Practice Quiz

CMSRN Medical-Surgical Nursing

Category - Endocrine

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You are a nurse who is discussing treatment involving insulin with Mrs. Christopher, who is newly diagnosed with type 1 diabetes mellitus. Mrs. Christopher asks, “Why can’t I just take the pill like my friend who has diabetes?” After you give your explanation, which of the following responses by the patient would indicate that she understood your explanation?
  1. “After I am on insulin for some time, then I can wean myself off insulin and take pills.”
  2. “With exercise twice a day and a 1,200-calorie diet, I should be able to avoid having to take insulin.”
  3. “Because my body does not produce insulin, I will need to take insulin by injection for the rest of my life.”
  4. “When my body starts to make insulin again, then I can stop the insulin injections and try pills.”
Explanation
Answer - C - “Because my body does not produce insulin, I will need to take insulin by injection for the rest of my life.” In diabetes, the beta cells do not produce insulin, so the patient needs lifelong insulin therapy.
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