Chapter 40 Nursing care of Patients with Disorders of the Endocrine Pancreas

The nurse is teaching a patient recently diagnosed with type 1 diabetes mellitus(DM)about the disease. What information should the nurse include?

Insulin is released into the gastrointestinal tract to aid in the digestion process

Type 1 DM is when glucose remains in the bloodstream because tissues are resistant to insulin

Type 1 DM is caused by the inability of the pancreas to produce insulin (correct)

Type 1 DM is reversible with diet, weight loss, and exercise programs

The nurse is evaluating the knowledge of a patient recently diagnosed with type 1 DM. Which statement by the patient indicates a need for additional information?

My pancreas may have started to attack itself after a childhood viral infection

I may be genetically prone since diabetes goes back for several generations

I will learn to carefully check my blood glucose since I am prone to ketoacidosis

I know that I am obese and can reduce my need for insulin with weight loss (correct)

The nurse is assisting with nutrition teaching for a patient who voices concern over adjusting to a diabetic diet. Which response by the nurse about medical nutrition therapy is correct?

Your diet will be a well-balanced, individualized meal plan that is healthy for your whole family (correct)

Sugars and fats need to be avoided. but the dietitian will help you find acceptable alternatives

You will require special foods, but stores now stock a variety of choices for people with diabetes

The diet stresses high-protein and low-carbohydrate intake, but people adapt to the restrictions

The nurse is providing care for a marathon runner who is recently diagnosed with type 1 DM. What should the nurse discuss regarding exercise?

You always need to take some emergency glucose with you when you are running Signup and view all the answers

The nurse is reinforcing teaching for a patient who is on two injections of regular(Humulin R) insulin daily. How many hours after each injection should the nurse monitor for signs of hypoglycemia?

2 hours Signup and view all the answers

The nurse is providing information to a patient recently diagnosed with type 2 DM. The health-care provider(HCP) prescribes an oral hypoglycemic medication for BG control. What teaching should the nurse provide?

Oral hypoglycemic agents stimulate a partially working pancreas Signup and view all the answers

The nurse is providing care for a patient with type 2 DM who has been treated with an oral hypoglycemic agent. The HCP prescribes for the addition of insulin. What is the reason that insulin is now needed?

The patient is unable to effectively follow a diabetic diet Signup and view all the answers

A patient is admitted to the hospital with hyperosmolar hyperglycemia. The patient has a BG value of 987 mg/dL. Which is the priority focus while providing care?

Improving hydration status Signup and view all the answers

The nurse is collecting data on a patient in a HCP's office. Data includes the following: 65-year-old male, waist circumference 42 inches, blood pressure(BP) 140/88 mm Hg, and fasting glucose 120 mg/dL. Which identifies the nurse's concerns?

Risk for hear disease, type 2 DM, and hypertension Signup and view all the answers

The nurse is monitoring laboratory BG levels for a patient diagnosed with type 2 DM. Which test best evaluates glycemic control?

Glycohemoglobin testing Signup and view all the answers

A female patient is prescribed glyburide for control of BG. What precaution does the nurse teach the patient about this medication?

Avoid drinking alcohol Signup and view all the answers

A patient with type 1 DM has ongoing episodes of hypoglycemia, despite self-monitoring of BG. Which type of self-monitoring should the nurse recommend？

Monitor BG continuously Signup and view all the answers

The nurse is providing care for a patient with diabetes who experiences frequent periods of hyperglycemia. Which patient statement could be contributing to this？

My job is really busy in tax season Signup and view all the answers

A patient being treated with metformin for type 2 DM is receiving a routine follow-up assessment. In addition to HbA1c and a fasting plasma glucose test, which other laboratory test should the nurse expect to be monitored in this patient?

Kidney function tests Signup and view all the answers

The nurse is making a home visit for an older adult patient who lives alone. The patient was recently diagnosed with type 2 DM and has impaired vision. What priority information should the nurse collect?

The patient's ability to fix appropriate meals Signup and view all the answers

The nurse is preparing to teach about the long-term complications for patients diagnosed with diabetes. Which finding is accurate?

Most complications involve wither the large or tiny vessels of the body. Signup and view all the answers