40 Questions
What is the primary advantage of using an insulin pump?
It provides tight glucose control
What is the purpose of background insulin in type 1 diabetes management?
To control glucose levels between meals and overnight
Why is optimal glucose control less likely with premixed insulin formulas?
Because they have less flexibility in dosing
What is the primary responsibility of the nurse when caring for a patient receiving insulin therapy?
Assessing the patient's response to insulin therapy
What is the advantage of using regular insulin IV?
It has a more rapid onset of action
How often is the insertion site changed for an insulin pump?
Every 2 or 3 days
What is the main benefit of combination insulin therapy?
It provides both mealtime and basal coverage with one injection
What is the primary goal of nursing care for a patient receiving insulin therapy?
To ensure safe management of insulin therapy
What is the primary factor contributing to the development of microvascular complications?
Chronic hyperglycemia
Which of the following is a risk factor associated with macrovascular complications?
Sedentary lifestyle
What is the leading common cause of new cases of adult blindness in diabetes?
Diabetes-related retinopathy
Which of the following is a characteristic of nonproliferative retinopathy?
Partial occlusion of the small blood vessels in the retina
What is the increased risk of cardiovascular disease (CVD) in men with DM compared to those without DM?
2-3 times
What is the result of thickening of the vessel membranes in the capillaries and arterioles?
Microvascular complications
In which areas of the body are microvascular complications most noticeably affected?
Eyes, kidneys, and nerves
What is the role of insulin resistance in the pathogenesis of certain diseases?
Essential hypertension and dyslipidemia
What is the minimum fasting plasma glucose level required for a diagnosis of diabetes?
126mg/dL (7.0mmol/L)
What is the purpose of a 2-hour plasma glucose level during an OGTT?
To diagnose diabetes in a patient with classic symptoms
Which type of diabetes requires exogenous insulin to survive?
Type 1 diabetes
What is the primary goal of nutritional therapy in diabetes management?
To reduce symptoms and promote well-being
What is the minimum A1C level required for a diagnosis of diabetes?
6.5% or greater
In what type of situations may people with type 2 diabetes require exogenous insulin?
During periods of severe stress
What is the name of the technology used to derive human insulin from common bacteria or yeast cells?
Recombinant DNA technology
What is the purpose of self-monitoring of blood glucose in diabetes management?
To prevent acute complications related to hypo- or hyperglycemia
What percentage of patients with diabetes are estimated to have some degree of neuropathy?
60%-70%
At what point should screening for neuropathy begin in patients with type 1 diabetes?
5 years after diagnosis
What is the most common form of sensory neuropathy in diabetes?
Distal symmetric neuropathy
What is a common symptom of distal symmetric neuropathy?
Loss of sensation
What is a potential consequence of autonomic neuropathy in diabetes?
Hypoglycemia unawareness
What is the estimated percentage of nontraumatic amputations in the United States that are performed on people with diabetes?
More than 60%
What is the purpose of measuring serum creatinine in patients with diabetes?
To estimate glomerular filtration rate
Why is it important to screen for nephropathy annually in patients with diabetes?
To assess for albuminuria and measure the albumin-to-creatinine ratio
Which of the following symptoms is not typically associated with delayed gastric emptying?
Headache
What is the primary treatment for diabetic neuropathy?
Control of blood glucose
Which of the following is a cardiovascular abnormality that can occur in diabetic patients?
Painless myocardial infarction
Which of the following symptoms is a common manifestation of autonomic neuropathy in men with diabetes?
Erectile dysfunction
How many methods are available to diagnose diabetes?
4
What is the purpose of repeat testing in diagnosing diabetes?
To confirm the diagnosis
Which of the following symptoms is not a common complication of autonomic neuropathy?
Fever
What is the primary benefit of controlling blood glucose levels in diabetic patients?
Preventing diabetic neuropathy
Test your knowledge of insulin therapy, including types of insulin, combination insulin therapy, and premixed formulas. Learn about Afrezza, a type of inhaled insulin, and how it is used to control glucose levels. This quiz is perfect for medical-surgical nursing students or professionals.
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