Question 1: A client with diabetes is experiencing blurred vision, thirst, and frequent urination. What is the nurse’s priority intervention?
Rationale: Checking the client’s blood glucose level is the priority to confirm hyperglycemia and guide further interventions.
Question 2: A nurse is teaching a client with diabetes about the proper timing of insulin lispro. What is the correct teaching point?
Rationale: Insulin lispro is a rapid-acting insulin that should be administered 5-10 minutes before meals to control postprandial blood sugar levels.
Question 3: A client with diabetes reports tingling and numbness in their feet. What is the nurse’s best response?
Rationale: Tingling and numbness in the feet are common signs of diabetic neuropathy, a complication of poorly controlled diabetes.
Question 4: A client with diabetes is learning about sick day management. Which statement indicates effective learning?
Rationale: Clients should test their blood glucose more frequently during illness to monitor for hyperglycemia or hypoglycemia and adjust treatment as needed.
Question 5: A client with diabetes is prescribed pioglitazone. What is the nurse’s priority teaching point?
Rationale: Pioglitazone can cause fluid retention, increasing the risk of heart failure. Clients should report any signs of swelling or shortness of breath.
