Question 1 of 6
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Which information would the nurse provide to a patient with diabetes who calls the clinic stating, “I have a terrible cold and I don’t know what to do about taking my insulin”?
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- Infections do not cause a change in insulin requirements, but avoid crowds and becoming fatigued.Infections do cause changes in insulin requirements. The nurse would not provide this information.
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- Infections decrease insulin needs; do not administer insulin until cold symptoms resolve.Infections do not decrease insulin needs. The nurse would not provide this information.
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- Infections cause a drop in blood glucose levels, so base insulin needs on the results of urine glucose tests.Insulin dosage would not be based solely on urine checks. The nurse would not provide this information.
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- Infections cause alterations and increase insulin needs, so check blood glucose levels at least every 4 hours.Infections cause changes and increases in insulin needs, as do stress, pregnancy, and many disorders.
Question 2 of 6
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Which patient statement indicates an understanding of how to treat diabetes during illness?
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- Limit intake of fluids while ill.Patients with diabetes who are ill should take at least one cup of water or calorie-free, caffeine-free liquid each hour.
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- Test blood glucose levels every 6 hours.Blood glucose levels should be checked at least every 4 hours and every 2 hours if severely ill.
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- Test urine for ketones when blood glucose is high.Diabetic patients who are ill should test the urine for ketones when the blood glucose is greater than 300 mg/dL.
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- Double the dose of antidiabetic medications during illness.Medications should be taken as directed unless instructed otherwise by the provider.
Question 3 of 6
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Which strategy would the nurse use when working with an older adult patient with diabetes?
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- Use neon colors for written materials.Written materials should be written on white or yellow backgrounds for older adults.
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- Limit information to a few concepts per session.Information should be limited to a few concepts for older adult patients to keep their attention.
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- Ensure that printed materials are written at a twelfth grade level.Printed materials should be written at a fifth to tenth grade level.
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- Leave music on in the background when talking to the patient.Distractions should be eliminated during teaching sessions for older adult patients.
Question 4 of 6
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Which condition can result in nondiabetic hypoglycemia? Select all that apply. One, some, or all responses may be correct.
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- InsulinomaInsulinomas, which are tumors of the pancreas, can cause nondiabetic hypoglycemia.
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- Liver diseaseLiver disease can be a cause of nondiabetic hypoglycemia.
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- Alcohol abuseAlcohol abuse puts patients at risk for nondiabetic hypoglycemia.
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- HypertensionHypertension is not a cause of nondiabetic hypoglycemia.
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- Prostate cancerProstate cancer is not a cause of nondiabetic hypoglycemia.
Question 5 of 6
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The nurse is caring for a patient with a blood glucose level of 58 mg/dL. Which assessment finding would the nurse expect? Select all that apply. One, some, or all responses may be correct.
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- IrritabilityIrritability is a clinical manifestation of hypoglycemia.
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- WeaknessWeakness is often seen in patients with hypoglycemia.
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- NervousnessNervousness is a common assessment finding in patients with hypoglycemia.
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- TachycardiaTachycardia, or rapid heartbeat, occurs as a result of hypoglycemia.
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- VomitingVomiting is not a common clinical manifestation of hypoglycemia.
Question 6 of 6
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Which diagnostic test would the nurse anticipate for a patient with suspected hypoglycemia from an insulinoma?
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- UltrasoundUltrasound can be used to diagnose the presence of an insulinoma.
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- Blood glucose valuesAlthough blood glucose levels are checked in patients with hypoglycemia, this is not a specific test for detecting insulinomas.
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- C-peptide levelsC-peptide levels may be checked in patients with hypoglycemia, but this test is not specific to diagnosis of insulinomas.
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- Glucose tolerance testGlucose tolerance tests may be indicated for patients with hypoglycemia, but they are not used to diagnose the presence of insulinomas.
