Chapter 52: Antidiabetics

Chapter 52: Antidiabetics

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is teaching a group of nursing students about diabetes. The nurse explains that which type of diabetes is the most common?

a.	Type 1 diabetes mellitus
b.	Type 2 diabetes mellitus
c.	Diabetes insipidus
d.	Secondary diabetes

 

 

ANS:  B

Type 2 diabetes mellitus is the most common type of diabetes.

 

DIF:    COGNITIVE LEVEL: Remembering (Knowledge)           REF:   Page 759

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Pathophysiology

 

2. A patient develops type 2 diabetes mellitus. The nurse will explain that this type of diabetes

a.	is generally triggered by medications.
b.	is not as common as type 1 diabetes.
c.	is often related to heredity and obesity.
d.	will not require insulin therapy.

 

 

ANS:  C

Type 2 diabetes is often caused by obesity and hereditary factors. Secondary diabetes is triggered by medications. Type 2 diabetes is the most common type of diabetes. Patients with type 2 diabetes may become insulin-dependent.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 759

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Pathophysiology

 

3. A patient who is overweight is being evaluated for diabetes. The patient has a blood glucose level of 160 mg/dL and a hemoglobin A_1c of 5.8%. The nurse understands that this patient has which condition?

a.	Diabetes mellitus
b.	Hypoglycemia
c.	Normal blood levels
d.	Prediabetes

 

 

ANS:  D

Patients with a hemoglobin A_1c between 5.7% and 6.4% are considered to have prediabetes. A level of 6.5% or more indicates diabetes. The patient is hyperglycemic.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 759

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Pathophysiology

 

4. The nurse is teaching a patient who is newly diagnosed with type 1 diabetes mellitus about insulin administration. Which statement by the patient indicates a need for further teaching?

a.	“I may use a chosen site daily for up to a week.”
b.	“I should give each injection a knuckle length away from a previous injection.”
c.	“I will not be concerned about a raised knot under my skin from injecting insulin.”
d.	“Insulin is absorbed better from subcutaneous sites on my abdomen.

 

 

ANS:  C

Lipohypertrophy is a raised lump or knot on the skin surface caused by repeated injections into the same site, and this can interfere with insulin absorption. Patients are encouraged to use the same site for a week, giving each injection a knuckle length away from the previous injection. Insulin absorption is greater when given in abdominal areas.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 760

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies