Author Question: A nurse reviews laboratory results for a client with diabetes mellitus who is prescribed an ... (Read 121 times)

sdfghj · **on:** Jun 25, 2018

A nurse reviews laboratory results for a client with diabetes mellitus who is prescribed an intensified insulin regimen:

- Fasting blood glucose: 75 mg/dL
- Postprandial blood glucose: 200 mg/dL
- Hemoglobin A1c level: 5.5
How should the nurse interpret these laboratory findings?
a.
Increased risk for developing ketoacidosis
b.
Good control of blood glucose
c.
Increased risk for developing hyperglycemia
d.
Signs of insulin resistance

Question 2

After teaching a client who is newly diagnosed with type 2 diabetes mellitus, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?

a. I should increase my intake of vegetables with higher amounts of dietary fiber.
b. My intake of saturated fats should be no more than 10 of my total calorie intake.
c. I should decrease my intake of protein and eliminate carbohydrates from my diet.
d. My intake of water is not restricted by my treatment plan or medication regimen.

mirabriestensky · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
The client is maintaining blood glucose levels within the defined ranges for goals in an intensified regimen. Because the client's glycemic control is good, he or she is not at higher risk for ketoacidosis or hyperglycemia and is not showing signs of insulin resistance.

Answer to Question 2

ANS: C
The client should not completely eliminate carbohydrates from the diet, and should reduce protein if microalbuminuria is present. The client should increase dietary intake of complex carbohydrates, including vegetables, and decrease intake of fat. Water does not need to be restricted unless kidney failure is present.