Diabetes

The nurse is admitting a patient diagnosed with type 2 diabetes mellitus. The nurse should expect the following symptoms during an assessment, except:

• Hypoglycemia

• Frequent bruising

• Ketonuria

• Dry mouth

Which of the following antidiabetic medications does not cause weight gain?

• Gliclazide

• Insulin

• Metformin

• Pioglitazone

Insulin is available only as injection.

• True

• False

SGLT2 inhibitors work in which part of the kidneys?

• Glomerulus

• Proximal tubule

• Distal tubule

• Collection ducts

Albert, a 35-year-old insulin-dependent diabetic, is admitted to the hospital with a diagnosis of pneumonia. He has been febrile since admission. His daily insulin requirement is 24 units of NPH. Every morning Albert is given NPH insulin at 0730. Meals are served at 0830, 1230, and 1830. The nurse expects that the NPH insulin will reach its maximum effect (peak) between the hours of:

• 1130 and 1330

• 1330 and 1930

• 1530 and 2130

• 1730 and 2330

Clinical nursing assessment for a patient with microangiopathy who has manifested impaired peripheral arterial circulation includes all of the following, except:

• Integumentary inspection for the presence of brown spots on the lower extremities

• Observation for paleness of the lower extremities

• Observation for blanching of the feet after the legs are elevated for 60 seconds

• Palpation for increased pulse volume in the arteries of the lower extremities

Rotation sites for insulin injection should be separated from one another by 2.5 cm (1 inch) and should be used only every:

• Third day

• Every other day

• 1-2 weeks

• 2-4 weeks

A clinical feature that distinguishes a hypoglycemic reaction from a ketoacidosis reaction is:

• Blurred vision

• Diaphoresis

• Nausea

• Weakness

What is the number 1 side effect for metformin?

• Diarrhea and stomach discomfort

• Headache

• Dizziness

• None of the above

Whoa, we're half way there. Oh-oh, _________.

• squidward on a chair

• living on a prayer

• that's too many stairs

• clean up all your hairs