Question 1: A client with type 1 diabetes experiences nausea, vomiting, and a blood glucose of 350 mg/dL. What is the nurse’s priority action?
Rationale: Checking for ketones helps confirm diabetic ketoacidosis (DKA), which is likely given the symptoms and high glucose level.
Question 2: A client with diabetes is prescribed insulin detemir. What is the nurse’s most important teaching point?
Rationale: Insulin detemir is a long-acting insulin that provides basal glucose control and should not be mixed with other insulins.
Question 3: A client with diabetes is admitted for treatment of a diabetic foot ulcer. What is the nurse’s priority intervention?
Rationale: Administering antibiotics addresses the infection, which is critical in preventing complications such as sepsis or osteomyelitis.
Question 4: A client with type 2 diabetes asks why exercise is important. What is the nurse’s best response?
Rationale: Exercise improves insulin sensitivity, helping the body use insulin more effectively, which is beneficial for managing diabetes.
Question 5: A client with diabetes is learning how to self-administer insulin. Which statement indicates effective learning?
Rationale: Rotating injection sites prevents lipodystrophy and ensures consistent insulin absorption.
