Lewis's Medical Surgical Nursing 11th Edition
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Terms in this set (49)
Which statement by a ANS: C
nurse to a patient newly For some patients with type 2 diabetes, changes in
diagnosed with type 2 lifestyle are sufficient to achieve blood
diabetes is accurate? glucose control. Insulin is frequently used for type 2
a. Insulin is not used to diabetes, complications are equally
control blood glucose in severe as for type 1 diabetes, and type 2 diabetes is
patients with type 2 usually diagnosed with routine laboratory
diabetes. testing or after a patient develops complications
b. Complications of type such as frequent yeast infections.
2 diabetes are less DIF: Cognitive Level: Understand (comprehension)
serious than those of TOP: Nursing Process: Implementation MSC:
type 1 diabetes. NCLEX: Physiological Integrity
c. Changes in diet and
exercise may control
blood glucose levels in
type 2 diabetes.
d. Type 2 diabetes is
usually diagnosed when
a patient is admitted in
hyperglycemic
coma.
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A patient screened for ANS: C
diabetes at a clinic has a The patient's impaired fasting glucose indicates
fasting plasma glucose prediabetes, and the patient should be
level of 120 mg/dL counseled about lifestyle changes to prevent the
(6.7 mmol/L). What development of type 2 diabetes. The patient
should the nurse plan to with prediabetes does not require insulin or oral
teach the patient? hypoglycemics for glucose control and does
a. Self-monitoring of not need to self-monitor blood glucose.
blood glucose DIF: Cognitive Level: Apply (application) TOP:
b. Using low doses of Nursing Process: Planning
regular insulin MSC: NCLEX: Physiological Integrity
c. Lifestyle changes to
lower blood glucose
d. Effects of oral
hypoglycemic
medications
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A 28-yr-old male patient ANS: D
with type 1 diabetes When the patient is ketotic, exercise may result in an
reports how he manages increase in blood glucose level. Patients
his exercise and with type 1 diabetes should be taught to avoid
glucose control. Which exercise when ketosis is present. The other
behavior indicates that statements are correct.
the nurse should DIF: Cognitive Level: Apply (application)
implement additional TOP: Nursing Process: Assessment MSC: NCLEX:
teaching? Physiological Integrity
a. The patient always
carries hard candies
when engaging in
exercise.
b. The patient goes for a
vigorous walk when his
glucose is 200 mg/dL.
c. The patient has a
peanut butter sandwich
before going for a
bicycle ride.
d. The patient increases
daily exercise when
ketones are present in
the urine.
The nurse is assessing a ANS: C
22-yr-old patient Weight loss occurs because the body is no longer
experiencing the onset of able to absorb glucose and starts to break
symptoms of type 1 down protein and fat for energy. The patient is
diabetes. To which thirsty but does not necessarily crave
question would the nurse sugar-containing fluids. Increased appetite is a
anticipate a positive classic symptom of type 1 diabetes. With the
response? classic symptom of polyuria, urine will be very
a. "Are you anorexic?" dilute.
b. "Is your urine dark DIF: Cognitive Level: Apply (application)
colored?" TOP: Nursing Process: Assessment MSC: NCLEX:
c. "Have you lost weight Physiological Integrity
lately?"
d. "Do you crave sugary
drinks?"
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A patient with type 2 ANS: B
diabetes is scheduled for The glycosylated hemoglobin (A1C) test shows the
a follow-up visit in the overall control of glucose over 90 to 120
clinic several months days. A fasting blood level indicates only the
from now. Which test will glucose level at one time. Urine glucose testing
the nurse schedule to is not an accurate reflection of blood glucose level
evaluate the and does not reflect the glucose over a
effectiveness of prolonged time. Oral glucose tolerance testing is
treatment for the done to diagnose diabetes but is not used for
patient? monitoring glucose control after diabetes has been
a. Fasting blood glucose diagnosed.
b. Glycosylated DIF: Cognitive Level: Apply (application) TOP:
hemoglobin Nursing Process: Planning
c. Oral glucose tolerance MSC: NCLEX: Physiological Integrity
test
d. Urine dipstick for
glucose and ketones
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