1.) The nurse is obtaining a health history from a client with diabetes mellitus who has been taking insulin for 20 years. Currently, the client reports having periods of hypoglycemia followed by period of hyperglycemia. What should the nurse ask about the client’s current management plan? Is the client:

1. Eating snacks between meals?

2. Using an insulin pump?

3. Injecting insulin at a site of lipodystrophy?

4. Adjusting insulin according to blood glucose levels?

2.) In what patient does hyperosmolar nonketotic syndrome occur?

1. Patients with no known history of diabetes

2. Patients with either type 1 diabetes or no known history of diabetes

3. Adolescents with type 2 diabetes or no known history of diabetes

4. Older people with either type 2 diabetes or no known history of diabetes

3.) Before supper, an adult client who has type 2 diabetes and requires insulin tells the nurse about having tremors and being weak and anxious. What should the nurse do next?

1. Tell the client to lie down for 30 minutes

2. Have the client drink a glass of milk or orange juice

3. Contact the client’s health care provider to decrease the insulin dose

4. Administer the next dose of insulin

4.) A nurse is participating in a diabetes screening program. Which clients are at risk for developing type 2 diabetes? Select all that apply

a. A 32-year-old female who gave birth to a 9.5-pound infant

3. An 18-year-old immigrant from Mexico who jogs four times a week

4. A 55-year-old Asian who has hypertension and two siblings with type 2 diabetes e. A 12-year-old who is overweight

5.) An adult with type 2 diabetes mellitus has been NPO since 2200 in preparation for having a nephrectomy the next day. At 0600 on the day of surgery, the nurse reviews the client’s medical record and laboratory results. Which finding should the nurse report to the health care provider?

1. Urine output of 350 mL in 8 hours

2. Urine specific gravity of 1.015

3. Potassium of 4.0 mEq

4. Blood glucose of 140 mg/Dl

6.) A client with newly diagnosed type 1 diabetes is scheduled to receive regular insulin 10 units and NPH insulin 20 units every morning. When should the nurse schedule the administration of these medications?

a. Regular insulin with breakfast, NPH after breakfast b. Both insulins 0.5 hours before breakfast

3. In two separate syringes with breakfast

4. NPH 1 hour before and regular 0.5 hours before breakfast

7.) The client with type 1 diabetes mellitus is taught to take isophane insulin suspension NPH at 1700 each day. The client should be instructed that the greatest risk of hypoglycemia will occur at about what time?