Medical-Surgical Nursing › Endocrine · 215 questions on this topic in NurseRank, 3 free to practise now.
Practise Diabetes Mellitus for NORCET, RRB, ESIC, CHO and state nursing officer exams. Read the 2 sample questions below, tap Show answer and explanation to check yourself, then open the full topic practice.
Q1. The nurse is caring for a patient with diabetes mellitus who received 6 units of regular insulin at 0730. The nurse should monitor the patient for clinical manifestations of hypoglycemia at which times?
0930 to 1030
0800 to 0830 Unit II MEDICAL-SURGICAL NURSING
1200 to 1400
1500 to 1700
Show answer and explanation
Answer: A. 0930 to 1030
Regular insulin is a short-acting insulin that has an onset of 30 minutes to 1 hour. The peak is between 2 and 3 hours and the duration is between 4 and 6 hours. A hypoglycemia reaction is most likely to occur during the peak, so if regular insulin was given at 0730, a hypoglycemic reaction would occur between 0930 and 1030.
Q2. A 12-year-old girl has been diagnosed with insulindependent diabetes mellitus. Which of these principles would best guide her nutritional management?
Concentrated sweets are taken during increased activity.
Food restriction is imposed to reduce weight.
Caloric distribution should be calculated to fit activity patterns.
Fat requirements are increased owing to the possibility of ketoacidosis.
Show answer and explanation
Answer: C. Caloric distribution should be calculated to fit activity patterns.
(A) Concentrated sweets are eliminated from diet planning. Complex carbohydrates may be taken at the time of increased activity. (B) Food restriction is not used for diabetic control of growing children. Caloric restriction may be imposed for weight control if necessary. (C) Total caloric intake and proportions of basic nutrients should be consistent from day to day. Distribution of these calories should fit the activity pattern. Extra food is needed for increased activity. A balance of food, exercise, and insulin should be maintained. (D) Because of the increased risk of atherosclerosis, the fat percentage of the total caloric intake is reduced.
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Which exams do these Diabetes Mellitus MCQs help with?
They are useful for AIIMS NORCET, RRB, ESIC, CHO, DSSSB and state staff nurse or nursing officer exams, and for NCLEX-style practice.
