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Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank exam Questions and Answers (2023/2024) (Verified Answers) $12.49   Add to cart

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Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank exam Questions and Answers (2023/2024) (Verified Answers)

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Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank exam Questions and Answers (2023/2024) (Verified Answers)

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  • November 10, 2023
  • 70
  • 2023/2024
  • Exam (elaborations)
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Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank exam

1.Which statement by a nurse to a patient newly diagnosed with type

2 diabetes is accurate?

a. Insulin is not used to control blood glucose in patients with type 2

dia- betes.

b. Complications of type 2 diabetes are less serious than those of type 1

diabetes.

c. Changes in diet and exercise may control blood glucose levels in type

2 diabetes.

d. Type 2 diabetes is usually diagnosed when a patient is admitted in

hyper- glycemic

coma.: ANS: C

For some patients with type 2 diabetes, changes in lifestyle are

sufficient to achieve blood

glucose control. Insulin is frequently used for type 2 diabetes,



,complications are equally

severe as for type 1 diabetes, and type 2 diabetes is usually diagnosed

with routine laboratory

testing or after a patient develops complications such as frequent yeast

infections. DIF: Cognitive Level: Understand (comprehension)

TOP: Nursing Process: Implementation MSC: NCLEX: Physiological

Integrity


2.A patient screened for diabetes at a clinic has a fasting plasma

glucose level of 120 mg/dL

(6.7 mmol/L). What should the nurse plan to teach the patient?

a. Self-monitoring of blood glucose

b. Using low doses of regular insulin

c. Lifestyle changes to lower blood glucose

d. Effects of oral hypoglycemic medications: ANS: C

The patient's impaired fasting glucose indicates prediabetes, and the



,patient should be

counseled about lifestyle changes to prevent the development of type

2 diabetes.

The patient

with prediabetes does not require insulin or oral hypoglycemics for

glucose control and does

not need to self-monitor blood glucose.

DIF: Cognitive Level: Apply (application) TOP: Nursing Process:

Planning MSC: NCLEX: Physiological Integrity


3.A 28-yr-old male patient with type 1 diabetes reports how he manages

his exercise and






, glucose control. Which behavior indicates that the nurse should implement

additional

teaching?

a. The patient always carries hard candies when engaging in exercise.

b. The patient goes for a vigorous walk when his glucose is 200 mg/dL.

c. The patient has a peanut butter sandwich before going for a bicycle ride.

d. The patient increases daily exercise when ketones are present in

the urine.: ANS: D

When the patient is ketotic, exercise may result in an increase in blood

glucose level. Patients

with type 1 diabetes should be taught to avoid exercise when ketosis is

present.

The other

statements are correct.

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