Insulin Therapy in Medical-Surgical Nursing
40 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary advantage of using an insulin pump?

  • It allows for more frequent injections
  • It eliminates the need for mealtime insulin
  • It is a more convenient method of administration
  • It provides tight glucose control (correct)

What is the purpose of background insulin in type 1 diabetes management?

  • To control glucose levels during meals
  • To control glucose levels between meals and overnight (correct)
  • To provide rapid-acting insulin coverage
  • To provide a combination of mealtime and basal coverage

Why is optimal glucose control less likely with premixed insulin formulas?

  • Because they are less convenient to use
  • Because they are more expensive
  • Because they are only used for mealtime coverage
  • Because they have less flexibility in dosing (correct)

What is the primary responsibility of the nurse when caring for a patient receiving insulin therapy?

<p>Assessing the patient's response to insulin therapy (C)</p> Signup and view all the answers

What is the advantage of using regular insulin IV?

<p>It has a more rapid onset of action (D)</p> Signup and view all the answers

How often is the insertion site changed for an insulin pump?

<p>Every 2 or 3 days (A)</p> Signup and view all the answers

What is the main benefit of combination insulin therapy?

<p>It provides both mealtime and basal coverage with one injection (D)</p> Signup and view all the answers

What is the primary goal of nursing care for a patient receiving insulin therapy?

<p>To ensure safe management of insulin therapy (B)</p> Signup and view all the answers

What is the primary factor contributing to the development of microvascular complications?

<p>Chronic hyperglycemia (C)</p> Signup and view all the answers

Which of the following is a risk factor associated with macrovascular complications?

<p>Sedentary lifestyle (A)</p> Signup and view all the answers

What is the leading common cause of new cases of adult blindness in diabetes?

<p>Diabetes-related retinopathy (B)</p> Signup and view all the answers

Which of the following is a characteristic of nonproliferative retinopathy?

<p>Partial occlusion of the small blood vessels in the retina (B)</p> Signup and view all the answers

What is the increased risk of cardiovascular disease (CVD) in men with DM compared to those without DM?

<p>2-3 times (C)</p> Signup and view all the answers

What is the result of thickening of the vessel membranes in the capillaries and arterioles?

<p>Microvascular complications (D)</p> Signup and view all the answers

In which areas of the body are microvascular complications most noticeably affected?

<p>Eyes, kidneys, and nerves (C)</p> Signup and view all the answers

What is the role of insulin resistance in the pathogenesis of certain diseases?

<p>Essential hypertension and dyslipidemia (A)</p> Signup and view all the answers

What is the minimum fasting plasma glucose level required for a diagnosis of diabetes?

<p>126mg/dL (7.0mmol/L) (C)</p> Signup and view all the answers

What is the purpose of a 2-hour plasma glucose level during an OGTT?

<p>To diagnose diabetes in a patient with classic symptoms (D)</p> Signup and view all the answers

Which type of diabetes requires exogenous insulin to survive?

<p>Type 1 diabetes (D)</p> Signup and view all the answers

What is the primary goal of nutritional therapy in diabetes management?

<p>To reduce symptoms and promote well-being (A)</p> Signup and view all the answers

What is the minimum A1C level required for a diagnosis of diabetes?

<p>6.5% or greater (B)</p> Signup and view all the answers

In what type of situations may people with type 2 diabetes require exogenous insulin?

<p>During periods of severe stress (D)</p> Signup and view all the answers

What is the name of the technology used to derive human insulin from common bacteria or yeast cells?

<p>Recombinant DNA technology (D)</p> Signup and view all the answers

What is the purpose of self-monitoring of blood glucose in diabetes management?

<p>To prevent acute complications related to hypo- or hyperglycemia (C)</p> Signup and view all the answers

What percentage of patients with diabetes are estimated to have some degree of neuropathy?

<p>60%-70% (B)</p> Signup and view all the answers

At what point should screening for neuropathy begin in patients with type 1 diabetes?

<p>5 years after diagnosis (B)</p> Signup and view all the answers

What is the most common form of sensory neuropathy in diabetes?

<p>Distal symmetric neuropathy (C)</p> Signup and view all the answers

What is a common symptom of distal symmetric neuropathy?

<p>Loss of sensation (A)</p> Signup and view all the answers

What is a potential consequence of autonomic neuropathy in diabetes?

<p>Hypoglycemia unawareness (C)</p> Signup and view all the answers

What is the estimated percentage of nontraumatic amputations in the United States that are performed on people with diabetes?

<p>More than 60% (B)</p> Signup and view all the answers

What is the purpose of measuring serum creatinine in patients with diabetes?

<p>To estimate glomerular filtration rate (A)</p> Signup and view all the answers

Why is it important to screen for nephropathy annually in patients with diabetes?

<p>To assess for albuminuria and measure the albumin-to-creatinine ratio (C)</p> Signup and view all the answers

Which of the following symptoms is not typically associated with delayed gastric emptying?

<p>Headache (B)</p> Signup and view all the answers

What is the primary treatment for diabetic neuropathy?

<p>Control of blood glucose (B)</p> Signup and view all the answers

Which of the following is a cardiovascular abnormality that can occur in diabetic patients?

<p>Painless myocardial infarction (C)</p> Signup and view all the answers

Which of the following symptoms is a common manifestation of autonomic neuropathy in men with diabetes?

<p>Erectile dysfunction (A)</p> Signup and view all the answers

How many methods are available to diagnose diabetes?

<p>4 (D)</p> Signup and view all the answers

What is the purpose of repeat testing in diagnosing diabetes?

<p>To confirm the diagnosis (D)</p> Signup and view all the answers

Which of the following symptoms is not a common complication of autonomic neuropathy?

<p>Fever (B)</p> Signup and view all the answers

What is the primary benefit of controlling blood glucose levels in diabetic patients?

<p>Preventing diabetic neuropathy (A)</p> Signup and view all the answers

More Like This

Insulin Therapy in Pregnancy
18 questions
Type 1 Diabetes Management Quiz
5 questions

Type 1 Diabetes Management Quiz

FlourishingRationality2243 avatar
FlourishingRationality2243
Insulin Therapy in Diabetes Management
16 questions
Use Quizgecko on...
Browser
Browser