Question 1: A client with type 2 diabetes is starting glyburide therapy. What is the nurse’s priority teaching point?
Rationale: Glyburide is a sulfonylurea that stimulates insulin production and can cause hypoglycemia. Clients should eat regularly to avoid low blood sugar.
Question 2: A client with diabetes asks why they need to maintain consistent eating patterns while on insulin therapy. What is the nurse’s best response?
Rationale: Maintaining consistent eating patterns prevents blood sugar fluctuations, particularly hypoglycemia, in clients receiving insulin therapy.
Question 3: A nurse is teaching a client about symptoms of hyperglycemia. Which symptom should the client report immediately?
Rationale: Increased thirst and frequent urination are classic signs of hyperglycemia and require prompt evaluation and management to prevent complications.
Question 4: A client with diabetes is admitted with diabetic ketoacidosis (DKA). What is the nurse’s priority intervention?
Rationale: The priority intervention for DKA is rehydration with IV fluids to restore circulatory volume and prevent shock before addressing hyperglycemia with insulin.
Question 5: A client with diabetes reports they have been experiencing blurred vision. What is the nurse’s best initial response?
Rationale: Blurred vision is a common symptom of fluctuating blood sugar levels and may require adjustments in diabetes management.
