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 D
Explanation
A. Hypothyroidism: Hypothyroidism is characterized by symptoms such as weight gain, fatigue, dry skin, and cold intolerance. The teen's symptoms of weight loss, nervousness, and bulging eyes are not typical of hypothyroidism.
B. Juvenile autoimmune thyroiditis: Juvenile autoimmune thyroiditis is typically associated with hypothyroidism and does not present with symptoms like weight loss, nervousness, or bulging eyes. It is more often characterized by fatigue, cold intolerance, and weight gain.
C. Hashimoto thyroid disease: Hashimoto's disease is an autoimmune disorder that often leads to hypothyroidism. The symptoms described (weight loss, nervousness, bulging eyes) do not align with Hashimoto's disease, which is generally linked to an underactive thyroid.
D. Graves' Disease: Graves' disease is a type of hyperthyroidism often characterized by weight loss, nervousness, bulging eyes (exophthalmos). The symptoms align with the presentation of this teen, and the low TSH level further supports the diagnosis.
Correct Answer is B
Explanation
A. 60: An onset of action of 60 minutes is characteristic of some types of short-acting insulin (like Regular insulin) but not rapid-acting insulins such as Humalog (Lispro). Rapid-acting insulins are designed to work much faster to cover post-meal glucose excursions.
B. 15: Humalog (insulin lispro) is a rapid-acting insulin analog, with a quick onset of action. Its effects begin within 5 to 15 minutes after subcutaneous injection, making it ideal for administration just before or immediately after a meal to manage the rise in blood glucose.
C. 45: An onset of 45 minutes would be slower than what is expected for a rapid-acting insulin like Humalog. This timeframe is closer to the onset of Regular insulin, which requires administration 30-45 minutes before a meal.
D. 30: While 30 minutes is a common instruction for administering Regular insulin before a meal, it is not the typical onset time for rapid-acting insulins like Humalog (Lispro). Humalog's action begins much sooner, allowing for greater flexibility in meal timing.
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