Question 1: A client with diabetes is experiencing shaky hands, sweating, and confusion. What is the nurse’s first action?
Rationale: Checking the client’s blood glucose is the priority to confirm hypoglycemia before initiating treatment.
Question 2: A client with diabetes is starting insulin aspart. What should the nurse include in teaching?
Rationale: Insulin aspart is rapid-acting and should be taken immediately before meals to manage postprandial glucose spikes.
Question 3: A client with type 2 diabetes has a morning fasting glucose of 210 mg/dL. What is the nurse’s priority action?
Rationale: Reviewing dietary intake and medication adherence helps identify potential causes of elevated fasting glucose levels and guides further interventions.
Question 4: A nurse is assessing a client with diabetes for signs of autonomic neuropathy. Which finding is most indicative of this complication?
Rationale: Difficulty emptying the bladder is a sign of autonomic neuropathy, which affects the autonomic nervous system in clients with diabetes.
Question 5: A nurse is teaching a client with diabetes about the importance of annual screenings. Which screening is most important for preventing complications?
Rationale: An annual eye exam is crucial to detect diabetic retinopathy early and prevent vision loss.
