Author Question: A patient with type 2 diabetes mellitus is scheduled for laparoscopic adjustable gastric banding ... (Read 21 times)

sdfghj · **on:** Jun 25, 2018

A patient with type 2 diabetes mellitus is scheduled for laparoscopic adjustable gastric banding (LAGB) surgery. What should the nurse explain to the patient about this procedure and diabetes?

1. Evidence indicates positive outcomes for many patients with diabetes who undergo surgical weight loss procedures.
2. Surgical procedures can be dangerous for patients with diabetes.
3. Do you feel that a surgical weight loss procedure will cure your obesity?
4. This procedure is more appropriate for a patient who has a diagnosis of type 1 diabetes mellitus.

Question 2

The nurse is planning care for a patient with type 1 diabetes mellitus. Which action should the nurse identify as being the most effective to reduce the development of complications?

1. self-monitoring of blood glucose levels
2. performance of effective foot care
3. the necessity of a yearly eye exam
4. knowing symptoms of urinary tract infections

leahm14 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1

Studies of patients with DM who have gastrointestinal surgery for morbid obesity show complete remission of type 2 DM in over three-quarters of the cases. The procedure is performed to decrease body weight.

Answer to Question 2

Correct Answer: 1

The results of a 10-year DM Control and Complications Trial (DCCT), sponsored by the National Institutes of Health (NIH), have significant implications for the management of type 1 DM. People in the study who kept their blood glucose levels close to normal by frequent monitoring, several daily insulin injections, and lifestyle changes that included exercise and a healthier diet reduced by 60 their risk for the development and progression of complications involving the eyes, the kidneys, and the nervous system. Effective foot care, yearly eye exams, and prompt reporting of infections are all important but are not the priority for reducing the development of complications.