A patient is newly diagnosed with type 1 diabetes mellitus. How should the nurse respond when the patient asks how long the insulin injections will be necessary?
"You may be able to stop the injections if you exercise regularly and adhere to the prescribed diet."
"Once your pancreas recovers, you may be able to discontinue the injections."
"If you follow your diet closely, your blood sugar may be controlled by just taking insulin pills."
"You will need insulin injections for the rest of your life."
The Correct Answer is D
A. "You may be able to stop the injections if you exercise regularly and adhere to the prescribed diet.": Type 1 diabetes is characterized by the body's inability to produce insulin due to autoimmune destruction of the beta cells in the pancreas. Insulin therapy is essential for life, regardless of diet or exercise.
B. "Once your pancreas recovers, you may be able to discontinue the injections.": In type 1 diabetes, the pancreas does not recover its ability to produce insulin. The condition is chronic, and insulin therapy will be needed for life.
C. "If you follow your diet closely, your blood sugar may be controlled by just taking insulin pills.": Oral hypoglycemic agents are used in type 2 diabetes, not type 1 diabetes. Clients with type 1 diabetes require insulin injections because their bodies do not produce insulin.
D. "You will need insulin injections for the rest of your life.": In type 1 diabetes, the pancreas does not produce insulin, so lifelong insulin injections or insulin pump therapy are necessary to manage blood glucose levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Characterized mainly by insulin resistance: Insulin resistance is more characteristic of type 2 diabetes, not type 1 diabetes. In type 1 diabetes, the body is unable to produce insulin due to the autoimmune destruction of pancreatic beta cells.
B. Characterized mainly by insulin deficiency: Type 1 diabetes is caused by insulin deficiency due to the body's inability to produce insulin, leading to high blood sugar levels. This is a life-long condition that requires insulin replacement for proper blood glucose control.
C. Best managed through diet, exercise, and oral medication: Type 1 diabetes cannot be managed with oral medication alone. It requires insulin injections or an insulin pump in addition to diet and exercise to control blood glucose levels.
D. Can be prevented by proper nutrition and monitoring blood glucose levels: Type 1 diabetes is an autoimmune disease and cannot be prevented through nutrition or blood glucose monitoring. Prevention strategies are more applicable to type 2 diabetes.
Correct Answer is ["33"]
Explanation
Calculation:
- Convert the infusion rate from milliliters per hour (mL/hr) to milliliters per minute (mL/min).
Infusion rate in mL/min = 200 mL/hr / 60 min/hr
= 3.333... mL/min.
Tubing drop factor = 10 gtt/mL.
- Calculate the flow rate in drops per minute (gtt/min).
Flow rate (gtt/min) = Infusion rate (mL/min) × Tubing drop factor (gtt/mL)
= 3.333 mL/min × 10 gtt/mL
= 33.333 gtt/min.
- Round the answer to the nearest whole number.
= 33 gtt/min.
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