What diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous 8 to 12 weeks? Glycosylated hemoglobin (HbA1c) The patient is a 20 year old college student who has type 1 diabetes and normally walks each evening as part of an exercise regimen. The patient plans to enroll in a swimming class. Which adjustment should be made based on this information? Monitor glucose level before, during, and after swimming to determine the need for alterations in food or insulin Which of the following are signs and symptoms of hypoglycemia? (select all that apply) Irritability Diaphoresis Tremors The nurse is teaching a client with type 1 diabetes how to treat adverse reactions to insulin. To reverse a hypoglycemic reaction, the client ideally should ingest an oral carbohydrate. However, this treatment isn't always possible or safe. Therefore, the nurse should advise the client to keep which alternate treatment on hand? Glucagon A client with type 1 diabetes asks the nurse about taking an oral antidiabetic agent. The nurse explains that these medication are only effective if the client: Has type 2 diabetes The nurse is teaching the client about risk factors for diabetes mellitus. Which risk factor for diabetes mellitus is non modifiable Advance age A client with type 1 diabetes takes 15 units of isophane insulin suspension (Humulin N) before breakfast and 8 units before dinner. During a follow-up visit, the nurse evaluates the client’s knowledge about insulin therapy and self-administration skills and learns that the client is unaware that certain over-the-counter (OTC) preparations and other medications may interact with insulin. The nurse should advise the client to avoid with OTC preparations Preparations containing salicylates A client’s blood glucose level is 45 mg/dL. The nurse should be alert for which signs and symptoms ? Coma, anxiety, confusion, headache, and cool, moist skin A client who has had type 2 diabetes for 20 years tells the nurse that sometimes she has diarrhea and other times constipation. In addition, she sometimes feels “full” after eating small

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