Nokea
The client asks the nurse if dipstick of urine can be used for monitoring glucose levels. Which is the best response by the nurse?
- A. Yes, it is a cheaper method of monitoring glucose and ketones in the urine.
- B. This test can detect ketones but not glucose levels.
- C. The most accurate way to monitor glucose levels is by blood testing.
- D. Dipstick of urine will only indicate lower levels of glucose and ketones.
Correct Answer: C
Rationale: Blood testing via glucometer is the most accurate method for monitoring glucose levels, as urine dipsticks only detect glucose above the renal threshold, which is less precise. Urine dipsticks can detect both glucose and ketones but are not the preferred method for ongoing management.
You may also like to solve these questions
The client who is managing diabetes through diet and insulin control asks the nurse why exercise is important. Which is the best response by the nurse to support adding exercise to the daily routine?
- A. Increases ability for glucose to get into the cell and lowers blood sugar
- B. Creates an overall feeling of well-being and lowers risk of depression
- C. Decreases need for pancreas to produce more cells
- D. Decreases risk of developing insulin resistance and hyperglycemia
Correct Answer: A
Rationale: Exercise enhances glucose uptake by increasing transmembrane glucose transporters in muscles, lowering blood sugar levels. While it may improve well-being and reduce insulin resistance, the primary benefit for diabetes management is improved glucose transport into cells.
The nurse is providing information about foot care to a client with diabetes. Which instruction would the nurse include?
- A. Wash your feet in hot water every day.
- B. Use a razor to remove corns or calluses.
- C. Be sure to apply a moisturizer to feet daily.
- D. Wear well-fitting comfortable rubber shoes.
Correct Answer: C
Rationale: The nurse should advise the client to apply a moisturizer to the feet daily to prevent dryness and cracking, which can lead to infections. Using warm, not hot, water is recommended to avoid burns due to potential reduced sensation. Razors should be avoided to prevent injury and infection. Well-fitting shoes are important, but rubber shoes can cause perspiration and increase infection risk.
A client with type 1 diabetes mellitus is receiving short-acting insulin to maintain control of blood glucose levels. In providing glucometer instructions, the nurse would instruct the client to use which site for most accurate findings?
- A. Finger
- B. Upper arm
- C. Thigh
- D. Forearm
Correct Answer: A
Rationale: The fingertip provides the most accurate blood glucose readings due to its rich blood supply and minimal lag in glucose levels compared to alternate sites like the arm or thigh, which are less reliable for tight glucose control.
Which is the best nursing explanation for the symptom of polyuria in a client with diabetes mellitus?
- A. With diabetes, drinking more results in more urine production.
- B. Increased ketones in the urine promote the manufacturing of more urine.
- C. High sugar pulls fluid into the bloodstream, which results in more urine production.
- D. The body's requirement for fuel drives the production of urine.
Correct Answer: C
Rationale: High blood glucose levels increase blood osmolality, pulling fluid into the vascular system, which leads to increased urine production (polyuria) as the kidneys attempt to excrete excess glucose. This triggers thirst (polydipsia), not vice versa. Ketones and fuel requirements do not directly cause polyuria.
A client is admitted to the unit with diabetic ketoacidosis (DKA). Which insulin would the nurse expect to administer intravenously?
- A. Glargine
- B. Regular
- C. NPH
- D. Lente
Correct Answer: B
Rationale: Regular insulin is used intravenously for DKA due to its rapid onset and ability to be infused continuously. Glargine, NPH, and Lente are long- or intermediate-acting insulins administered subcutaneously, unsuitable for acute DKA management.