100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Chapter 48 Lewis Med Surg Exam Questions And Correct Answers $10.49   Add to cart

Exam (elaborations)

Chapter 48 Lewis Med Surg Exam Questions And Correct Answers

 6 views  0 purchase
  • Course
  • Medical Surgical nursing
  • Institution
  • Medical Surgical Nursing

Chapter 48 Lewis Med Surg Exam Questions And Correct Answers 1. Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is correct? a. Insulin is not used to control blood glucose in patients with type 2 diabetes. b. Complications of type 2 diabetes are less serious than th...

[Show more]

Preview 3 out of 28  pages

  • October 18, 2024
  • 28
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Medical Surgical nursing
  • Medical Surgical nursing
avatar-seller
sirjoel
©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM




Chapter 48 Lewis Med Surg Exam Questions
And Correct Answers


1. Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is correct?

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

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 the patient is admitted with a hyperglycemic coma.

- answer✔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.

2. A 48-year-old male patient screened for diabetes at a clinic has a fasting plasma glucose level

of 120 mg/dL (6.7 mmol/L). The nurse will plan to teach the patient about

a. self-monitoring of blood glucose.

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
b. using low doses of regular insulin.

c. lifestyle changes to lower blood glucose.


d. effects of oral hypoglycemic medications. - answer✔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.

3. A 28-year-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. - answer✔ANS: D


When the patient is ketotic, exercise may result in an increase in blood glucose level. Type 1

diabetic patients should be taught to avoid exercise when ketosis is present. The other statements

are correct.

4. The nurse is assessing a 22-year-old patient experiencing the onset of symptoms of type 1

diabetes. Which question is most appropriate for the nurse to ask?

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
a. "Are you anorexic?"

b. "Is your urine dark colored?"

c. "Have you lost weight lately?"


d. "Do you crave sugary drinks?" - answer✔ANS: C


Weight loss occurs because the body is no longer able to absorb glucose and starts to break down

protein and fat for energy. The patient is thirsty but does not necessarily crave sugar-containing

fluids. Increased appetite is a classic symptom of type 1 diabetes. With the classic symptom of

polyuria, urine will be very dilute.

5. A patient with type 2 diabetes is scheduled for a follow-up visit in the clinic several months

from now. Which test will the nurse schedule to evaluate the effectiveness of treatment for the

patient?

a. Urine dipstick for glucose

b. Oral glucose tolerance test

c. Fasting blood glucose level


d. Glycosylated hemoglobin level - answer✔ANS: D


The glycosylated hemoglobin (A1C or HbA1C) test shows the overall control of glucose over 90

to 120 days. A fasting blood level indicates only the glucose level at one time. Urine glucose

testing is not an accurate reflection of blood glucose level and does not reflect the glucose over a

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller sirjoel. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

62890 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$10.49
  • (0)
  Add to cart