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."

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Give half the prescribed dose and notify the registered nurse (RN): The symptoms described indicate a serious side effectof potassium iodide, such as agranulocytosis(a decrease in white blood cells), and a dose reduction is not recommended in this situation.

B. Continue to administer the medication: Continuing the medication without addressing the symptoms is unsafe. Fever, sore throat, and mouth ulcersare warning signsof a serious adverse effect, such as agranulocytosis, and continuing the medication could cause harm.

C. Stop the medication for 24 hours: Simply stopping the medication for a short period of time is not sufficient. The symptoms need to be reported immediately, and potassium iodideshould be withheld pending further evaluation by the healthcare provider.

D. Withhold the medication and notify the RN: Fever, sore throat, and mouth ulcersare potential signs of a serious adverse reactionlike agranulocytosis, which requires immediate attention. The nurse should withhold the medicationand inform the healthcare provider for further evaluation and guidance.

A. Hyperglycemia occurring on "sick days" B. Diabetic ketoacidosis C. Hyperglycemia from insufficient insulin D. Hypoglycemia from insulin overdose

Correct Answer is D

Explanation

A. Hyperglycemia occurring on "sick days": Glucagon is not used to treat hyperglycemia. During "sick days," clients with diabetes may experience elevated blood glucose levels, but glucagon is not for managing hyperglycemia. Instead, insulin adjustments are made.

B. Diabetic ketoacidosis: Glucagon is not used to treat diabetic ketoacidosis (DKA). DKA is a severe complication of diabetes often caused by insulin deficiency, and it requires insulin therapy and fluid management to correct the underlying issues.

C. Hyperglycemia from insufficient insulin: Glucagon is not used for hyperglycemia due to insufficient insulin. The treatment for this condition is typically insulin therapy to lower blood glucose levels.

D. Hypoglycemia from insulin overdose: Glucagon is used to treat hypoglycemia caused by an insulin overdose, as it helps to raise blood glucose levels quickly by stimulating the liver to release glucose into the bloodstream. It is essential for managing severe hypoglycemia.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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