Chapter 57--Diabetes Mellitus: Nursing Management

Chapter 57–Diabetes Mellitus: Nursing Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

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?

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?

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:

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:

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

5. A client is prescribed insulin to be given through an intravenous access line. The nurse realizes that which of the following insulins can be administered intravenously?

ANS:  4

Regular insulin may be given intravenously or subcutaneously. All other insulins are given subcutaneously.

PTS:   1                    DIF:    Analyze         REF:   Insulin