{"id":115125,"date":"2023-08-23T12:05:15","date_gmt":"2023-08-23T12:05:15","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=115125"},"modified":"2023-08-23T12:05:21","modified_gmt":"2023-08-23T12:05:21","slug":"nurs-420-chapter-49-nursing-management-diabetes-mellitus-questions-with-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/23\/nurs-420-chapter-49-nursing-management-diabetes-mellitus-questions-with-answers\/","title":{"rendered":"NURS 420 CHAPTER 49. NURSING MANAGEMENT DIABETES MELLITUS. QUESTIONS WITH ANSWERS."},"content":{"rendered":"\n<p>NURS 420 Chapter 49:<br>Nursing Management:<br>Diabetes Mellitus Test<br>Bank<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is<br>correct?<br>a. Insulin is not used to control blood glucose in patients with type 2 diabetes.<br>b. Complications of type 2 diabetes are less serious than those of type 1 diabetes.<br>c. Changes in diet and exercise may control blood glucose levels in type 2 diabetes.<br>d. Type 2 diabetes is usually diagnosed when the patient is admitted with a<br>hyperglycemic coma.<br>ANS: C<br>For some patients with type 2 diabetes, changes in lifestyle are sufficient to achieve<br>blood glucose control. Insulin is frequently used for type 2 diabetes, complications are<br>equally severe as for type 1 diabetes, and type 2 diabetes is usually diagnosed with<br>routine laboratory testing or after a patient develops complications such as frequent<br>yeast infections.<br>DIF: Cognitive Level: Understand (comprehension) REF: 1166-1167<br>TOP: Nursing Process: Implementation<\/li>\n\n\n\n<li>A 48-year-old male patient screened for diabetes at a clinic has a fasting plasma<br>glucose level of 120 mg\/dL (6.7 mmol\/L). The nurse will plan to teach the patient about<br>a. self-monitoring of blood glucose.<br>b. using low doses of regular insulin.<\/li>\n<\/ol>\n\n\n\n<p>c. lifestyle changes to lower blood glucose.<br>d. effects of oral hypoglycemic medications.<br>ANS: C<br>The patient\u2019s impaired fasting glucose indicates prediabetes, and the patient should be<br>counseled about lifestyle changes to prevent the development of type 2 diabetes. The<br>patient with prediabetes does not require insulin or oral hypoglycemics for glucose<br>control and does not need to self-monitor blood glucose.<br>DIF: Cognitive Level: Apply (application) REF: 1156<br>TOP: Nursing Process: Planning<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"3\">\n<li>A 28-year-old male patient with type 1 diabetes reports how he manages his exercise<br>and glucose control. Which behavior indicates that the nurse should implement<br>additional teaching?<br>a. The patient always carries hard candies when engaging in exercise.<br>b. The patient goes for a vigorous walk when his glucose is 200 mg\/dL.<br>c. The patient has a peanut butter sandwich before going for a bicycle ride.<br>d. The patient increases daily exercise when ketones are present in the urine.<br>ANS: D<br>When the patient is ketotic, exercise may result in an increase in blood glucose level.<br>Type 1 diabetic patients should be taught to avoid exercise when ketosis is present. The<br>other statements are correct.<br>DIF: Cognitive Level: Apply (application) REF: 1167<br>TOP: Nursing Process: Assessment<\/li>\n\n\n\n<li>The nurse is assessing a 22-year-old patient experiencing the onset of symptoms of<br>type 1 diabetes. Which question is most appropriate for the nurse to ask?<br>a. \u201cAre you anorexic?\u201d<br>b. \u201cIs your urine dark colored?\u201d<\/li>\n<\/ol>\n\n\n\n<p>c. \u201cHave you lost weight lately?\u201d<br>d. \u201cDo you crave sugary drinks?\u201d<br>ANS: C<br>Weight loss occurs because the body is no longer able to absorb glucose and starts to<br>break down protein and fat for energy. The patient is thirsty but does not necessarily<br>crave sugarcontaining fluids. Increased appetite is a classic symptom of type 1<br>diabetes. With the classic symptom of polyuria, urine will be very dilute.<br>DIF: Cognitive Level: Apply (application) REF: 1156<br>TOP: Nursing Process: Assessment<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"5\">\n<li>A patient with type 2 diabetes is scheduled for a follow-up visit in the clinic several<br>months from now. Which test will the nurse schedule to evaluate the effectiveness of<br>treatment for the patient?<br>a. Urine dipstick for glucose<br>b. Oral glucose tolerance test<br>c. Fasting blood glucose level<br>d. Glycosylated hemoglobin level<br>ANS: D<br>The glycosylated hemoglobin (A1C or HbA1C) test shows the overall control of glucose<br>over 90 to 120 days. A fasting blood level indicates only the glucose level at one time.<br>Urine glucose testing is not an accurate reflection of blood glucose level and does not<br>reflect the glucose over a prolonged time. Oral glucose tolerance testing is done to<br>diagnose diabetes, but is not used for monitoring glucose control once diabetes has<br>been diagnosed.<br>DIF: Cognitive Level: Apply (application) REF: 1157<br>TOP: Nursing Process: Planning<\/li>\n\n\n\n<li>A 55-year-old female patient with type 2 diabetes has a nursing diagnosis of<br>imbalanced nutrition: more than body requirements. Which goal is most important for<br>this patient?<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>NURS 420 Chapter 49:Nursing Management:Diabetes Mellitus TestBank c. lifestyle changes to lower blood glucose.d. effects of oral hypoglycemic medications.ANS: CThe patient\u2019s impaired fasting glucose indicates prediabetes, and the patient should becounseled about lifestyle changes to prevent the development of type 2 diabetes. Thepatient with prediabetes does not require insulin or oral hypoglycemics for glucosecontrol and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-115125","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115125","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=115125"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115125\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=115125"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=115125"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=115125"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}