Question 1: A client with diabetes is prescribed metformin. What is the nurse’s priority assessment?
Rationale: Metformin is contraindicated in clients with impaired renal function due to the risk of lactic acidosis. Monitoring renal function is a priority.
Question 2: A client with diabetes is preparing to exercise. What should the nurse advise?
Rationale: Carrying a fast-acting carbohydrate snack helps prevent hypoglycemia during exercise, especially in clients on insulin or oral hypoglycemics.
Question 3: A client with diabetes is experiencing severe dehydration and hyperglycemia. What is the nurse’s priority action?
Rationale: Starting an IV infusion of normal saline is the priority to address severe dehydration before correcting hyperglycemia with insulin.
Question 4: A client with diabetes is being discharged after being treated for diabetic retinopathy. What is the nurse’s priority teaching?
Rationale: Tight blood glucose control is essential to prevent the progression of diabetic retinopathy and reduce the risk of further complications.
Question 5: A client with diabetes has been prescribed pramlintide. What is the nurse’s most important teaching point?
Rationale: Pramlintide should not be mixed with insulin in the same syringe. It is injected separately to assist with postprandial glucose control.
