Chapter 48. Management: Diabetes Mellitus
MULTIPLE CHOICE
1. Which statement by a nurse to a patient newly diagnosed with type 2
diabetes is correct?
a. Insulin is not used to control blood glucose in patients with type 2
diabetes.
b. Complications of type 2 diabetes are less serious than those of type 1
diabetes.
c. Changes in diet and exercise may control blood glucose levels in type
2 diabetes.
d. Type 2 diabetes is usually diagnosed when the patient is admitted with
a hyperglycemic coma. - correct answer✔ ✔ ANS: C
For some patients with type 2 diabetes, changes in lifestyle are sufficient
to achieve blood glucose control. Insulin is frequently used for type 2
diabetes, complications are equally severe as for type 1 diabetes, and
type 2 diabetes is usually diagnosed with routine laboratory testing or
after a patient develops complications such as frequent yeast infections.
2. A 48-year-old male patient screened for diabetes at a clinic has a
fasting plasma glucose level of 120 mg/dL (6.7 mmol/L). The nurse will
plan to teach the patient about
,a. self-monitoring of blood glucose.
b. using low doses of regular insulin.
c. lifestyle changes to lower blood glucose.
d. effects of oral hypoglycemic medications. - correct answer✔ ✔ C
3. A 28-year-old male patient with type 1 diabetes reports how he
manages his exercise and glucose control. Which behavior indicates that
the nurse should implement additional teaching?
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. - correct answer✔ ✔ D
4. The nurse is assessing a 22-year-old patient experiencing the onset of
symptoms of type 1 diabetes. Which question is most appropriate for the
nurse to ask?
a. Are you anorexic?
b. Is your urine dark colored?
c. Have you lost weight lately?
, d. Do you crave sugary drinks? - correct answer✔ ✔ C
5. A patient with type 2 diabetes is scheduled for a follow-up visit in the
clinic several months from now. Which test will the nurse schedule to
evaluate the effectiveness of treatment for the patient?
a. Urine dipstick for glucose
b. Oral glucose tolerance test
c. Fasting blood glucose level
d. Glycosylated hemoglobin level - correct answer✔ ✔ D
6. A 55-year-old female patient with type 2 diabetes has a nursing
diagnosis of imbalanced nutrition: more than body requirements. Which
goal is most important for this patient?
a. The patient will reach a glycosylated hemoglobin level of less than
7%.
b. The patient will follow a diet and exercise plan that results in weight
loss.
c. The patient will choose a diet that distributes calories throughout the
day.
d. The patient will state the reasons for eliminating simple sugars in the
diet. - correct answer✔ ✔ A
MULTIPLE CHOICE
1. Which statement by a nurse to a patient newly diagnosed with type 2
diabetes is correct?
a. Insulin is not used to control blood glucose in patients with type 2
diabetes.
b. Complications of type 2 diabetes are less serious than those of type 1
diabetes.
c. Changes in diet and exercise may control blood glucose levels in type
2 diabetes.
d. Type 2 diabetes is usually diagnosed when the patient is admitted with
a hyperglycemic coma. - correct answer✔ ✔ ANS: C
For some patients with type 2 diabetes, changes in lifestyle are sufficient
to achieve blood glucose control. Insulin is frequently used for type 2
diabetes, complications are equally severe as for type 1 diabetes, and
type 2 diabetes is usually diagnosed with routine laboratory testing or
after a patient develops complications such as frequent yeast infections.
2. A 48-year-old male patient screened for diabetes at a clinic has a
fasting plasma glucose level of 120 mg/dL (6.7 mmol/L). The nurse will
plan to teach the patient about
,a. self-monitoring of blood glucose.
b. using low doses of regular insulin.
c. lifestyle changes to lower blood glucose.
d. effects of oral hypoglycemic medications. - correct answer✔ ✔ C
3. A 28-year-old male patient with type 1 diabetes reports how he
manages his exercise and glucose control. Which behavior indicates that
the nurse should implement additional teaching?
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. - correct answer✔ ✔ D
4. The nurse is assessing a 22-year-old patient experiencing the onset of
symptoms of type 1 diabetes. Which question is most appropriate for the
nurse to ask?
a. Are you anorexic?
b. Is your urine dark colored?
c. Have you lost weight lately?
, d. Do you crave sugary drinks? - correct answer✔ ✔ C
5. A patient with type 2 diabetes is scheduled for a follow-up visit in the
clinic several months from now. Which test will the nurse schedule to
evaluate the effectiveness of treatment for the patient?
a. Urine dipstick for glucose
b. Oral glucose tolerance test
c. Fasting blood glucose level
d. Glycosylated hemoglobin level - correct answer✔ ✔ D
6. A 55-year-old female patient with type 2 diabetes has a nursing
diagnosis of imbalanced nutrition: more than body requirements. Which
goal is most important for this patient?
a. The patient will reach a glycosylated hemoglobin level of less than
7%.
b. The patient will follow a diet and exercise plan that results in weight
loss.
c. The patient will choose a diet that distributes calories throughout the
day.
d. The patient will state the reasons for eliminating simple sugars in the
diet. - correct answer✔ ✔ A
