ADULT PREP U CH 15 ASSESSMENT AND
MANAGEMENT OF PATIENTS WITH
DIABETES PART 2 QUESTIONS AND
DETAILED ANSWERS WITH EXPLANATION
NEWEST VERSION.
Which instruction about insulin administration should a nurse give to a
client?
a) "Shake the vials before withdrawing the insulin."
b) "Discard the intermediate-acting insulin if it appears cloudy."
c) "Always follow the same order when drawing the different insulins into
the syringe."
d) "Store unopened vials of insulin in the freezer at temperatures well
below freezing." - CorreCt Answers -Always follow the same order when
drawing the different insulins into the syringe.
-----
Explanation:
The nurse should instruct the client to always follow the same order when
drawing the different insulins into the syringe. Insulin should never be
shaken because the resulting froth prevents withdrawal of an accurate dose
and may damage the insulin protein molecules. Insulin should never be
frozen because the insulin protein molecules may be damaged. The client
doesn't need to discard intermediate-acting insulin if it's cloudy; this
finding is normal.
,Which of the following clinical characteristics is associated with Type 1
diabetes (previously referred to as insulin-dependent diabetes mellitus
[IDDM])?
Obesity
Presence of islet cell antibodies
Rare ketosis
Requirement for oral hypoglycemic agents - CorreCt Answers -Presence of
islet cell antibodies
Explanation:
Individuals with type 1 diabetes often have islet cell antibodies. Individuals
with type 1 diabetes are usually thin or demonstrate recent weight loss at
the time of diagnosis. Individuals with type 1 diabetes are ketosis-prone
when insulin is absent. Individuals with type 1 diabetes need insulin to
preserve life.
A nurse is teaching a diabetic support group about the causes of type 1
diabetes. The teaching is determined to be effective when the group is able
to attribute which of the following factors as a cause of type 1 diabetes?
a) Presence of autoantibodies against islet cells
b) Obesity
c) Rare ketosis
d) Altered glucose metabolism - CorreCt Answers -a) Presence of
autoantibodies against islet cells
,Explanation:
There is evidence of an autoimmune response in type 1 diabetes. This is an
abnormal response in which antibodies are directed against normal tissues
of the body, responding to these tissues as if they were foreign.
Autoantibodies against islet cells and against endogenous (internal) insulin
have been detected in people at the time of diagnosis and even several years
before the development of clinical signs of type 1 diabetes.
A 16-year-old patient newly diagnosed with type 1 diabetes has a very low
body weight despite eating regular meals. The patient is upset because
friends frequently state, "You look anorexic." Which of the following
statements would be the best response by the nurse to help this patient
understand the cause of weight loss due to this condition?
a) "I will refer you to a dietician who can help you with your weight."
b) "You may be having undiagnosed infections causing you to lose extra
weight."
c) "Don't worry about what your friends think; the carbohydrates you eat
are being quickly digested, increasing your metabolism."
d) "Your body is using protein and fat for energy instead of glucose."
d) "Your body is using protein and fat for energy instead of glucose."
Explanation:
Persons with type 1 diabetes, particularly those in poor control of the
condition, tend to be thin because when the body cannot effectively utili -
CorreCt Answers -d) "Your body is using protein and fat for energy instead
of glucose."
Explanation:
, Persons with type 1 diabetes, particularly those in poor control of the
condition, tend to be thin because when the body cannot effectively utilize
glucose for energy (no insulin supply), it begins to break down protein and
fat as an alternate energy source. Patients may be underweight at the onset
of type 1 diabetes because of rapid weight loss from severe hyperglycemia.
The goal initially may be to provide a higher-calorie diet to regain lost
weight and blood glucose control.
A client with type 2 diabetes asks the nurse why he can't have a pancreatic
transplant. Which of the following would the nurse include as a possible
reason?
Need for exocrine enzymatic drainage
Need for lifelong immunosuppressive therapy
Increased risk for urologic complications
Underlying problem of insulin resistance - CorreCt Answers -Underlying
problem of insulin resistance
Explanation:
Clients with type 2 diabetes are not offered the option of a pancreas
transplant because their problem is insulin resistance, which does not
improve with a transplant. Urologic complications or the need for exocrine
enzymatic drainage are not reasons for not offering pancreas transplant to
clients with type 2 diabetes. Any transplant requires lifelong
immunosuppressive drug therapy and is not the factor.
MANAGEMENT OF PATIENTS WITH
DIABETES PART 2 QUESTIONS AND
DETAILED ANSWERS WITH EXPLANATION
NEWEST VERSION.
Which instruction about insulin administration should a nurse give to a
client?
a) "Shake the vials before withdrawing the insulin."
b) "Discard the intermediate-acting insulin if it appears cloudy."
c) "Always follow the same order when drawing the different insulins into
the syringe."
d) "Store unopened vials of insulin in the freezer at temperatures well
below freezing." - CorreCt Answers -Always follow the same order when
drawing the different insulins into the syringe.
-----
Explanation:
The nurse should instruct the client to always follow the same order when
drawing the different insulins into the syringe. Insulin should never be
shaken because the resulting froth prevents withdrawal of an accurate dose
and may damage the insulin protein molecules. Insulin should never be
frozen because the insulin protein molecules may be damaged. The client
doesn't need to discard intermediate-acting insulin if it's cloudy; this
finding is normal.
,Which of the following clinical characteristics is associated with Type 1
diabetes (previously referred to as insulin-dependent diabetes mellitus
[IDDM])?
Obesity
Presence of islet cell antibodies
Rare ketosis
Requirement for oral hypoglycemic agents - CorreCt Answers -Presence of
islet cell antibodies
Explanation:
Individuals with type 1 diabetes often have islet cell antibodies. Individuals
with type 1 diabetes are usually thin or demonstrate recent weight loss at
the time of diagnosis. Individuals with type 1 diabetes are ketosis-prone
when insulin is absent. Individuals with type 1 diabetes need insulin to
preserve life.
A nurse is teaching a diabetic support group about the causes of type 1
diabetes. The teaching is determined to be effective when the group is able
to attribute which of the following factors as a cause of type 1 diabetes?
a) Presence of autoantibodies against islet cells
b) Obesity
c) Rare ketosis
d) Altered glucose metabolism - CorreCt Answers -a) Presence of
autoantibodies against islet cells
,Explanation:
There is evidence of an autoimmune response in type 1 diabetes. This is an
abnormal response in which antibodies are directed against normal tissues
of the body, responding to these tissues as if they were foreign.
Autoantibodies against islet cells and against endogenous (internal) insulin
have been detected in people at the time of diagnosis and even several years
before the development of clinical signs of type 1 diabetes.
A 16-year-old patient newly diagnosed with type 1 diabetes has a very low
body weight despite eating regular meals. The patient is upset because
friends frequently state, "You look anorexic." Which of the following
statements would be the best response by the nurse to help this patient
understand the cause of weight loss due to this condition?
a) "I will refer you to a dietician who can help you with your weight."
b) "You may be having undiagnosed infections causing you to lose extra
weight."
c) "Don't worry about what your friends think; the carbohydrates you eat
are being quickly digested, increasing your metabolism."
d) "Your body is using protein and fat for energy instead of glucose."
d) "Your body is using protein and fat for energy instead of glucose."
Explanation:
Persons with type 1 diabetes, particularly those in poor control of the
condition, tend to be thin because when the body cannot effectively utili -
CorreCt Answers -d) "Your body is using protein and fat for energy instead
of glucose."
Explanation:
, Persons with type 1 diabetes, particularly those in poor control of the
condition, tend to be thin because when the body cannot effectively utilize
glucose for energy (no insulin supply), it begins to break down protein and
fat as an alternate energy source. Patients may be underweight at the onset
of type 1 diabetes because of rapid weight loss from severe hyperglycemia.
The goal initially may be to provide a higher-calorie diet to regain lost
weight and blood glucose control.
A client with type 2 diabetes asks the nurse why he can't have a pancreatic
transplant. Which of the following would the nurse include as a possible
reason?
Need for exocrine enzymatic drainage
Need for lifelong immunosuppressive therapy
Increased risk for urologic complications
Underlying problem of insulin resistance - CorreCt Answers -Underlying
problem of insulin resistance
Explanation:
Clients with type 2 diabetes are not offered the option of a pancreas
transplant because their problem is insulin resistance, which does not
improve with a transplant. Urologic complications or the need for exocrine
enzymatic drainage are not reasons for not offering pancreas transplant to
clients with type 2 diabetes. Any transplant requires lifelong
immunosuppressive drug therapy and is not the factor.
