A patient beginning insulin for type 2 diabetes is experiencing blurred vision and is concerned about becoming blind. What response by the nurse is most appropriate?
1. I will make an appointment for you to see an ophthalmologist.
2. I will call the physician to report your symptoms.
3. Blurry vision is very common. Do not worry.
4. This is a normal response when insulin therapy is initiated.
Question 2A patient with type 1 diabetes mellitus who had one episode of vomiting in the past 2 hours asks if the routine insulin injection should be taken. What action by the nurse is best at this time?
1. Contact the physician.
2. Explain the need to take the insulin.
3. Document the refusal and continue on with the planned care.
4. Check the patient's fasting serum glucose level.
Question 3A patient recently diagnosed with diabetes wants to check the urine for glucose instead of using capillary blood because of the cost. Which response should the nurse make to the patient?
1. Urine testing is best when combined with serum testing.
2. Urine testing is as reliable as finger stick testing.
3. Yes, urine testing is cheaper than glucose test strips.
4. Would you like to switch to this method of monitoring?
Question 4A 78-year-old patient without polyuria, polydipsia, or polyphagia has a serum glucose level of 130 mg/dL. What should the nurse conclude about this patient?
1. The patient might have eaten a meal with high sugar content prior to the testing.
2. The laboratory results might be erroneous.
3. The patient has type 1 diabetes mellitus.
4. The patient will need to be assessed for other manifestations of diabetes.
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