1.
A nurse is assessing a client for type 1 diabetes. Which of the following findings should the nurse expect if the client does, in fact, have diabetes?
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Hemoglobin A1c 5.6%
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Fasting blood glucose 101 mg/dL
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Random blood glucose 150 mg/dL
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Glycosylated hemoglobin 6.8%
2.
A nurse is developing an education plan for a client with diabetes in regard to an insulin pump. Which of the following should the nurse include in the education plan?
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Teach the client to rotate sites for insulin injections
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Teach the client to recognize symptoms of hypoglycemia
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Teach the client how to administer insulin injections
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Teach the client how to obtain a glycosylated hemoglobin once a month
3.
A nurse is administering regular insulin to a client with diabetes. After administering the correct dose at 6:30 a.m., the nurse should ensure the client receives breakfast at which of the following times?
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7 a.m.
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8 a.m.
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9 a.m.
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10 a.m.
4.
A nurse is caring for a client with type 1 diabetes who is being prescribed a long-acting insulin. The nurse identifies which of the following as a long-acting insulin?
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Insulin lispro
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Insulin glargine
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Human regular insulin
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Insulin isophane NPH
5.
A nurse is teaching a client with diabetes about a new prescription for insulin isophane NPH. Which of the following instructions should the nurse include in the teaching?
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Discard the insulin isophane NPH if cloudy.
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Take insulin isophane NPH 15 minutes before meals.
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Eat a snack 7 hours after taking the insulin isophane NPH.
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Rotate insulin isophane NPH injection sites once a week.
6.
A nurse is caring for a client with diabetes who has a blood glucose of 50 mg/dL and is semiconscious and having difficulty swallowing. Which of the following actions should the nurse take?
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Administer a routine dose of glyburide
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Administer 15 grams of carbohydrates
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Give the client a glass of orange juice
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Administer glucagon
7.
A nurse is preparing to administer 15 units of regular insulin and 23 units of NPH insulin subcutaneously. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?
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15 units
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23 units
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38 units
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12 units
8.
Which of the following insulins can be administered via an insulin pump?
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Insulin glargine
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Insulin isophane NPH
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Insulin aspart
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Insulin detemir
9.
A 76-year-old client with diabetes and renal impairment is scheduled for a diagnostic test requiring the use of contrast dye. Which of the following drugs should the nurse instruct the client to stop taking 24 hours prior to the procedure?
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Metformin
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Insulin lispro
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Glipizide
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Linagliptin
10.
A nurse received a health care provider’s order to administer 750 mg of metformin twice daily to a client. Metformin is available in 500 mg tablets. How many tablets will the nurse administer per dose?
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1.5 tablets
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2 tablets
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3 tablets
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4 tablets