A patient admitted with type 2 diabetes asks the nurse what “type 2” means. What is the most appropriate response by the nurse?
“With type 2 diabetes, the body of the pancreas becomes inflamed.”
“With type 2 diabetes, the patient is totally dependent on an outside source of insulin.”
“With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased.”
“With type 2 diabetes, the body produces autoantibodies that destroy β-cells in the pancreas.”
The nurse caring for a patient hospitalized with diabetes mellitus would look for which laboratory test result to obtain information on the patient’s past glucose control?
The nurse has been teaching a patient with diabetes mellitus how to perform self-monitoring of blood glucose (SMBG). During evaluation of the patient’s technique, the nurse identifies a need for additional teaching when the patient does what?
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?
The nurse is teaching a patient who has diabetes about vascular complications of diabetes. What information is appropriate for the nurse to include?
The nurse is evaluating a patient diagnosed with type 2 diabetes mellitus. Which symptom reported by the patient correlates with the diagnosis?
A patient with diabetes mellitus is scheduled for a fasting blood glucose level at 8:00 AM. The nurse instructs the patient to only drink water after what time?
A patient, admitted with diabetes mellitus, has a glucose level of 380 mg/dL and a moderate level of ketones in the urine. As the nurse assesses for signs of ketoacidosis, which respiratory pattern would the nurse expect to find?
The nurse is assisting a patient with newly diagnosed type 2 diabetes to learn dietary planning as part of the initial management of diabetes. The nurse would encourage the patient to limit intake of which foods to help reduce the percent of fat in the diet?
The nurse is reviewing laboratory results for a patient with a 15-year history of type 2 diabetes. Which result reflects the expected pattern accompanying macrovascular disease as a complication of diabetes?
The nurse has taught a patient admitted with diabetes principles of foot care. The nurse evaluates that the patient understands the principles of foot care if the patient makes what statement?
The patient received regular insulin 10 units subcutaneously at 8:30 PM for a blood glucose level of 253 mg/dL. The nurse plans to monitor this patient for signs of hypoglycemia at which time related to the insulin’s peak action?
A patient is newly diagnosed with type 1 diabetes and reports a headache, changes in vision, and being anxious but does not have a portable blood glucose monitor present. Which action should the nurse advise her to take?
A patient with type 2 diabetes has a urinary tract infection (UTI), is difficult to arouse, and has a blood glucose of 642 mg/dL. When the nurse assesses the urine, there are no ketones present. What nursing action is appropriate at this time?
The newly diagnosed patient with type 2 diabetes has been prescribed metformin. What should the nurse teach the patient to best explain how this medication works?
Increases insulin production from the pancreas
Slows the absorption of carbohydrate in the small intestine
Reduces glucose production by the liver and enhances insulin sensitivity
Increases insulin release from the pancreas, inhibits glucagon secretion, and decreases gastric emptying
The nurse is teaching a patient with type 2 diabetes mellitus about exercise to help control blood glucose. The nurse knows the patient understands when the patient elicits which exercise plan?
A patient with diabetes mellitus who has multiple infections every year needs a mitral valve replacement. What is the most important preoperative teaching the nurse should provide to prevent a cardiac infection postoperatively?
The nurse is reviewing laboratory results for the clinic patients to be seen today. Which patient meets the diagnostic criteria for diabetes mellitus?
The nurse teaches a patient recently diagnosed with type 1 diabetes mellitus about insulin administration. Which statement by the patient requires an intervention by the nurse?
The nurse instructs a patient with diabetes mellitus about a healthy eating plan. Which statement made by the patient indicates that teaching was successful?
1. The best response of the nurse is "with type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased”. As insulin secretion in pancreas decreases in type 2 diabetes mellitus.
2. Glycosylated haemoglobin level results show the information on the patient’s past glucose control. Option D is the correct answer.
3. When the patient chooses a puncture site in the center of the finger pad for self-monitoring blood glucose the nurse identifies the need for additional teaching as the puncture site should be at the fingertips. Option A is the correct answer.
4. To formulate a teaching plan that encourages the patient to actively participate in the management of diabetes, the nurse should assess the patient’s perception of what it means to have diabetes. Option A is the correct answer.
A patient admitted with type 2 diabetes asks the nurse what “type 2” means. What is...
please answer all the questi A patient admitted with type 2 diabetes asks the nurse what “type 2” means. What is the most appropriate response by the nurse? “With type 2 diabetes, the body of the pancreas becomes inflamed.” “With type 2 diabetes, the patient is totally dependent on an outside source of insulin.” “With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased.” “With type 2 diabetes, the body produces autoantibodies that destroy β-cells in the...
1. A 25-year-old woman has been diagnosed with type 1 diabetes mellitus. She has been placed on a 1500-calorie diabetic diet and is to be started on insulin glargine. Today she has received teaching about her diet, about insulin injections, and about management of diabetes. She received the first dose of insulin glargine at 9 PM; the next morning she complained of feeling "dizzy." The nurse assesses that she is diaphoretic, weak, and pale, with a heart rate of 110...
ST, a 32-year-old patient was diagnosed with type 2 diabetes mellitus after the birth of her first child; her blood sugar was 180 mg/dL. Her serum glucose level has been maintained within the normal range with metformin 500 mg/day. Why is ST taking an oral antidiabetic medication rather than insulin? When should metformin not be taken? Why was metformin discontinued and insulin prescribed? What is NPH insulin and how should NPH insulin be administered? What should be included in patient...
ST, a 32-year-old patient was diagnosed with type 2 diabetes mellitus after the birth of her first child; her blood sugar was 180 mg/dL. Her serum glucose level has been maintained within the normal range with metformin 500 mg/day. Use the drug cards you created and your textbook to respond to the following questions: Why is ST taking an oral antidiabetic medication rather than insulin? When should metformin not be taken? Two years later, ST became pregnant again. Metformin was...
An adult patient with type 2 diabetes is admitted to the hospital with pneumonia. As the nurse is preparing to administer insulin to the patient, the patient asks, “Why do I need insulin? I usually manage my diabetes with oral medicine.” How should the nurse respond? Please answer in no less than 150 words.
A 60-year-old man was recently diagnosed with type 2 diabetes mellitus. During a visit to the patient’s home, the home care nurse sees the patient eating a large, unhealthy breakfast. When asked about his eating habits, the patient says that he is not very good about keeping his records up to date and that he is just happy that he will never have to give himself insulin shots. What type of patient teaching should be done here, and how could...
A 60-year-old man was recently diagnosed with type 2 diabetes mellitus. During a visit to the patient’s home, the home care nurse sees the patient eating a large, unhealthy breakfast. When asked about his eating habits, the patient says that he is not very good about keeping his records up to date and that he is just happy that he will never have to give himself insulin shots. What type of patient teaching should be done here, and how could...
Additional Learning Resources 6. A nurse is administering insulin patient. List in order the actions the nue y 1. Draw up insulirn Situations, this chapter content. evolve Go to else your Study Guide for additional Review Ques- the NCLEX Examination, Critical Thinking Clinical and other learning activities to help you master 3. Inject insulin 4. Check the order 5. Verify the correct patient evier.com/Clayton) for additional online resources. your Evolve website (http://evolve 7. A newly diagnosed diabetic patient asks the...
40. An LPN/LVN is to administer rapid-acting insulin (Lispro) to a patient with type 2 diabetes. What essential information would you be sure to tell the LPN/LVN? a. Give this insulin after the patient's food tray has been delivered and the patient is ready to eat. b. Only give this insulin if the patient's fingerstick glucose reading is above 200 mg/dL. c. This insulin mimics the basal glucose control of the pancreas. d. Rapid-acting insulin is the only insulin that...
1. Sallie Smith, 42 years of age, is newly diagnosed with type 2 diabetes. During the patient education, the patient asks the nurse, What should I do if I am sick and cant eat; should I still take my medicine for the diabetes? (Learning Objective 10) a. What management strategies should the nurse provide the patient to deal with sick days? 2. Jerry Thomas is a 26-year-old type 1 diabetic. He was originally diagnosed at the age of 14, and...