Question 1: A client with diabetes reports nausea and vomiting and has a blood glucose level of 350 mg/dL. What is the nurse’s priority intervention?
Rationale: Checking for ketones is essential to determine if the client is developing diabetic ketoacidosis (DKA), which requires immediate treatment.
Question 2: A client with diabetes is prescribed glargine insulin. What is the most important teaching point?
Rationale: Glargine insulin is a long-acting insulin that provides steady glucose control over 24 hours and should not be mixed with other insulins.
Question 3: A client with type 2 diabetes is starting therapy with sitagliptin. What side effect should the nurse monitor for?
Rationale: Sitagliptin has been associated with pancreatitis, so monitoring for symptoms such as severe abdominal pain is crucial.
Question 4: A client with diabetes is admitted with a blood glucose level of 600 mg/dL. The nurse suspects hyperosmolar hyperglycemic syndrome (HHS). What is the nurse’s priority intervention?
Rationale: The priority intervention for HHS is rehydration with IV fluids to address severe dehydration and restore vascular volume.
Question 5: A client with diabetes is learning about foot care. Which statement by the client indicates the need for further teaching?
Rationale: Going barefoot increases the risk of injury and infection, which can lead to complications in clients with diabetes.
