ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 64 : Care of Patients with Diabetes Mellitus Questions
Question 1 of 5
After teaching a client with diabetes mellitus to inject insulin, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?
Correct Answer: A
Rationale: The abdominal site has the fastest insulin absorption due to its blood supply, not proximity to the pancreas. The other statements are accurate regarding site rotation and absorption rates.
Question 2 of 5
A nurse assesses a client with diabetes mellitus and notes the client only responds to a sternal rub by moaning, has a capillary blood glucose of 33 mg/dL, and has an intravenous line that is infiltrated with 0.45% normal saline. Which action should the nurse take first?
Correct Answer: A
Rationale: The client's severe hypoglycemia (blood glucose 33 mg/dL) and unresponsiveness require immediate treatment. Intramuscular glucagon is the priority since the IV line is infiltrated, and oral intake is not feasible. Inserting a new IV or administering D50 IV can follow once access is restored.
Question 3 of 5
A nurse cares for a client with diabetes mellitus who is visually impaired. The client asks, 'Can I ask my niece to prefill my syringes and then store them for later use when I need them?' How should the nurse respond?
Correct Answer: A
Rationale: Insulin in prefilled plastic syringes is stable for up to 3 weeks when refrigerated, stored vertically with the needle up to prevent clogging. The other options are incorrect regarding storage duration, material, or stability.
Question 4 of 5
A nurse teaches a client who is prescribed an insulin pump. Which statement should the nurse include in this client's discharge education?
Correct Answer: D
Rationale: Changing the needle every 3 days reduces infection risk with insulin pumps. Testing urine for ketones, using buffered insulin, or freezing insulin are not recommended practices.
Question 5 of 5
After teaching a client who has diabetes mellitus and proliferative retinopathy, nephropathy, and peripheral neuropathy, the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the teaching?
Correct Answer: D
Rationale: Swimming or water aerobics is a suitable exercise for clients with diabetic complications, as it minimizes foot injury risk. Vigorous exercise like marathon running or avoiding exercise altogether is not recommended.