Chapter 57 Diabetes Mellitus: Nursing Management

Chapter 57  Diabetes Mellitus: Nursing Management

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A client is diagnosed with the type of diabetes in which the plasma beta cells fail to respond to insulin. Which type of diabetes is this client experiencing?
1.
Gestational diabetes
2.
Impaired glucose tolerance
3.
Type 1 diabetes mellitus
4.
Type 2 diabetes mellitus

ANS: 3
Type 1 diabetes mellitus results from a defect or failure of the beta cells of the pancreas. The loss of beta cells causes a lack of insulin. The other options produce insulin.

PTS: 1 DIF: Analyze REF: Type 1 Diabetes

2. The nurse has instructed a client about type 2 diabetes mellitus. Which of the following statements would indicate the client understands the instructions?
1.
“It happens to everyone who has gained weight.”
2.
“I have to watch what I eat and exercise.”
3.
“I will never have to take insulin.”
4.
“The cells that make insulin were destroyed.”

ANS: 2
Persons with type 2 diabetes control their blood glucose levels with diet, exercise, and medications. Type 1 diabetes mellitus is characterized by a destruction of beta cells. Not every person who gains weight develops diabetes mellitus. Insulin is not necessary for the client diagnosed with type 2 diabetes at first, but as the beta cells continue to deteriorate, insulin may be necessary.

PTS: 1 DIF: Analyze REF: Type 2 Diabetes; Planning and Implementation

3. The nurse should instruct a client that the length of time insulin can be stored at room temperature is:
1.
2 weeks.
2.
3 weeks.
3.
4 weeks.
4.
5 weeks.

ANS: 3
An insulin vial that is currently in use can be stored at room temperature as long as 4 weeks. The other choices are incorrect lengths of time to store insulin.

PTS: 1 DIF: Apply REF: Insulin

4. The nurse is preparing short-acting and long-acting insulin for administration to a client. The purpose for the client’s being prescribed these types of insulin would be to:
1.
make it easier for the client to self-administer the insulin.
2.
reduce the client’s appetite.
3.
mimic the body’s own insulin pattern.
4.
help reduce the client’s body weight.

ANS: 3
NPH insulin is usually given twice daily and is mixed with regular insulin to mimic the body’s own insulin pattern. Mixing two insulins is not done to make it easier for the client to administer the insulin, to reduce the client’s appetite, or to help reduce the client’s body weight.

PTS: 1 DIF: Analyze REF: Insulin