glucose checks. Which action is correct when drawing up a single dose of insulin? Pull back plunger to draw air into the syringe equal to the insulin dose. The nurse is caring for a patient with diabetes mellitus who tells the nurse, "I sometimes have episodes of seeing double. What causes that?" Which response would the nurse give? "You are likely experiencing an episode of low blood sugar when this happens." What is the role of incretin hormones in glucose regulation? Select all that apply. Increase insulin secretion Slow rate of gastric emptying Prevent hyperglycemia after meals The nurse has provided teaching about exercise to a patient diagnosed with type 1 diabetes. What action by the patient demonstrates effective teaching? [Show Less]