A middle-aged patient is surprised to learn of the diagnosis of type 1 diabetes mellitus. What
should the nurse respond?
A. "It is odd since it is usually a disease of childhood."
B. "You probably developed it because of an infection."
C. "Type 1 diabetes mellitus can occur at any stage of life."
D. "It usually means that another disease process is present." C. "Type 1 diabetes mellitus
can occur at any stage of life."
The nurse is reviewing type 1 diabetes mellitus with a group of patients newly diagnosed with
the disorder. What should the nurse explain as the major cause for the disorder?
A. Autoimmune process
B. Cancer of the pancreas
C. Alteration in lipid and protein utilization
D. Malfunction of carbohydrate metabolism A. Autoimmune process
The nurse notices that a patient who has been drinking large volumes of water and eating large
meals throughout the day continues to lose weight. Which health problem should the nurse
suspect this patient is experiencing?
A. Hypercortisolism
B. Hyperaldosteronism
C. Type 1 diabetes mellitus
D. Type 2 diabetes mellitus C. Type 1 diabetes mellitus
,A patient with type 1 diabetes mellitus is scheduled for a hemoglobin A1c level. What should
the nurse emphasize to the patient to prepare for this test?
A. Schedule the test for first thing in the morning
B. Have the test drawn at any time during the day
C. Avoid eating and drinking anything after midnight the day before the test
D. Restrict the intake of red meat for three days before having the test B. Have the test
drawn at any time during the day
The nurse is reviewing the results of patient's recent hemoglobin A1c level drawn to evaluate
type 1 diabetes management. Which result indicates that treatment has been successful?
A. > or = 8%
B. < or = 6.5%
C. > 110 mg/dL
D. > 140 mg/dL B. < or = 6.5%
A patient is prescribed Regular insulin 5 units subcutaneous injection now. Which syringe
should the nurse use for this dose if all are readily available?
A. U-30
B. U-50
C. U-100
D. U-500 A. U-30
, A patient with type 1 diabetes mellitus will be self-monitoring blood glucose levels at home.
What is the minimum number of measurements that this patient should make each day?
A. 1
B. 3
C. 4
D. 8 C. 4
A patient with type 1 diabetes mellitus has not taken insulin for several days. Which
observation indicates that diabetic ketoacidosis (DKA) could be developing?
A. Slow heart rate
B. Deep rapid respirations
C. Decreased urine output
D. Increased blood pressure B. Deep rapid respirations
A patient experiencing diabetic ketoacidosis (DKA) is receiving a normal saline infusion and
intravenous insulin. What additional medication should the nurse expect to be prescribed for
this patient?
A. Diuretic
B. Laxative
C. Antibiotic
D. Potassium D. Potassium