Practice Question
The nurse is caring for a 19-year-old client with type 1 diabetes mellitus who is experiencing increased fatigue, irritability, and difficulty concentrating in school. The client reports missing several insulin doses due to a busy schedule and fear of hypoglycemia during sports practice. The nurse reviews the client's latest lab results: Fasting Blood Glucose: 210 mg/dL [Normal: 70-130 mg/dL] .Hemoglobin A1c: 9.2% [Normal: < 5.7%] Which intervention should the nurse prioritize?
Answer Choices:
Correct Answer:
Discuss an insulin regimen adjustment with the healthcare provider to better fit the client's lifestyle.
Rationale:
♦ Missed insulin doses due to lifestyle = high glucose and A1c 9.2%.
♦ Adjusting regimen improves compliance and glycemic control.
♦ Prioritizes individualized care over strict adherence demands.
♦ Prevents long-term complications (retinopathy, neuropathy).
♦ Supports client-centered care and active participation.
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This question is from Exam 4 - Module 6 which contains 74 questions.
More Questions from This Exam
The nurse is conducting an endocrine assessment for a client during a routine physical exam. Which action is appropriate for assessing thyroid gland function?
Answer Choices:
A. Palpating the anterior neck for enlargement or nodules
B. Auscultating lung sounds in all lobes
C. Inspecting the skin for signs of jaundice
D. Percussing the abdomen to check for tenderness
A client with newly diagnosed Type I Diabetes expresses concern about managing their condition and asks the nurse, "Will I always need to take insulin?" What is the nurse’s best response?
Answer Choices:
A. "Yes, you will need to take insulin for the rest of your life because your body no longer produces it."
B. "You will only need to use insulin when your blood glucose levels are high."
C. "An insulin pump might be an option in the future. making it easier to manage your insulin needs."
D. "No, Type 1 Diabetes can eventually be managed with oral medications instead of insulin."
The nurse reviews the lab results of a client with type I diabetes mellitus and sees that their hemoglobin A1c is 8.5% (Normal range: < 5.7%). What should the nurse explain to the client about this result?
Answer Choices:
A. "An A1c of 8.5% indicates excellent long-term glucose management and you can continue with your current regimen."
B. "Your A1c is within the normal range. but it's important to continue monitoring your blood glucose regularly."
C. "This result indicates that your blood sugar has been higher than recommended, and we may need to adjust your treatment plan."
D. "A result like this suggests that your blood sugar levels are well-controlled, and no changes are needed."
The nurse is providing discharge teaching to a client who is newly diagnosed with type 1 diabetes mellitus. Which statement by the client regarding sick-day rules indicates the need for further teaching?
Answer Choices:
A. "If I feel nauseated. I'll stop drinking fluids until I feel better."
B. "l will continue taking my long acting insulin even if I am not eating much."
C. "I'll check my blood sugar more often when I'm sick."
D. "l will call my healthcare provider if my blood sugar is over 250 mg/dL for more than 24 hours."
The nurse is evaluating teaching provided to a client with Type 1 Diabetes Mellitus. The nurse understands that the client accurately demonstrated administration of insulin by witnessing what action?
Answer Choices:
A. Administers the insulin with a 1 mL syringe.
B. Draws insulin from the cloudy insulin first. then the clear insulin.
C. Pinches the skin and inserts the needle at the appropriate angle.
D. Holds heavy pressure after administering the insulin.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4