Diabetes Flashcards
Ideally, which is the goal of patient diabetes education?
A Make all patients responsible for management of their illness
B Involve the family in the care of the patient
C Enable the patient to become the most active participant in the management of the diabetes
D Provide the patient with as much information as possible to prevent complications of diabetes
C Enable the patient to become the most active participant in the management of the diabetes
Not D because they don’t need all of the info, just what is applicable to them so they don’t feel overwhelmed.
The RN is working with an UAP and LPN. Which patient should the nurse delegate to the LPN?
A Obtaining a fingerstick glucose from a diabetic patient
B Assess the chest pain in patient with hypothyroidism
C Dipstick the urine for glucose in the diabetic patient
D Provide discharge teaching to the patient after pituitary surgery
A Obtaining a fingerstick glucose from a diabetic patient
UAP will do the fingerstick bc they cant do anything invasive
A patient with Type I diabetes calls the clinic and complains of nausea and vomiting. Which instruction is essential for the nurse to provide to the patient?
A Hold the regular dose of insulin
B Check the blood glucose level every 2 to 4 hours
C Drink cool liquids with high glucose content
D Use a less strenuous form of exercise that usual until the illness resolves
B Check the blood glucose level every 2 to 4 hours
When you are ill, you are stressed and BS goes up - monitoring will be most important
A home health nurse is planning the first home visit for a 60-year old patient newly diagnosed with type 2 Diabetes. The patient is instructed to take 70/30 Insulin in the morning and at suppertime. Which interventions should the nurse include in the patient’s plan of care? Select all that apply.
A Instruct the patient to inspect his feet daily.
B Ensure that the patient eats a bedtime snack
C Assess the patient’s ability to read small print
D Teach the patient to perform a hemoglobin A1C test
E Instruct the patient to store the pre-filled syringes in the refrigerator
F Teach the patient to take one unit of 70/30 insulin if his blood sugar reads above 250mg/dl.
A Instruct the patient to inspect his feet daily.
B Ensure that the patient eats a bedtime snack
C Assess the patient’s ability to read small print
E Instruct the patient to store the pre-filled syringes in the refrigerator
Eat bedtime snack bc it will peak when they are sleeping
Small print bc they will have to draw up in syringe
The diabetic patient has the following assessment findings. Which should the RN instruct the LPN to report immediately?
A Fingerstick glucose of 185 mg/dl
B Numbness and tingling in both feet
C Perfuse perspiration
D Bunion on left great toe
C Perfuse perspiration
Report acute issues and life threatening - hypoglycemic
BS is high, but not too bad for diabetic
Numbness is expected bc neuropathy (chronic)
While instructing the patient with diabetes on insulin injections, the nurse is paged by the unit clerk when she learns several patients are having problems that require her attention. Which action should the nurse take first?
A Return to the patient and supervise the insulin inject since the breakfast tray has arrived.
B Administer the dose of antibiotic to the diabetic patient with an infected foot who is scheduled for the OR in an hour.
C Administer IV dextrose to the diabetic patient with a morning blood glucose level of 25 mg/dL.
D Hang a new bag of normal saline for the patient with diabetes with HHNK and morning blood glucose level of 295mg/dL.
C Administer IV dextrose to the diabetic patient with a morning blood glucose level of 25 mg/dL.
Pt is near death
The patient with diabetes is found unconscious at home and the family member calls the clinic. What instruction is most appropriate by the nurse?
A Attempt to locate the glucometer and take a blood sugar reading
B Have the patient drink 4 ounces of orange juice and recheck blood sugar
C Call 911 and transport the patient to the hospital immediately
D Administer Glucagon 1 mg intramuscularly or subcutaneuosly
D Administer Glucagon 1 mg intramuscularly or subcutaneuosly
Unconscious pts - always treat for hypo first. If given sugar, it will raise 20-30 points. It really wont make a difference if you give hyper glucose
Which is considered the earliest sign of diabetic nephropathy?
A Positive urine RBCs
B Microalbuminuria
C Positive urine glucose
D Positive urine WBCs
B Microalbuminuria
