EXPLORED PHARMACOLOGY CHAPTER 52: ANTIDIABETICS NURSING SCHOOL TEST BANKS, PHARM ANTIINFLAMMATORIES, PHARM ANTI-TUBERCULAR DRUGS, PHARM CHAPTER 26A - PENICILLINS AND CEPHALOSPORINS, PHARM DERMATOLOGICAL DISORDERS, PHARMACOLOGY CHAPTER 30: MACROLIDES,

EXPLORED PHARMACOLOGY CHAPTER 52: ANTIDIABETICS NURSING SCHOOL TEST BANKS, PHARM ANTIINFLAMMATORIES, PHARM ANTI-TUBERCULAR DRUGS, PHARM CHAPTER 26A - PENICILLINS AND CEPHALOSPORINS, PHARM DERMATOLOGICAL DISORDERS, PHARMACOLOGY CHAPTER 30: MACROLIDES, 1. The nurse is teaching a group of nursing students about diabetes. The nurse explains that which type of diabetes is the most common? a. Type 1 diabetes mellitus b. Type 2 diabetes mellitus c. Diabetes insipidus d. Secondary diabetes - CORRECT ANSWER -ANS: B Type 2 diabetes mellitus is the most common type of diabetes. DIF: COGNITIVE LEVEL: Remembering (Knowledge) REF: Page 759 TOP: NURSING PROCESS: Assessment MSC: NCLEX: Physiological Integrity: Pathophysiology 2. A patient develops type 2 diabetes mellitus. The nurse will explain that this type of diabetes a. is generally triggered by medications. b. is not as common as type 1 diabetes. c. is often related to heredity and obesity. d. will not require insulin therapy. - CORRECT ANSWER -ANS: C Type 2 diabetes is often caused by obesity and hereditary factors. Secondary diabetes is triggered by medications. Type 2 diabetes is the most common type of diabetes. Patients with type 2 diabetes may become insulin-dependent. DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: Page 759 TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching MSC: NCLEX: Physiological Integrity: Pathophysiology 3. A patient who is overweight is being evaluated for diabetes. The patient has a blood glucose level of 160 mg/dL and a hemoglobin A1c of 5.8%. The nurse understands that this patient has which condition? a. Diabetes mellitus b. Hypoglycemia c. Normal blood levels d. Prediabetes - CORRECT ANSWER -ANS: D Patients with a hemoglobin A1c between 5.7% and 6.4% are considered to have prediabetes. A level of 6.5% or more indicates diabetes. The patient is hyperglycemic. DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 759 TOP: NURSING PROCESS: Assessment MSC: NCLEX: Physiological Integrity: Pathophysiology 4. The nurse is teaching a patient who is newly diagnosed with type 1 diabetes mellitus about insulin administration. Which statement by the patient indicates a need for further teaching? a. I may use a chosen site daily for up to a week. b. I should give each injection a knuckle length away from a previous injection. c. I will not be concerned about a raised knot under my skin from injecting insulin. d. Insulin is absorbed better from subcutaneous sites on my abdomen. - CORRECT ANSWER -ANS: C Lipohypertrophy is a raised lump or knot on the skin surface caused by repeated injections into the same site, and this can interfere with insulin absorption. Patients are encouraged to use the same site for a week, giving each injection a knuckle length away from the previous injection. Insulin absorption is greater when given in abdominal areas. DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 760 TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 5. The nurse is teaching a patient how to administer insulin. The patient is thin with very little body fat. The nurse will suggest injecting insulin a. by pinching up the skin and injecting straight down. b. in the abdomen only with the needle at a 90-degree angle