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Lewis Medical Surgical --Chapter 53 Diabetes Exam Practice Questions and Answers
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Lewis Medical Surgical --Chapter 53 Diabetes Exam Practice Questions and Answers Which information provided by a nurse to a patient newly diagnosed with type 2 diabetes is Accurate? a. Insulin is not used to control glucose in patients with type 2 diabetes. b. Complications of type 2 diabetes...

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  • October 23, 2024
  • 36
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • lewis medical surgical chapter 53 diabetes exam

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  • Lewis Medical-Surgical Nursing
  • Lewis Medical-Surgical Nursing

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Lewis Medical Surgical --Chapter 53
Diabetes Exam Practice Questions and
Answers

Which information provided by a nurse to a patient newly diagnosed with type 2 diabetes is


Accurate?


a. Insulin is not used to control 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 glucose levels with type 2 diabetes.


d. Type 2 diabetes is usually diagnosed when a patient is admitted in hyperglycemic


coma. - Ans:✔✔-ANS: C


For some patients with type 2 diabetes, changes in lifestyle are sufficient to achieve glucose


control. Insulin is frequently used for type 2 diabetes, complications are equally serious as for


type 1 diabetes, and type 2 diabetes is usually diagnosed with routine laboratory testing or

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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




after a patient develops complications such as frequent infections.


A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL


(6.7 mmol/L). Which information will the nurse plan to teach the patient?


a. Self-monitoring of glucose


b. Using small doses of regular insulin


c. Lifestyle changes to lower the glucose


d. Effects of oral hypoglycemic medications - Ans:✔✔-ANS: C


The patient's impaired fasting glucose indicates prediabetes, and the patient would be


counseled about lifestyle changes to prevent the development of type 2 diabetes. The patient


with prediabetes does not require insulin or oral hypoglycemics for glucose control and does


not need to self-monitor glucose.


A 28-yr-old male patient with type 1 diabetes reports how he manages his exercise and


glucose control. Which behavior indicates a need for the nurse to implement additional teaching?


a. The patient always carries hard candies when engaging in exercise.




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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. - Ans:✔✔-ANS: D


When the patient is ketotic, exercise increase the glucose level; persons with type 1 diabetes


should be taught to avoid exercise when ketosis is present. Other recommendations include


(1) before exercise, if glucose 100 mg/dL, eat a 15-g carbohydrate snack. After 15 to 30 min,


recheck glucose levels. (2) Delay exercise if <100 mg/dL. Patients using drugs that place them


at risk for hypoglycemia should always carry a fast-acting source of carbohydrate, such as


glucose tablets or hard candies, when exercising. (3) Before exercise, if glucose 250 mg/dL


in a person with type 1 DM and ketones are present, delay vigorous activity until ketones are


gone. Drink fluids.


The nurse is assessing a 22-yr-old patient experiencing the onset of symptoms of type 1


diabetes. Which finding would the nurse anticipate?


a. Anorexia




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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




b. Weight loss


c. Dark colored urine


d. Craving sugary drinks. - Ans:✔✔-ANS: B


Weight loss occurs because the body is no longer able to absorb glucose and starts to break


down protein and fat for energy. The patient is thirsty but does not necessarily crave


sugar-containing fluids. Increased appetite is a classic symptom of type 1 diabetes. With the


classic symptom of polyuria, urine will be very dilute.


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. Fasting blood glucose


b. Glycosylated hemoglobin


c. Oral glucose tolerance test


d. Urine dipstick for glucose and ketones - Ans:✔✔-ANS: B




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