Question 1: A client with type 2 diabetes is prescribed metformin. Which finding should prompt the nurse to withhold the medication and notify the healthcare provider?
Rationale: Metformin should be withheld before contrast dye procedures to prevent lactic acidosis, a rare but serious complication.
Question 2: A client with gestational diabetes is concerned about her baby’s health. What is the nurse’s best response?
Rationale: Monitoring the baby’s blood sugar after birth addresses the risk of neonatal hypoglycemia associated with gestational diabetes.
Question 3: A client with type 1 diabetes reports exercising regularly. Which statement by the client indicates a need for further teaching?
Rationale: Injecting insulin into an active muscle (e.g., thigh before running) increases absorption, which can lead to hypoglycemia during exercise.
Question 4: A nurse is teaching a client newly diagnosed with type 2 diabetes about dietary management. Which statement by the client indicates effective learning?
Rationale: A balanced diet with whole grains, vegetables, and lean proteins helps maintain steady blood sugar levels and is essential for managing type 2 diabetes.
Question 5: A nurse is caring for a client with diabetic ketoacidosis (DKA). Which finding indicates the condition is improving?
Rationale: A serum pH of 7.35 indicates resolution of acidosis, which is a key goal in the treatment of DKA.
