when assessing a patient with diabetes, which finding would you immediately report?

What is the nurse discussing with the client diagnosed with diabetes?

"The nurse is discussing the importance of exercising to a client diagnosed with Type 2diabetes whose diabetes is well controlled with diet and exercise. Which informationshould the nurse include in the teaching about diabetes?

What is the health assessment of diabetes mellitus?

The health assessment of diabetes is the first step in the health management of diabetes mellitus. This is conducted to determine the health needs of the person that will be incorporated in the plan of care. The health assessment commonly includes history taking and the overall physical examination of the patient.

Why might a patient with diabetes be currently using insulin?

When a patient with diabetes is ill or has surgery, glucose levels become elevated, and administration of insulin may be necessary. This is a temporary change that usually resolves with recovery from the illness or surgery. Option 3 is correct but does not explain why the patient may currently need insulin.

What tests are used to diagnose diabetes?

f. Monofilament testing of the foot complications of diabetes. Chest x-ray and CBC might be ordered if the patient with diabetes screening. regular insulin 2 units using the same syringe? (Put a comma and a space between each answer choice [A, B, C, D, E]). a.

What should be assessed for a diabetic patient?

A diabetes-focused examination includes vital signs, funduscopic examination, limited vascular and neurologic examinations, and a foot assessment. Other organ systems should be examined as indicated by the patient's clinical situation.

What key assessment do you look for in a patient with diabetes?

The diabetes cycle of care Measure weight, height and body mass index (BMI) Measure blood pressure. Assess feet for complications.

What are the key findings in diabetes mellitus?

Diabetes mellitus is impaired insulin secretion and variable degrees of peripheral insulin resistance leading to hyperglycemia. Early symptoms are related to hyperglycemia and include polydipsia, polyphagia, polyuria, and blurred vision.

What are three observations or tests that could indicate that a person has diabetes?

Diabetes is diagnosed and managed by checking your glucose level in a blood test. There are three tests that can measure your blood glucose level: fasting glucose test, random glucose test and A1c test.

How do you determine diabetes?

What tests are used to diagnose diabetes and prediabetes? Health care professionals most often use the fasting plasma glucose (FPG) test or the A1C test to diagnose diabetes. In some cases, they may use a random plasma glucose (RPG) test.

What findings indicate poorly controlled diabetes in this patient?

Poorly controlled diabetes is defined as having a glycosylated hemoglobin (HbA1c) of >7%, pre-prandial capillary plasma glucose >130mg/dl and peak postprandial capillary plasma glucose of >180mg/dl [4].

What are 10 warning signs of diabetes?

Early signs and symptoms of diabetesFrequent urination. When your blood sugar is high, your kidneys expel the excess blood sugar, causing you to urinate more frequently. ... Increased thirst. ... Fatigue. ... Blurred vision. ... Increased hunger. ... Unexplained weight loss. ... Slow healing cuts and wounds. ... Tingling or numbness in the hands or feet.More items...•

What are the typical laboratory findings in an uncontrolled diabetes mellitus?

A 2-hour plasma glucose level of 200 mg/dL (11.1 mmol/L) or more during an OGTT or a random plasma glucose level of 200 mg/dL (11.1 mmol/L) or more also is diagnostic of diabetes.

What are the 3 most common symptoms of undiagnosed diabetes?

The three most common symptoms of undiagnosed diabetes include increased thirst, increased urination, and increased hunger. Diabetes is a metabolic disorder that happens when blood sugar (glucose) is too high (hyperglycemia).

What blood test results indicate diabetes?

What is the A1C test? The A1C test is a blood test that provides information about your average levels of blood glucose, also called blood sugar, over the past 3 months. The A1C test can be used to diagnose type 2 diabetes and prediabetes.

What are some complications of diabetes?

Diabetes Complications Are RelatedHeart disease and stroke: People with diabetes are two times more likely to have heart disease or a stroke as people without diabetes.Blindness and other eye problems: ... Kidney disease: High blood sugar levels can damage the kidneys and cause chronic kidney disease (CKD).More items...

What is the most accurate diabetes test?

The current gold standard for diabetes screening is the glycohemoglobin test (HbA1c) . It is a general gauge of diabetes control that specifies an average blood glucose level over a few months. It measures glucose that sticks to hemoglobin inside red blood cells.

How to get blood sugar levels up?

Physical activity. Get at least 150 minutes a week of moderate activity, such as brisk walking or riding a bike. Healthy eating. Eat healthy foods that give you the nutrition you need and help your blood sugar stay in your target range.

What to do if you can't see the bottom of your feet?

Use a mirror if you can’t see the bottom of your feet or ask a family member for help. Let your doctor know immediately if you have any cuts, redness, swelling, sores, blisters, corns, calluses, or other change to the skin or nails. Diabetes medicines.

What are the two things that a doctor should do to assess for kidney disease?

1.)Assess ability to measure and inject insulin and to monitor blood glucose levels. 2.) Assess for damage to motor fibers, which can result in muscle weakness. 3.) Assess which modifiable risk factors can be reduced. 4.) Assess for albuminuria, which may indicate kidney disease. 1.)

Which option is incorrect with regard to all forms of insulin?

Options 2, 3, and 4 are incorrect with regard to rapid-acting insulin. Option 2 is incorrect with regard to all forms of insulin. Long-acting insulins mimic the action of the pancreas. Regular insulin is the only insulin that can be given IV.

Can a UAP check glucose levels?

Experienced UAPs with special training can check the patient's glucose level before meals and at bedtime. It is generally not within the UAP's scope of practice to administer medications, but this is within the scope of practice of the LPN/LVN. A patient with type 1 diabetes reports feeling dizzy.

Can diabetic retinopathy affect vision?

Rationale: The older patient with diabetic retinopathy also has general age-related vision changes, and the ability to perform self-care may be seriously affected.

Is bed rest necessary for diabetics?

Teaching or reviewing the components of proper foot care is always a good idea with a patient with diabetes. Bed rest is not necessary, and glucose levels may be better controlled when a patient is more active.

Is HgbA1C a good indicator of blood glucose?

The higher the blood glucose level is over time, the more glycosylated the hemoglobin becomes. The HgbA1c level is a good indicator of the average blood glucose level over the previous 120 days. Fasting glucose and oral glucose tolerance tests are important diagnostic tools.

Can UAP take glucose?

For unplanned exercise, intake of additional carbohydrate is usually needed. The experienced unlicensed assistive personnel (UAP) has been delegated to take vital signs and check fingerstick glucose on a postoperative patient with diabetes.

What is the criteria for diagnosis of diabetes?

Criteria for the diagnosis of diabetes include symptoms of diabetes plus random plasma glucose greater than or equal to 200 mg/dL, or a fasting plasma glucose greater than or equal to 126 mg/dL. 3.A patient newly diagnosed with type 2 diabetes is attending a nutrition class.

How often should a nurse test for ketones?

The nurse should emphasize that the patient should take insulin agents as usual and test ones blood sugar and urine ketones every 3 to 4 hours. In fact, insulin-requiring patients may need supplemental doses of regular insulin every 3 to 4 hours.

How long does it take for insulin to peak?

Regular insulin (a short-acting insulin) peaks in 2 to 3 hours, and NPH (an intermediate-acting insulin) peaks in 4 to 10 hours. Hypoglycemia would most likely occur between 9 am and 5 pm (0900 to 1700 hours). Glipizide (Glucotrol) 10 mg bid PO has been ordered for an adult client with type 2 diabetes.

Why is insulin administration less important in the treatment of HHS?

Insulin administration plays a less important role in the treatment of HHS because it is not needed for reversal of acidosis, as in diabetic ketoacidosis (DKA). 16.A nurse is caring for a patient with type 1 diabetes who is being discharged home tomorrow.

What is HHS in nursing?

22.A nurse is caring for a patient newly diagnosed with type 1 diabetes. The nurse is educating the patient about self-administration of insulin in the home setting.

When should a home care nurse perform an initial assessment?

While consulting a home care nurse is beneficial, an initial assessment should be performed during the hospitalization or office visit. Nurses should directly observe the patient performing the skills such as insulin preparation and infection, blood glucose monitoring, and foot care.

What are the three Ps of diabetes?

Classic clinical manifestations of diabetes include the three Ps: polyuria, polydipsia, and polyphagia. Lack of interest in sweet foods, fatigue, and foul-smelling urine are not suggestive of diabetes. 13.A diabetes educator is teaching a patient about type 2 diabetes.

What are the signs of diabetes mellitus?

1, 4, 6 Rationale: Classic signs of diabetes mellitus include polydipsia (excessive thirst), polyphagia (excessive hunger), and polyuria (excessive urination). Because the body is starving from the lack of glucose the cells are using for energy, the client has weight loss, not weight gain.

What is the A1C level of a diabetic?

Used as a diagnostic tool, A1C levels of 6.5% or higher on two tests indicate diabetes. A1C of 6% to 6.5% is considered prediabetes.". During a diabetes screening program, a patient tells the nurse, "My mother died of complications of type 2 diabetes.

Why is oral insulin not available?

Oral insulin is not available because of the breakdown of the insulin by digestion. Options 1, 2 and 3 are incorrect. A nurse is preparing a plan of care for a client with diabetes mellitus who has hyerglycemia. The priority nursing diagnosis would be: 1.

What is insulin resisitance?

Insulin resisitance is inidcated by a daily insulin requirement of 200 units or more. Diabetic ketoacidosis, an acute metabolic condition, usually is caused by absent or markedly decreased amounts of insulin. A home health nurse is at the home of a client with diabetes and arthritis.

How does type 2 diabetes differ from type 1 diabetes?

Answer B - Rationale: In type 2 diabetes, the pancreas produces insulin, but the insulin is insufficient for the body's needs or the cells do not respond to the insulin appropriately.

How do you know if you have DKA?

Early symptoms may include lethargy and weakness. As the patient becomes severely dehydrated, the skin becomes dry and loose, and the eyeballs become soft and sunken. Abdominal pain is another symptom of DKA that may be accompanied by anorexia and vomiting.

What is the meaning of "type 2 diabetes"?

Answer B - Rationale: In type 2 diabetes, the pancreas produces insulin, but the insulin is insufficient for the body's needs or the cells do not respond to the insulin appropriately. The other information describes the physiology of type 1 diabetes.