The nurse is assisting with preparing a teaching plan for the client with
diabetes mellitus regarding proper foot care. Which instruction should be
included in the plan of care? - ANS ✓Apply a moisturizing lotion to dry feet, but
n to between the toes.
The nurse is caring for a client with type 1 diabetes mellitus who is
hyperglycemic. Which problem should the nurse consider first, when
planning care for this client? - ANS ✓Signs of dehydration
The nurse reinforces teaching with a client with diabetes mellitus
regarding differentiating between hypoglycemia and ketoacidosis. The
client demonstrates an understanding of the teaching by stating that
glucose will be taken if which symptom develops? - ANS ✓Shakiness
A client with diabetes mellitus who takes insulin is seen in the health care
clinic. The client tells the nurse that after giving the injection, the insulin
seems to leak through the skin. The nurse can appropriately determine the
problem by asking the client which? - ANS ✓"Are you rotating the injection
site?"
The nurse is monitoring a client with Graves' disease for signs of thyrotoxic
crisis (thyroid storm). Which signs and symptoms noted in the client should
alert the nurse to the presence of this crisis? Select all that apply. - ANS
✓Fever, Sweating, Agitation
A hospitalized client is newly diagnosed with diabetes mellitus. The client
must take both NPH and Regular insulin for glucose control. The nurse
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develops a teaching plan to help the client meet which outcome as a first
step in managing the disease? - ANS ✓Adjust insulin according to capillary
blood glucose levels.
Which client is at risk for developing thyrotoxicosis? - ANS ✓A client with
Graves' disease who is having surgery
The wife of a client with diabetes mellitus who takes insulin calls the nurse
in a health care provider's office about her husband. She states that her
husband is sleepy and that his skin is warm and flushed. She adds that his
breathing is faster than normal and his pulse rate seems fast. Which action
should the nurse tell the wife to do first - ANS ✓Check his blood glucose level.
A client with type 2 diabetes mellitus has a blood glucose of more than 600
mg/dL and is complaining of polydipsia, polyuria, weight loss, and
weakness. The nurse reviews the health care provider's documentation and
would expect to note which diagnosis? - ANS ✓Hyperglycemic hyperosmolar
state (HHS)
Which signs/symptoms should the nurse expect to note when collecting
data on a client with Addison's disease? - ANS ✓Hypotension and vomiting
The nurse participating in a free health screening at the local mall obtains a
random blood glucose level of 200 mg/dL on an otherwise healthy client.
The nurse tells the client to do which as a next step? - ANS ✓Call the health
care provider to have the value rechecked as soon as possible.
The nurse notes that a client with type 1 diabetes mellitus has
lipodystrophy on both upper thighs. Which further information should the
nurse obtain from the client during data collection? - ANS ✓Plan for injection
rotation
Which measure should the nurse anticipate being included in the plan of
care for a client who has been diagnosed with Graves' disease? - ANS ✓A
restful environment
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