Question 1: A client with diabetes is experiencing shakiness, sweating, and irritability. What is the nurse’s priority action?
Rationale: For a conscious client with signs of hypoglycemia, providing 15 grams of a fast-acting carbohydrate is the immediate treatment.
Question 2: A client with type 1 diabetes is learning about insulin injection sites. Which site is most effective for insulin absorption?
Rationale: The abdomen is the most effective site for insulin absorption due to its rich blood supply.
Question 3: A client with diabetes is prescribed exenatide. What is the nurse’s priority teaching point?
Rationale: Exenatide may cause nausea, especially when therapy begins, and clients should be informed to ensure adherence.
Question 4: A client with diabetes reports waking up with high blood sugar despite taking insulin at bedtime. What is the nurse’s best response?
Rationale: The dawn phenomenon is a natural early morning increase in blood sugar due to hormonal changes. Adjustments to insulin timing or dosage may be needed.
Question 5: A client with diabetes asks about exercise and glucose control. What is the nurse’s best response?
Rationale: Exercise improves insulin sensitivity, helping the body use insulin more effectively, which is beneficial for glucose control.