Chapter 48: Diabetes Mellitus Lewis: Medical-
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Surgical Nursing, 10th Edition
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Save
41.f9Af930-yr-
oldf9patientf9hasf9af9newf9diagnosisf9off9typef92f9diabetes.f9Thef9nursef9willf9dis
cussf9thef9needf9tof9schedulef9af9dilatedf9eyef9examination
f9
a.f9everyf92f9years.
b.f9asf9soonf9asf9possible.
f9
c.f9whenf9thef9patientf9isf939f9yearsf9old.
d.f9withinf9thef9firstf9yearf9afterf9diagnosis.f9-f9correctf9answer✔ ✔
ANS:f9B
f9
Becausef9manyf9patientsf9havef9somef9diabeticf9retinopathyf9whenf9theyf9aref9
firstf9diagnosedf9withf9typef92f9diabetes,f9af9dilatedf9eyef9examinationf9isf9reco
mmendedf9atf9thef9timef9off9diagnosisf9andf9annuallyf9thereafter.f9Patientsf9wi
thf9typef91f9diabetesf9shouldf9havef9dilatedf9eyef9examinationsf9startingf95f9yea
rsf9afterf9theyf9aref9diagnosedf9andf9thenf9annually.
f9
DIF:f9Cognitivef9Level:f9Applyf9(application)
,TOP:f9Nursingf9Process:f9Planning
REF:f91149
MSC:f9NCLEX:f9Physiologicalf9Integrity
1.f9Whichf9statementf9byf9af9nursef9tof9af9patientf9newlyf9diagnosedf9withf9type
f92f9diabetesf9isf9correct?
a.f9Insulinf9isf9notf9usedf9tof9controlf9bloodf9glucosef9inf9patientsf9withf9typef92f9
diabetes.
b.f9Complicationsf9off9typef92f9diabetesf9aref9lessf9seriousf9thanf9thosef9off9type
f91f9diabetes.
c.f9Changesf9inf9dietf9andf9exercisef9mayf9controlf9bloodf9glucosef9levelsf9inf9t
ypef92f9diabetes.
d.f9Typef92f9diabetesf9isf9usuallyf9diagnosedf9whenf9thef9patientf9isf9admittedf9
withf9af9hyperglycemicf9coma.f9-f9correctf9answer✔ ✔ ANS:f9C
Forf9somef9patientsf9withf9typef92f9diabetes,f9changesf9inf9lifestylef9aref9suffici
entf9tof9achievef9bloodf9glucosef9control.f9Insulinf9isf9frequentlyf9usedf9forf9ty
pef92f9diabetes,f9complicationsf9aref9equallyf9severef9asf9forf9typef91f9diabetes,f
9andf9typef92f9diabetes f9isf9usuallyf9diagnosedf9withf9routinef9laboratoryf9testi
ngf9orf9afterf9af9patientf9developsf9complicationsf9suchf9asf9frequentf9yeastf9inf
ections.
DIF:f9Cognitivef9Level:f9Understandf9(comprehension)f9REF:f91134
TOP:f9Nursingf9Process:f9Implementationf9MSC:f9NCLEX:f9Physiologicalf9
Integrity
,4.f9Thef9nursef9isf9assessingf9af922-yr-
oldf9patientf9experiencingf9thef9onsetf9off9symptomsf9off9typef91f9diabetes.f9To
f9whichf9questionf9wouldf9thef9nursef9anticipatef9af9positivef9response?
a.f9"Aref9youf9anorexic?"
b.f9"Isf9yourf9urinef9darkf9colored?"
c.f9"Havef9youf9lostf9weightf9lately?"
f9 d.f9"Dof9youf9cravef9sugaryf9drinks?"f9-f9correctf9answer✔ ✔ ANS:f9C
Weightf9lossf9occursf9becausef9thef9bodyf9isf9nof9longerf9ablef9tof9absorbf9gluc
osef9andf9startsf9tof9breakf9downf9proteinf9andf9fatf9forf9energy.f9Thef9patientf9i
sf9thirstyf9butf9doesf9notf9necessarilyf9cravef9sugar-
containingf9fluids.f9Increasedf9appetitef9isf9af9classicf9symptomf9off9typef91f9di
abetes.f9Withf9thef9classicf9symptomf9off9polyuria,f9urinef9willf9bef9veryf9dilut
e.
f9
DIF:f9Cognitivef9Level:f9Applyf9(application)
TOP:f9Nursingf9Process:f9Assessmentf9
REF:f91121
MSC:f9NCLEX:f9Physiologicalf9Integrity
, 5.f9Af9patientf9withf9typef92f9diabetesf9isf9scheduledf9forf9af9follow-
upf9visitf9inf9thef9clinicf9severalf9monthsf9fromf9now.f9Whichf9testf9willf9thef9nu
rsef9schedulef9tof9evaluatef9thef9effectivenessf9off9treatmentf9forf9thef9patient?
a.f9Fastingf9bloodf9glucose
b.f9Oralf9glucosef9tolerance
cf9Glycosylatedf9hemoglobin
d.f9Urinef9dipstickf9forf9glucosef9-f9correctf9answer✔ ✔ _ANS:f9C
Thef9glycosylatedf9hemoglobinf9(A1C)f9testf9showsf9thef9overallf9controlf9off9
glucosef9overf990f9tof9120f9days.f9Af9fastingf9bloodf9levelf9indicatesf9onlyf9thef9
glucosef9levelf9atf9onef9time.f9Urinef9glucosef9testingf9isf9notf9anf9accuratef9refl
ectionf9off9bloodf9glucosef9levelf9andf9doesf9notf9reflectf9thef9glucosef9overf9af9
prolongedf9time.f9Oralf9glucosef9tolerancef9testingf9isf9donef9tof9diagnosef9dia
betesf9butf9isf9notf9usedf9forf9monitoringf9glucosef9controlf9afterf9diabetesf9hasf
9beenf9diagnosed.
f9
DIF:f9Cognitivef9Level:f9Applyf9(application)
TOP:f9Nursingf9Process:f9Planning
f9
REF:f91124
MSC:f9NCLEX:f9Physiologicalf9Integrity
f9 f9 f9 f9 f9
Surgical Nursing, 10th Edition
f9 f9 f9
Save
41.f9Af930-yr-
oldf9patientf9hasf9af9newf9diagnosisf9off9typef92f9diabetes.f9Thef9nursef9willf9dis
cussf9thef9needf9tof9schedulef9af9dilatedf9eyef9examination
f9
a.f9everyf92f9years.
b.f9asf9soonf9asf9possible.
f9
c.f9whenf9thef9patientf9isf939f9yearsf9old.
d.f9withinf9thef9firstf9yearf9afterf9diagnosis.f9-f9correctf9answer✔ ✔
ANS:f9B
f9
Becausef9manyf9patientsf9havef9somef9diabeticf9retinopathyf9whenf9theyf9aref9
firstf9diagnosedf9withf9typef92f9diabetes,f9af9dilatedf9eyef9examinationf9isf9reco
mmendedf9atf9thef9timef9off9diagnosisf9andf9annuallyf9thereafter.f9Patientsf9wi
thf9typef91f9diabetesf9shouldf9havef9dilatedf9eyef9examinationsf9startingf95f9yea
rsf9afterf9theyf9aref9diagnosedf9andf9thenf9annually.
f9
DIF:f9Cognitivef9Level:f9Applyf9(application)
,TOP:f9Nursingf9Process:f9Planning
REF:f91149
MSC:f9NCLEX:f9Physiologicalf9Integrity
1.f9Whichf9statementf9byf9af9nursef9tof9af9patientf9newlyf9diagnosedf9withf9type
f92f9diabetesf9isf9correct?
a.f9Insulinf9isf9notf9usedf9tof9controlf9bloodf9glucosef9inf9patientsf9withf9typef92f9
diabetes.
b.f9Complicationsf9off9typef92f9diabetesf9aref9lessf9seriousf9thanf9thosef9off9type
f91f9diabetes.
c.f9Changesf9inf9dietf9andf9exercisef9mayf9controlf9bloodf9glucosef9levelsf9inf9t
ypef92f9diabetes.
d.f9Typef92f9diabetesf9isf9usuallyf9diagnosedf9whenf9thef9patientf9isf9admittedf9
withf9af9hyperglycemicf9coma.f9-f9correctf9answer✔ ✔ ANS:f9C
Forf9somef9patientsf9withf9typef92f9diabetes,f9changesf9inf9lifestylef9aref9suffici
entf9tof9achievef9bloodf9glucosef9control.f9Insulinf9isf9frequentlyf9usedf9forf9ty
pef92f9diabetes,f9complicationsf9aref9equallyf9severef9asf9forf9typef91f9diabetes,f
9andf9typef92f9diabetes f9isf9usuallyf9diagnosedf9withf9routinef9laboratoryf9testi
ngf9orf9afterf9af9patientf9developsf9complicationsf9suchf9asf9frequentf9yeastf9inf
ections.
DIF:f9Cognitivef9Level:f9Understandf9(comprehension)f9REF:f91134
TOP:f9Nursingf9Process:f9Implementationf9MSC:f9NCLEX:f9Physiologicalf9
Integrity
,4.f9Thef9nursef9isf9assessingf9af922-yr-
oldf9patientf9experiencingf9thef9onsetf9off9symptomsf9off9typef91f9diabetes.f9To
f9whichf9questionf9wouldf9thef9nursef9anticipatef9af9positivef9response?
a.f9"Aref9youf9anorexic?"
b.f9"Isf9yourf9urinef9darkf9colored?"
c.f9"Havef9youf9lostf9weightf9lately?"
f9 d.f9"Dof9youf9cravef9sugaryf9drinks?"f9-f9correctf9answer✔ ✔ ANS:f9C
Weightf9lossf9occursf9becausef9thef9bodyf9isf9nof9longerf9ablef9tof9absorbf9gluc
osef9andf9startsf9tof9breakf9downf9proteinf9andf9fatf9forf9energy.f9Thef9patientf9i
sf9thirstyf9butf9doesf9notf9necessarilyf9cravef9sugar-
containingf9fluids.f9Increasedf9appetitef9isf9af9classicf9symptomf9off9typef91f9di
abetes.f9Withf9thef9classicf9symptomf9off9polyuria,f9urinef9willf9bef9veryf9dilut
e.
f9
DIF:f9Cognitivef9Level:f9Applyf9(application)
TOP:f9Nursingf9Process:f9Assessmentf9
REF:f91121
MSC:f9NCLEX:f9Physiologicalf9Integrity
, 5.f9Af9patientf9withf9typef92f9diabetesf9isf9scheduledf9forf9af9follow-
upf9visitf9inf9thef9clinicf9severalf9monthsf9fromf9now.f9Whichf9testf9willf9thef9nu
rsef9schedulef9tof9evaluatef9thef9effectivenessf9off9treatmentf9forf9thef9patient?
a.f9Fastingf9bloodf9glucose
b.f9Oralf9glucosef9tolerance
cf9Glycosylatedf9hemoglobin
d.f9Urinef9dipstickf9forf9glucosef9-f9correctf9answer✔ ✔ _ANS:f9C
Thef9glycosylatedf9hemoglobinf9(A1C)f9testf9showsf9thef9overallf9controlf9off9
glucosef9overf990f9tof9120f9days.f9Af9fastingf9bloodf9levelf9indicatesf9onlyf9thef9
glucosef9levelf9atf9onef9time.f9Urinef9glucosef9testingf9isf9notf9anf9accuratef9refl
ectionf9off9bloodf9glucosef9levelf9andf9doesf9notf9reflectf9thef9glucosef9overf9af9
prolongedf9time.f9Oralf9glucosef9tolerancef9testingf9isf9donef9tof9diagnosef9dia
betesf9butf9isf9notf9usedf9forf9monitoringf9glucosef9controlf9afterf9diabetesf9hasf
9beenf9diagnosed.
f9
DIF:f9Cognitivef9Level:f9Applyf9(application)
TOP:f9Nursingf9Process:f9Planning
f9
REF:f91124
MSC:f9NCLEX:f9Physiologicalf9Integrity
