Diabetes Mellitus (Bridge to NCLEX) Ch. 49 Science Medicine

Diabetes Mellitus (Bridge to NCLEX) Ch. 49 Science Medicine laj626 Save Chapter 48 & 64- Quiz #3 15 terms csweensonPreview Endocrine NCLEX questions 121 terms awebstePreview Visual Auditory Concept exam revie...49 terms quizlette74994525 Preview DM 26 terms Che Polydipsia and Poyuria related to diabetes mellitus are primarily due to

• the release of ketones from cells during fat metabolism
• fluid shifts resulting from the osmotic effect of hyperglycemia.
• damage to the kidneys from exposure to high levels of glucose.
• changes in RBCs resulting from attachment of excessive glucose to hemoglobin.
• fluid shifts resulting from the osmotic effect of hyperglycemia.

Which Statement would be correct for a patient with type 2 diabetes who was admitted to the hospital with pneumonia?

• the patient must receive insulin therapy to prevent ketoacidosis.
• The patient has islet cell antibodies that have destroyed the pancreas's ability to produce insulin.
• The patient has minimal or absent endogenous insulin secretion and requires daily insulin injections.
• The patient may have sufficient endogenous insulin to prevent ketosis but is at risk for hyperosmolar hyperglycemic syndrome.
• The patient may have sufficient endogenous insulin to prevent ketosis but is at risk for hyperosmolar hyperglycemic syndrome.

Analyze the following diagnostic findings for your patient with type 2 diabetes. Which result will need further assessment?

• A1C 9%
• BP 126/80 mm Hg
• FBG 130 mg/dL (7.2 mmol/L)
• LDL cholesterol 100 mg/dL (2.6 mmol/L)
• A1C 9%

Which statement by the patient with type 2 diabetes is accurate?

• I am supposed to have a meal or snack if I drink alcohol.
• I am not allowed to eat any sweets because of my diabetes.
• I do not need to watch what I eat because my diabetes is not the bad kind.
• The amount of fat in my diet is not important. Only carbohydrates raise my blood sugar.
• I am supposed to have a meal or snack if I drink alcohol.

You are caring for a patient with newly diagnosed type 1 diabetes. What information is essential to include in your patient teaching before discharge from the hospital? (Select all that apply)

• Insulin administration
• Elimination of sugar from diet
• Need to reduce physical activity
• Use of a portable blood glucose monitor
• Hypoglycemia prevention, symptoms, and treatment
• Insulin administration
• Use of a portable blood glucose monitor
• Hypoglycemia prevention, symptoms, and treatment

What is the priority action for the nurse to take if the patient with type 2 diabetes complains of blurred vision and irritability?

• Call the physician.
• Administer insulin as ordered.
• Check the patient's blood glucose level.
• Assess for other neurologic symptoms.
• Check the patient's blood glucose level.

A diabetic patient has a serum glucose level of 824 mg/dL (45.7 mmol/L) and is unresponsive. After assessing the patient, the nurse suspects diabetic ketoacidosis rather than hyperosmolar hyperglycemic syndrome based on the finding of

• polyuria.
• severe dehydration.
• rapid, deep respirations.
• decreased serum potassium.
• rapid, deep respirations.

Which are appropriate therapies for patients with diabetes mellitus? (Select all that apply)

• Use of statins to treat dyslipidemia
• Use of diuretics to treat nephropathy
• Use of ACE inhibitors to treat nephropathy
• Use of serotonin agonists to decrease appetite
• Use of statins to treat dyslipidemia
• Use of ACE inhibitors to treat nephropathy
• Use of laser photocoagulation to treat retinopathy. Terms (8)

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