Med Surg Exam 3 (DM, Renal, Endocrine) with Updated Answers 2023

Med Surg Exam 3 (DM, Renal, Endocrine) with Updated Answers 2023 A patient admitted with type 2 diabetes asks the nurse what "type 2" means. What is the most appropriate response by the nurse? a. "With type 2 diabetes, the body of the pancreas becomes inflamed." b. "With type 2 diabetes, the patient is totally dependent on an outside source of insulin." c. "With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased." d. "With type 2 diabetes, the body produces autoantibodies that destroy β-cells in the pancreas." - CORRECT ANSWER c. "With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased." In type 2 diabetes mellitus, the secretion of insulin by the pancreas is reduced and/or the cells of the body become resistant to insulin. The pancreas becomes inflamed with pancreatitis. The patient is totally dependent on exogenous insulin and may have had autoantibodies destroy the β-cells in the pancreas with type 1 diabetes mellitus. The nurse has been teaching a patient with diabetes mellitus how to perform selfmonitoring of blood glucose (SMBG). During evaluation of the patient's technique, the nurse identifies a need for additional teaching when the patient does what? a. Chooses a puncture site in the center of the finger pad b. Washes hands with soap and water to cleanse the site to be used c. Warms the finger before puncturing the finger to obtain a drop of blood d. Tells the nurse that the result of 110 mg/dL indicates good control of diabetes - CORRECT ANSWER a. Chooses a puncture site in the center of the finger pad The patient should select a site on the sides of the fingertips, not on the center of the finger pad because this area contains many nerve endings and would be unnecessarily painful. Washing hands, warming the finger, and knowing the results that indicate good control all show understanding of the teaching. The nurse is assigned to the care of a patient diagnosed with type 2 diabetes. In formulating a teaching plan that encourages the patient to actively participate in management of the diabetes, what should be the nurse's initial intervention? a. Assess patient's perception of what it means to have diabetes. b. Ask the patient to write down current knowledge about diabetes. c. Set goals for the patient to actively participate in managing his diabetes. d. Assume responsibility for all of the patient's care to decrease stress level. - CORRECT ANSWER a. Assess the patient's perception of what it means to have diabetes