Question 1: A client with diabetes is prescribed insulin glargine. What should the nurse emphasize when teaching the client about this medication?
Rationale: Insulin glargine is a long-acting insulin that should not be mixed with other insulins. It provides a steady glucose-lowering effect over 24 hours.
Question 2: A client with diabetes has a foot ulcer. What is the nurse’s priority intervention?
Rationale: Cleaning the wound and applying a sterile dressing are the priorities to prevent infection and promote healing.
Question 3: A client with type 2 diabetes is prescribed pioglitazone. What adverse effect should the nurse monitor for?
Rationale: Pioglitazone can cause fluid retention, which increases the risk of heart failure. Monitoring for signs of edema is essential.
Question 4: A client with diabetes is experiencing signs of hypoglycemia. What is the nurse’s priority action?
Rationale: Offering 15 grams of a fast-acting carbohydrate, such as glucose tablets or juice, is the first-line treatment for conscious clients experiencing hypoglycemia.
Question 5: A client with diabetes has a hemoglobin A1c of 9.2%. What is the nurse’s priority teaching topic?
Rationale: An A1c of 9.2% indicates poor glucose control. Improving medication adherence is a priority to lower blood glucose and reduce the risk of complications.
