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 taking the history of a client with diabetes who is experiencing autonomic neuropathy. Which would the nurse expect the client to report?
Correct Answer: C
Rationale: Autonomic neuropathy affects organ function, including sexual function. Up to 50% of men with diabetes may develop erectile dysfunction due to impaired nerve function. Skeletal deformities and soft tissue ulceration are associated with motor neuropathy, while paresthesias are linked to sensory neuropathy.
Question 2 of 5
A client with type 2 diabetes is informed of being unable to have a pancreatic transplant and asks the nurse why this is. Which reason would the nurse provide to the client?
Correct Answer: C
Rationale: Clients with type 2 diabetes have insulin resistance, which a pancreas transplant does not address, as the issue lies in tissue response rather than insulin production. Urologic complications and exocrine drainage are not primary reasons, and while immunosuppressive therapy is required, it is not specific to type 2 diabetes.
Question 3 of 5
A client is diagnosed with diabetes mellitus. The client reports visiting the gym regularly and is a vegetarian. Which of the following factors is important to consider when the nurse assesses the client?
Correct Answer: A
Rationale: Carbohydrate consumption is critical to assess in diabetes due to its direct impact on blood sugar levels. While mental status, exercise, and past iodine contrast studies are relevant, they are secondary to carbohydrate intake in managing high blood sugar.
Question 4 of 5
The nurse is teaching an older client how to self-administer insulin. Which of the following would be most helpful to the client who is having difficulty drawing up the correct dosage of insulin in the syringe?
Correct Answer: A
Rationale: A syringe magnifier is a cost-effective and simple tool to help older clients with visual or dexterity issues accurately draw insulin doses. Insulin pens require precise dialing, which may be challenging, and jet injectors and insulin pumps are more complex and costly, potentially unsuitable for older clients.
Question 5 of 5
The nurse is describing the action of insulin in the body to a client newly diagnosed with type 1 diabetes. Which of the following would the nurse explain as being the primary action?
Correct Answer: A
Rationale: Insulin's primary role is to facilitate glucose transport into cells for energy use and promote glycogen storage in the liver, inhibiting glycogen breakdown. It does not promote gluconeogenesis, stimulate pancreatic hormone cells, or affect intestinal glucose absorption.