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
The client who is managing diabetes through diet and insulin control asks the nurse why exercise is important. Which is the best response by the nurse to support adding exercise to the daily routine?
Correct Answer: A
Rationale: Exercise enhances glucose uptake by increasing transmembrane glucose transporters in muscles, lowering blood sugar levels. While it may improve well-being and reduce insulin resistance, the primary benefit for diabetes management is improved glucose transport into cells.
Question 2 of 5
A diabetic client maintains glucose control with the use of long-acting and short-acting insulin. Which nursing instruction would be considered a priority instruction for this client?
Correct Answer: D
Rationale: Lantus and Levemir (long-acting insulins) must be administered in separate syringes, as mixing with other insulins can alter their action. Monitoring should occur before injections, and the stomach is not specifically preferred for nighttime doses; thighs are often used for slower absorption.
Question 3 of 5
A diabetic client who is controlled with insulin complains to the nurse about weight gain. Which response from the nurse explains the most likely cause of the weight increase?
Correct Answer: A
Rationale: Insulin, an anabolic hormone, promotes glucose storage as glycogen and fat, contributing to weight gain. While it improves glucose utilization and corrects faulty metabolism, these are secondary to its anabolic effects. Fluid retention is not typically associated with insulin therapy.
Question 4 of 5
A client newly diagnosed with type 1 diabetes asks the nurse why injection site rotation is important. What is the nurse's best response?
Correct Answer: B
Rationale: Rotating injection sites prevents lipodystrophy (fat buildup or breakdown), ensuring consistent insulin absorption. While infection and discomfort are concerns, they are not the primary reasons. Insulin is not injected into muscle, so muscle destruction is irrelevant.
Question 5 of 5
The nurse is caring for a client receiving insulin isophane suspension (NPH) at breakfast. What is an important dietary consideration for the nurse to keep in mind?
Correct Answer: C
Rationale: NPH insulin peaks 4-10 hours after administration, risking hypoglycemia mid-morning to early afternoon. A midday snack helps maintain stable glucose levels. Breakfast timing, reduced lunch carbohydrates, or delayed dinner are not directly related to NPH's action.