What is an essential component of a quality improvement program?
A. A clear statement of philosophy.
B. Evidence that clients are meeting program objectives.
C. Development of behavioral objectives for each teaching session.
D. A remedial plan addressing deficiencies in meeting established standards
During the perinatal period, when is the woman with type 1 diabetes most at risk for hypoglycemia?
A. First trimester of the pregnancy.
B. Second trimester of the pregnancy.
C. Third trimester of the pregnancy.
D. No change in risk throughout the pregnancy.
What would be the most appropriate recommendation for the diabetes educator to make for an overweight person taking short-acting insulin at supper and experiencing hypoglycemia during the evening?
A. change to a rapid-acting insulin analogue at supper.
B. Eat more carbohydrate at supper
C. Inject into the abdomen to decrease insulin absorption time.
D. Increase the frequency of blood glucose monitoring.
Which of the following combinations of food provide approximately 30 g of carbohydrate?
A. 4 Melba toast, 1 small banana, 125 ml milk.
B. 125 ml milk, 1/2 orange, 1 slice of bread.
C. 125 ml turnips, 125 ml cooked macaroni.
D. 200 ml cooked porridge, 250 ml strawberries, 250 ml plain yogurt
A client with type 2 diabetes taking multiple daily injections of rapid acting insulin before meals and intermediate-acting insulin at bedtime has consistently elevated fasting blood glucose. What action should be taken to correct this trend?
A. Increase pre-breakfast rapid-acting insulin.
B. Check blood glucose at 0300-0400 hours; if not below target, increase bedtime intermediate acting insulin.
C. Decrease the bedtime intermediate-acting insulin to decrease the risk of nocturnal hypoglycemia.
D. Adjust his nutrient intake and encourage increased physical activity.
Hannah and her family will be traveling to England, which is 5 hours ahead. What should the diabetes educator recommend regarding insulin adjustment?
A. Reduce insulin when traveling to England.
B. Increase insulin when traveling to England.
C. No insulin dose adjustments are required.
D. Upon return, adjust the usual insulin doses by 30%.
When teaching Hannah's parents about hypoglycemia which of the following statements is most critical?
A. Hannah may not recognize or verbalize hypoglycemia.
B. Testing should be done at 0300 hours twice per week.
C. Testing is necessary to confirm hypoglycemia.
D. Hannah's bedtime snack must include 15 g of carbohydrate and a protein choice.
Hannah has been unwell with influenza for 6 hours. Her mom reports Hannah has vomited once. What is the most appropriate response for sick-day management?
A. Ensure adequate oral intake every 2 hours.
B. Test blood glucose and ketones and discontinue the insulin.
C. Test blood glucose and ketones and continue the insulin.
D. Take Hannah to the nearest emergency department.
Bob has type 2 diabetes and has been prescribed acarbose 50 mg TID. He takes no other oral agents for his diabetes. What is the best advice to give Bob?
A. Take your medications during meals.
B. Test your blood glucose before meals.
C. Take your medication with the first bite of the meal.
D. Take your medication after meals.
What is the most important factor when assessing the learning needs of a client?
A. the client's diabetes control as assessed by a recent A!C.
B. The client's past attendance at a diabetes education program.
C. The client's perception of his/her present problem or concern
D. The Client's past experience and knowledge related to diabetes.