NursingNursing PracticeConcepts for Nursing PracticePractice Set 8Glucose Regulation
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The nurse instructs a patient with type 1 diabetes mellitus to avoid which of the following drugs while taking insulin?
Furosemide (Lasix)
Dicumarol (Bishydroxycoumarin)
Reserpine (Serpasil)
Cimetidine (Tagamet)
When a diabetic patient asks about maintaining adequate blood glucose levels, which of the following statements by the nurse relates most directly to the necessity of maintaining blood glucose levels no lower than about 74 mg/dL?
"Glucose is the only type of fuel used by body cells to produce the energy needed for physiologic activity."
"The central nervous system cannot store glucose and needs a continuous supply of glucose for fuel."
"Without a minimum level of glucose circulating in the blood, erythrocytes cannot produce ATP."
"The presence of glucose in the blood counteracts the formation of lactic acid and prevents acidosis."
The nurse associates which assessment finding in the diabetic patient with decreasing renal function?
Ketone bodies in the urine during acidosis
Glucose in the urine during hyperglycemia
Protein in the urine during a random urinalysis
White blood cells in the urine during a random urinalysis
What is the nurse's best response about developing diabetes to the patient whose father has type 1 diabetes mellitus?
"You have a greater susceptibility for development of the disease because of your family history."
"Your risk is the same as the general population, because there is no genetic risk for development of type 1 diabetes."
"Type 1 diabetes is inherited in an autosomal dominant pattern. Therefore the risk for becoming diabetic is 50%."
"Because you are a woman and your father is the parent with diabetes, your risk is not increased for eventual development of the disease. However, your brothers will become diabetic."
The nurse recognizes which patient as having the greatest risk for undiagnosed diabetes mellitus?
Young white man
Middle-aged African-American man
Young African-American woman
Middle-aged Native American woman