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Chapter 48: Diabetes Mellitus Lewis: Medical-Surgical Nursing, 10th Edition QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 2025/2026 (VERIFIED ANSWERS) |ALREADY GRADED A+ $12.99   Add to cart
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Chapter 48: Diabetes Mellitus Lewis: Medical-Surgical Nursing, 10th Edition QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 2025/2026 (VERIFIED ANSWERS) |ALREADY GRADED A+
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Chapter 48: Diabetes Mellitus Lewis: Medical-Surgical Nursing, 10th Edition QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 2025/2026 (VERIFIED ANSWERS) |ALREADY GRADED A+

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  • November 15, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • lewis medical surgical nursing 12th
  • 1 in which order will the nurse take those steps
  • a chest x ray b blood strain c serum creatinine

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  • Lewis Medical Surgical Nursing 12TH
  • Lewis Medical Surgical Nursing 12TH

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Chapter 48: Diabetes Mellitus Lewis:
Medical-Surgical Nursing, 10th Edition

1. In which order will the nurse take those steps to put together NPH 20 devices and normal
insulin 2 devices the use of the same syringe? (Put a comma and a space among each solution
desire [A, B, C, D, E]).
A. Rotate NPH vial.
B. Withdraw normal insulin.
C. Withdraw 20 units of NPH.
D. Inject 20 units of air into NPH vial.
E. Inject 2 units of air into regular insulin vial. - ANS-ANS:
A,D,E,B,C

When mixing normal insulin with NPH, it's far essential to avoid contact between the regular
insulin and the additives inside the NPH that gradual the onset, height, and period of pastime in
the longer-acting insulin.


DIF: Cognitive Level: Analyze (analysis)
OBJ: Special Questions: Prioritization


TOP:
REF: 1126
Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
1. To screen for complications in a affected person with kind 2 diabetes, which assessments will
the nurse inside the diabetic sanatorium agenda at least annually (choose all that apply)?

A. Chest x-ray
b. Blood strain
c. Serum creatinine
d. Urine for microalbuminuria
e. Complete blood rely (CBC)
f. Monofilament testing of the foot - ANS-ANS: B, C, D, F
Blood strain, serum creatinine, urine trying out for microalbuminuria, and monofilament trying
out of the foot are endorsed at least annually to screen for feasible microvascular and
macrovascular complications of diabetes. Chest x-ray and CBC is probably ordered if the

,patient with diabetes presents with signs of breathing or infectious issues but aren't robotically
protected in screening.


DIF: Cognitive Level: Apply (utility)
TOP: Nursing Process: Planning
REF: 1148
MSC: NCLEX: Physiological Integrity
1. Which declaration by means of a nurse to a affected person newly identified with type 2
diabetes is accurate?
A. Insulin isn't used to govern blood glucose in sufferers with kind 2 diabetes.
B. Complications of type 2 diabetes are less critical than those of kind 1 diabetes.
C. Changes in food regimen and exercising may also manipulate blood glucose ranges in kind 2
diabetes.
D. Type 2 diabetes is normally diagnosed while the patient is admitted with a hyperglycemic
coma. - ANS-ANS: C
For a few sufferers with type 2 diabetes, adjustments in life-style are enough to gain blood
glucose control. Insulin is often used for type 2 diabetes, complications are similarly severe as
for type 1 diabetes, and type 2 diabetes is typically diagnosed with routine laboratory trying out
or after a affected person develops headaches along with common yeast infections.

DIF: Cognitive Level: Understand (comprehension) REF: 1134
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
10. Which assertion by using the affected person shows a want for additional instruction in
administering insulin?

A. "I want to rotate injection sites amongst my arms, legs, and abdomen each day."

b. "I should purchase the zero.Five-mL syringes because the line markings may be simpler to
peer."

c. "I do now not need to aspirate the plunger to check for blood before injecting insulin."
d. "I should draw up the regular insulin first, after injecting air into the NPH bottle." - ANS-ANS:
A
Rotating sites is now not encouraged due to the fact there is extra regular insulin absorption
whilst the equal web page is used constantly. The different affected person statements are
accurate and suggest that no extra coaching is wanted.


DIF: Cognitive Level: Apply (utility)
TOP: Nursing Process: Evaluation


REF: 1128

, MSC: NCLEX: Health Promotion and Maintenance
11. Which patient movement suggests correct understanding of the nurse's teaching
approximately administration of aspart (NovoLog) insulin?
A. The patient avoids injecting the insulin into the top stomach region.
B. The affected person cleans the skin with soap and water before insulin administration.
C. The affected person stores the insulin in the freezer after administering the prescribed dose.
D. The affected person pushes the plunger down while eliminating the syringe from the injection
web site. - ANS-ANS: B
Cleaning the skin with cleaning soap and water is appropriate. Insulin ought to no longer be
frozen. The affected person must depart the syringe in area for about 5 seconds after injection
to make sure that all the insulin has been injected. The top stomach region is one of the
preferred regions for insulin injection.


DIF: Cognitive Level: Apply (utility)
TOP: Nursing Process: Evaluation


REF: 1128
MSC: NCLEX: Physiological Integrity
12. A patient gets aspart (NovoLog) insulin at 8:00 AM. At which period would the nurse count
on the best hazard for hypoglycemia?
A. 10:00 AM c. 2:00 PM
b. 12:00 AM d. 4:zero PM - ANS-ANS: A
The fast-acting insulins height in 1 to a few hours. The patient isn't always at a high hazard for
hypoglycemia at the alternative indexed times, although hypoglycemia may arise.

DIF: Cognitive Level: Understand (comprehension) REF: 1132
TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
13. Which affected person movement indicates a terrific information of the nurse's coaching
about using an insulin pump?

A. The affected person applications the pump for an insulin bolus after ingesting.
B. The affected person adjustments the vicinity of the insertion web page each week.
C. The affected person takes the pump off at bedtime and starts it once more every morning.
D. The patient plans a diet with greater calories than typical when the usage of the pump. -
ANS-ANS: A

In addition to the basal fee of insulin infusion, the patient will modify the pump to manage a
bolus after each meal, with the dosage depending at the oral consumption. The insertion web
site ought to be changed every 2 or 3 days. There is greater flexibility in weight loss program
and workout when an insulin pump is used, but it does now not offer for ingesting a higher
calorie food plan. The pump will supply a basal insulin fee 24 hours a day.

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