44. A patient ask the nurse if stress can be a potential cause of the type 2 diabetes. What should be included in the response provided by the nurse?
A. stress decreases the number of alpha cells in the pancreas, thus increasing the workload on the beta cells.
b. Periods of stress cause increases in glycogen production by the adrenal cortex.
C. Stress is directly associated with decreased insulin tolerance.
D. The inhibition of beta cells to glucose is increased in periods of stress.
51. The nurse would anticipate laboratory values from a patient in ketoacidosis to reveal:
a. increased blood urea nitrogen (BUN)
b. normal or decreased CO2
c. increased arteria pH
d. decreased glucose
57. The patient takes his NovoLog 70-30 at 7:00 AM. The nurse suggests the best time to schedule exercise would be at:
a. 7:30 AM before peak action of insulin.
b. 10:00 AM at peak action of insulin.
c. 1:00 PM after peak action of insulin
d. any time after injection
58. The nurse is discussing insulin administration with an assigned patient. The patient reports that she prefers to use only certain sites for insulin injections. The patient questions why rotation of the sites is important. What response by the nurse is most appropriate?
a. “Rotating your injection sites will help to reduce your risk of infection.”
b. “If you do not rotate injection sites your are at risk for an erratic absorption of your medication.”
c. “Unsightly fatty tumors can develop when you do not adequately rotate injection sites.”
d. “Failing to rotate injection sites will improve your ability prevent an insulin reaction.”
59. A long-term diabetic patient reports that the physician has told him he has the early symptoms of cardiovascular disease. The nurse correctly understands that the diabetes predisposes the patient to cardiovascular complications for which reason?”
a. The periods of hyperglycemia that result in diabetes damage the basement membrane causing atherosclerosis.
b. Hypoglycemic periods result in increased release of cortisol resulting in hypertension.
c. Insulin constricts the cardiovascular vessels.
d. Diabetes causes a decrease in the body’s ability to digest fats by the pancreas.
60. The nurse is caring for a patient who is experiencing problems with maintaining glycemic control at night and during the early morning hours. The nurse correctly recognizes that:
a. hyperglycemia is produced from counterregulatory hormones
b. hyperglycemia of dawn phenomenon does not react to insulin
c. hypoglycemia quickly follows the dawn phenomenon
d. hyperglycemia of dawn phenomenon is not changed by food intake.
Complete each statement.
83. The nurses’s major contribution to the care of a patient with Cushing’s syndrome is that of __________ and _____________.