ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 51 : Caring for Clients With Diabetes Mellitus Questions
Question 1 of 5
A client with type 2 diabetes who is physically active reports recurrent symptoms of weakness and nervousness. Which is the best response from the nurse?
Correct Answer: D
Rationale: Weakness and nervousness suggest hypoglycemia, which can be triggered by exercise lowering blood glucose levels. These are not typical of hyperglycemia, stress alone, or a need for simple carbohydrates, which could exacerbate glucose fluctuations.
Question 2 of 5
A nurse is inspecting the feet of a client with diabetes and finds a tack sticking in the sole of one foot. The client denies feeling anything unusual in the foot. Which is the best rationale for this finding?
Correct Answer: C
Rationale: Diabetic neuropathy, caused by high blood sugar reducing nerve blood flow, leads to loss of sensation, explaining the client's unawareness of the tack. Autonomic neuropathy affects organs, motor neuropathy causes muscle weakness, and nephropathy affects kidneys, not peripheral sensation.
Question 3 of 5
A client asks why pancreas transplantation is not an option offered to all insulin-dependent clients with diabetes. Which is the best response by the nurse?
Correct Answer: A
Rationale: Type 1 diabetes is manageable with insulin, and the risks of lifelong immunosuppression from transplantation often outweigh benefits. Pancreas transplants are not increasingly common, waiting lists are not the primary issue, and only one donor is needed.
Question 4 of 5
The client with diabetes asks the nurse why shoes and socks are removed at each office visit. The nurse gives which assessment finding as the explanation for the inspection of feet?
Correct Answer: C
Rationale: Sensory neuropathy from poor glucose control reduces foot sensation, increasing injury risk. Regular foot inspections detect issues early. Autonomic neuropathy affects organs, retinopathy affects eyes, and nephropathy affects kidneys, not directly related to foot injuries.
Question 5 of 5
A child is brought into the emergency department with vomiting, drowsiness, and blowing respirations. The child's parent reports that the symptoms have been progressing throughout the day. The nurse suspects diabetic ketoacidosis (DKA). Which action should the nurse take first in the management of DKA?
Correct Answer: B
Rationale: In DKA, correcting dehydration and electrolyte imbalances with fluid replacement is the first priority to stabilize the patient before addressing hyperglycemia with insulin. Antiemetics and bicarbonate are secondary, and insulin requires a physician's order.