The nurse is assessing a 22-year-old patient experiencing the ...

[abern]

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?
 
  a. Are you anorexic?
  b. Is your urine dark colored?
  c. Have you lost weight lately?
  d. Do you crave sugary drinks?

Question 2

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.

[chem1s3]

Answer to Question 1

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.

Answer to Question 2

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.

[abern]

Thanks for the timely response, appreciate it

[ryhom]

Gracias!