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 nurse is preparing a presentation for a group of adults at a local community center about diabetes. Which characteristic would the nurse inform the group is associated with type 2 diabetes?
Correct Answer: B
Rationale: Type 2 diabetes is characterized by insulin resistance or inadequate insulin production, typically seen in adults, not adolescents. Absence of insulin production is specific to type 1 diabetes, and prediabetes is a precursor to type 2 diabetes.
Question 2 of 5
A client with diabetes comes to the clinic for a follow-up visit. The nurse reviews the client's glycosylated hemoglobin test results. Which result would indicate to the nurse that the client's blood glucose level has been well controlled?
Correct Answer: A
Rationale: A glycosylated hemoglobin level below 7% (e.g., 5.5%) indicates good blood glucose control over the past 2-3 months. Levels of 7.5% or higher (e.g., 7.8%, 8.8%) suggest suboptimal control, with 7% correlating to an average blood glucose of 150 mg/dL.
Question 3 of 5
A client with diabetes is receiving an oral antidiabetic agent that acts to help the tissues use available insulin more efficiently. Which of the following agents would the nurse expect to administer?
Correct Answer: A
Rationale: Metformin, a biguanide, enhances insulin sensitivity in tissues, improving glucose uptake. Glyburide, glipizide (sulfonylureas), and repaglinide (meglitinide) stimulate insulin release from the pancreas, not tissue sensitivity.
Question 4 of 5
A client is admitted to the unit with diabetic ketoacidosis (DKA). Which insulin would the nurse expect to administer intravenously?
Correct Answer: B
Rationale: Regular insulin is used intravenously for DKA due to its rapid onset and ability to be infused continuously. Glargine, NPH, and Lente are long- or intermediate-acting insulins administered subcutaneously, unsuitable for acute DKA management.
Question 5 of 5
A client reports taking oral medication for control of sugar problems. Which is the best nursing interpretation of this verbal accounting?
Correct Answer: B
Rationale: Oral antidiabetic medications are typically prescribed for type 2 diabetes, indicating the client likely has this condition. Prediabetes is not treated with medication, and there is insufficient information to assume a lack of knowledge about the disease or medication.