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ATI MedSurg Test Bank, Diabetes Mellitus Latest Update Actual Exam from Credible Sources with 150 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor$25.49
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ATI MedSurg Test Bank, Diabetes Mellitus Latest Update Actual Exam from Credible Sources with 150 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor
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ATI MedSurg , Diabetes Mellitus
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ATI MedSurg , Diabetes Mellitus
ATI MedSurg Test Bank, Diabetes Mellitus Latest Update Actual Exam from Credible Sources with 150 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor
ATI MedSurg Test Bank, Diabetes Mellitus Latest
Update 2024-2025 Actual Exam from Credible
Sources with 150 Questions and Verified Correct
Answers Golden Ticket to Guaranteed A+
Verified by Professor
__________ and __________ are secondary causes of Diabetes. - CORRECT
ANSWER: Pancreatitis and Cushing's Syndrome
+ or - Ketones would signify DKA - CORRECT ANSWER: + Ketones
A 54-year-old patient admitted with type 2 diabetes, asks the nurse what "type 2"
means. Which of the following is the most appropriate response by the nurse?
A. "With type 2 diabetes, the body of the pancreas becomes inflamed."
B. "With type 2 diabetes, insulin secretion is decreased and insulin resistance is
increased."
C. "With type 2 diabetes, the patient is totally dependent on an outside source of
insulin."
D. "With type 2 diabetes, the body produces autoantibodies that destroy b-cells in the
pancreas." - CORRECT ANSWER: B. "With type 2 diabetes, insulin secretion is
decreased and insulin resistance is increased."
In type 2 diabetes mellitus, the secretion of insulin by the pancreas is reduced and/or
the cells of the body become resistant to insulin.
A 54-year-old patient with diabetes mellitus is scheduled for a fasting blood glucose
level at 8:00 am. The nurse instructs the patient to only drink water after what time?
A. 6:00 pm on the evening before the test
B. 4:00 am on the day of the test
C. Midnight before the test
,D. 7:00 am on the day of the test - CORRECT ANSWER: C. Midnight before the test
Typically, a patient is ordered to be NPO for 8 hours before a fasting blood glucose
level. For this reason, the patient who has a lab draw at 8:00 am should not have any
food or beverages containing any calories after midnight.
A nurse instructing a patient about the use of an insulin pump should explain that the
risk of DKA increases with the use of a pump because:
A. The pump must be removed for bathing
B. Insulin is injected continuously
C. The pump uses intermediate acting insulin
D. The tubing could become occluded - CORRECT ANSWER: D. Malfunctioning of the
pump from low battery power, occlusion of tubing or needles, or lack of insulin in the
pump increases the risk of DKA.
A nurse is assessing a client who has diabetic ketoacidosis and ketones in the urine.
Which of the following are expected findings? (Select all that apply.)
A. Weight gain
B. Fruity odor of breath
C. Abdominal pain
D. Kussmaul respirations
E. Metabolic acidosis - CORRECT ANSWER: B. Fruity odor of breath is a manifestation
of elevated ketone levels that lead to metabolic acidosis.
C. Abdominal pain is a GI manifestation of increased ketones and acidosis.
D. Kussmaul respirations are an attempt to excrete carbon dioxide and acid when in
metabolic acidosis.
E. Metabolic acidosis is caused from glucose, protein, and fat breakdown, which
produces ketones.
A nurse is caring for a client who has blood glucose of 52 mg/dL. The client is lethargic
but arousable. Which of the following actions should the nurse perform first?
,A. Recheck blood glucose in 15 min.
B. Provide a carbohydrate and protein food.
C. Provide 4 oz grape juice.
D. Report findings to the provider. - CORRECT ANSWER: C. The client's acute need for
a rapidly absorbed carbohydrate, such as grape juice, takes priority when treating the
blood glucose of 52 mg/dL.
A nurse is instructing a patient newly diagnosed with type 2 DM about the biguanide she
has been prescribed, which is Metformin. The nuse should explain that this type of
medication acts by:
A. Reducing hepatic glucose production
B. Delaying carbohydrate digestion
C. Increasing the cellular response to insulin
D. Increasing insulin secretion by the pancreas - CORRECT ANSWER: A. Biguanides
reduce hepatic glucose production while increasing insulin action on muscle glucose
uptake
A nurse is planning care for a client who has diabetic ketoacidosis. What treatments
should the nurse include in the plan of care, and what are some actions involved with
each one? - CORRECT ANSWER: LIFE!
*L*abs, *I*nsulin, *F*luids *E*lectrolytes
*L*ab tests -
- Monitor and replace potassium as prescribed.
- Review BUN and creatinine levels for expected improvement.
- Monitor serum osmolarity.
- Evaluate blood glucose hourly.
*I*nsulin administration -
- Administer regular insulin IV bolus dose as prescribed.
, - Follow with regular insulin IV infusion as prescribed.
*F*luid replacement -
- Rapidly infuse IV 0.9% sodium chloride.
- Follow with IV infusion of 0.45% sodium chloride (maintenance)
A nurse is preparing to administer a morning dose of rapid acting insulin (NovoLog) to a
client who has type 1 diabetes mellitus. Which of the following is an appropriate action
by the nurse?
A. Check the client's blood glucose immediately after breakfast.
B. Administer the insulin when breakfast arrives.
C. Hold breakfast for 1 hr after insulin administration.
D. Clarify the prescription because insulin should not be administered at this time. -
CORRECT ANSWER: B. Administer rapid acting insulin when breakfast arrives to avoid
a hypoglycemic episode.Aspart insulin is rapid-acting, and should be administered 5 to
10 min before breakfast.
A nurse is preparing to administer IV fluids to a client who has diabetic ketoacidosis.
Which of the following is an appropriate nursing action?
A. Administer an IV infusion of regular insulin at 0.3 unit/kg/hr.
B. Administer an IV infusion of 0.45% sodium chloride.
C. Rapidly administer an IV infusion of 0.9% sodium chloride.
D. Add glucose to the IV infusion when serum glucose is 350 mg/dL. - CORRECT
ANSWER: C. The nurse should rapidly administer an IV infusion of 0.9% sodium
chloride, an isotonic fluid, as prescribed to maintain blood perfusion to vital organs.
*I*sotonic stays where *I* put it
Hyp*o*tonic goes *o*ut of the vessel
Hyp*e*rtonic *e*nters the vessel
A nurse is preparing to administer the morning doses of glargine (Lantus) insulin and
regular (Humulin R) insulin to a client who has a blood glucose of 278 mg/dL. Which of
the following is an appropriate nursing action?
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