Author Question: The nurse is teaching a patient with diabetes about self-management. What should the nurse include ... (Read 31 times)

xclash · **on:** Jun 25, 2018

The nurse is teaching a patient with diabetes about self-management. What should the nurse include regarding medications to treat diabetes mellitus?

1. Patients with type 1 diabetes may achieve normal blood glucose levels with oral medications.
2. Patients with type 1 diabetes may progress to type 2 if blood glucose levels are not well controlled.
3. Patients with type 2 diabetes will always need an exogenous source of insulin.
4. Patients with type 2 diabetes may achieve normal blood glucose levels with a combination of oral medications and insulin.

Question 2

The nurse is identifying patients at risk for needing insulin. Which patients should the nurse identify as potentially needing insulin to maintain a normal blood glucose level?

Select all that apply.
1. patients who are fasting or malnourished
2. patients with type 2 diabetes who are diagnosed with an infection
3. patients with type 2 diabetes who are undergoing surgical procedures
4. patients with gestational diabetes
5. patients receiving total parenteral nutrition

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

Answer to Question 1

Correct Answer: 4
People with type 2 diabetes mellitus are usually able to control glucose levels with an oral hypoglycemic medication, but they may require insulin if control is inadequate. Type 1 diabetes mellitus is not treated with oral medications. The person with type 1 DM requires a lifelong exogenous source of the insulin hormone to maintain life. Patients with diabetes do not progress from type 1 to type 2.

Answer to Question 2

Correct Answer: 2, 3, 4
Insulin may be necessary for patients with diabetes mellitus who are experiencing an infection or surgery or have gestational diabetes mellitus. Insulin is not prescribed for patients who are malnourished or are receiving total parenteral nutrition.