An older patient with type 2 diabetes mellitus is upset because ...

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An older patient with type 2 diabetes mellitus is upset because family members do not believe the patient has an illness and resist helping with diet and activity modifications. What should the nurse suggest to help this patient?
 
  1. Limit discussions about the illness with family members.
  2. Store health-related items away from common family areas in the home.
  3. Invite family to participate in a support group.
  4. Explain the risk for family also to develop the illness.

Question 2

The nurse is reviewing instruction provided to a graduate nurse regarding insulin therapy. Which statement made by the graduate indicates that further instruction is needed?
 
  Select all that apply.
  1. Lispro is a rapid-acting insulin.
  2. Regular insulin can be administered intravenously.
  3. NPH insulin may be mixed with lispro insulin.
  4. Insulin detemir is administered prior to each meal.
  5. Insulin glargine may be used to treat gestational diabetes.

[itsakadoozi]

Answer to Question 1

Correct Answer: 3
Chronic illness affects all dimensions of an individual's life, as well as the lives of family members and significant others. Sharing with others who have similar problems provides opportunities for mutual support and problem solving. Using available resources improves the ability to cope. Limiting discussions about the illness will not help them understand the impact of diabetes has on the patient. Storing health-related items away from common family areas in the home strengthens denial of the health problem. There is no evidence to suggest that family members are at risk for developing diabetes.

Answer to Question 2

Correct Answer: 4, 5
Lispro is a rapid-acting insulin. Regular insulin can be administered intravenously. NPH insulin may be mixed with lispro or regular insulin. Insulin detemir is administered once or twice daily, not before each meal. Insulin glargine is not used during pregnancy.

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