Signs/
symptoms
symptoms
What kind of event may a patient be experiencing if having increased thirst, increased hunger, and increased urination
Hyperglycemic event
A nurse providing an in-service on the prevention of diabetes mellitus type 2 should include which of the following as a risk factor?
-Sedentary Lifestyle.
-HDL greater than 55 in female and LDL less than 130
-HBA1C level of 5.5%
-Weekly exercise log of 150mins /week.
What are some rapid-acting/short-acting medications
Lispro (Humalog)
Aspart (Novolog)
Glulisine (Apidra)
Regular (Humalin R)
What should you teach new nursing students about preventing lipohypertrophy when administering insulin injections?
-Rotate injection sites
-Caused by repeated injections at same site
Aside from checking blood glucose, what other routine screenings should a patient be scheduling when diagnosed with type 2 diabetes
-Eyes
-Kidneys
-Foot
-Heart
A patient with type 2 diabetes has a stage 3 pressure wound. what do we want to remind the patient during the healing process
prolonged wound healing
The charge nurse should educate the new grad nurse that which of the following clients should be screened for DM type 2?
-Client with BMI below 20
-Client with BMI above 25
-30-year-old client in the ER for dehydration.
-Infant with bilateral clear lung sounds on auscultation.
What treatments should patients with type 2 diabetes use before taking medication
Dietary changes
Regular exercise
Weight loss
Monitor glucose levels
What are essential points to teach a newly diagnosed diabetes patient on self-hygiene?
-Daily brushing and flossing
-No moisture between toes
-Avoid injuries on the feet
-Check for undetected wounds
-use electric razor to shave
Which of the big 4 can be caused by mismanagement of type 2 diabetes
-Diabetic Ketoacidosis
what is the fasting blood glucose range that a nurse can expect from a patient with type 2 diabetes
>126 mg/dL
A 63-year-old client newly diagnosed with type 2 DM asks the nurse what she could have done to prevent this from happening. Which of the statements demonstrate the nurse’s best response?
-Cease smoking.
-Only consume three cups of coffee in one day.
-Wash candy with water before eating.
-Avoid snacking on almonds.
Why would a patient become hypoglycemic after taking medication?
-Not giving patient meal within 30 mins of rapid/short acting insulins
-Giving IV push of intermittent-acting insulin
What should you teach patients to do if they feel hypoglycemic first?
-15-5 rule; 15g of of carbs then check gluc levels after 15 min
-Simple carbs
-Bring glucose up but not overboard
What hemoglobin HbA1C lab value should be an indication of type 2 diabetes
Greater than 6.5%
A patient with type 2 diabetes should have a yearly eye exam to ensure the health of the eyes and manage blood glucose levels to ensure what
diabetic retinopathy
Which of the following should be included in a teaching on methods of prevention for DM type 2?
-Modify diet to include omega-5 fatty acids and fiber.
-Modify diet to include omega-3 fatty acids and fiber.
-Modify diet to include high amounts of saturated fats.
-Modify diet to include low amounts of unsaturated fats.
Metformin (Glucophage) should be taken with what.
food
What should you teach a patient who wants to control his diabetes through exercise?
-Exercise at least 150 mins per week (30 mins, 5 days a week)
According to ATI, what are two secondary causes of diabetes
Pancreatitis and Cushing's syndrome
A patient with DM 2 and prolonged elevated glucose levels, what can a nurse expect to find during a skin assessment
skin tenting
Which of the following foods should be included in a meal plan aimed at weight loss for prevention of DM type 2?
-Green leafy vegetables.
-White bread
-Deep fried onions.
-Whole Milk.
Which insulin medications are given to keep blood glucose levels at consistent levels during periods of fasting?
-Basal
-Intermediate and long acting
-NPH (Humulin N, Novolin N)
-Long-acting insulin; glargine (Lantus), detemir (Levemir), degludec (Tresiba)
A recently diagnosed diabetes patient wants to know if he can still drink alcohol, what should you teach him?
-Avoid but, 1/day for women, 2/day for men.
What action should always be done before administering insulin
- check blood glucose