A nurse is reinforcing teaching for a client who has diabetes mellitus and has a prescription for insulin detemir injections once daily. Which of the following statements by the client indicates an understanding of the teaching?

"I should inject by insulin detemir 30 min before a meal to lower my blood sugar."

"If my blood sugar is high. I can mix a dose of regular insulin with my insulin detemir."

"I can inject my insulin detemir in the evening before bedtime."

"I don't have to worry about hypoglycemia while taking insulin detemir."

Answer and Explanation

The Correct Answer is C

A. "I should inject my insulin detemir 30 min before a meal to lower my blood sugar.": Insulin detemir is a long-acting insulin that provides basal glucose control and is not meal-dependent.

B. "If my blood sugar is high, I can mix a dose of regular insulin with my insulin detemir.": Insulin detemir should not be mixed with any other insulin in the same syringe.

C. "I can inject my insulin detemir in the evening before bedtime.": Insulin detemir is commonly administered once daily, and evening administration helps maintain stable glucose levels overnight.

D. "I don't have to worry about hypoglycemia while taking insulin detemir.": While the risk of hypoglycemia is lower with detemir than with some other insulins, it is still possible, particularly if meals are missed or doses are mismanaged.

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Correct Answer is B

Explanation

A. Ketoacidosis: DKA presents with symptoms like polyuria, polydipsia, dehydration, and fruity breath, not lightheadedness and sweating.

B. Hypoglycemia. Symptoms like sweating, tachycardia, lightheadedness, and shakiness indicate hypoglycemia, a common complication in type 1 diabetes.

C. Nephropathy: Nephropathy is a chronic complication of diabetes and does not present with these acute symptoms.

D. Hyperglycemia: Hyperglycemia causes symptoms like thirst, frequent urination, and fatigue but does not typically cause sweating or shakiness.

A. Buffalo hump also known as fat pads on upper back B. Obese extremities C. Purple or Dark Striations on skin D. Tremors E. Truncal obesity F. Round moon-shaped face

Correct Answer is ["A","C","E","F"]

Explanation

A. Buffalo hump (fat pads on the upper back): Fat redistribution is a classic sign of Cushing's syndrome.

B. Obese extremities: Cushing's syndrome typically presents with truncal obesity, not obesity of the extremities.

C. Purple or dark striations on the skin: These are caused by skin thinning and stretching due to increased cortisol levels.

D. Tremors: Tremors are not commonly associated with Cushing's syndrome.

E. Truncal obesity: Central obesity is a hallmark of Cushing's syndrome.

F. Round moon-shaped face: This is another characteristic sign of fat redistribution in Cushing's syndrome.

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A nurse is reinforcing teaching for a client who has diabetes mellitus and has a prescription for insulin detemir injections once daily. Which of the following statements by the client indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse finds a client who has type 1 diabetes mellitus lying in bed, sweating, tachycardic, and reporting feeling lightheaded and shaky. Which of the following complications should the nurse suspect?

Correct Answer is B

Explanation

A nursing is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should the nurse expect to observe? (Select all that Apply) (Select All that Apply.)

Correct Answer is ["A","C","E","F"]

Explanation

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