A patient diagnosed with type 2 diabetes mellitus is admitted to the medical unit withpneumonia. The patient's oral antidiabetic medication has been discontinued and thepatient is now receiving insulin for glucose control. Which of the following statements bestexplains the rationale for this change in medication?acute illness like pneumonia will cause increased insulin resistanceb. stress-related states such as infections increase risk of hyperglycaemiac. insulin administration will help prevent hypoglycaemia during the illnessd. infection has compromised beta cell function so the patient will need insulin from nowon

pneumonia: Pneumonia is an infection of the lungs that causes inflammation in the air sacs or…

Answered: A patient diagnosed with type 2…

Ebk:Nutrition & Diet Therapy

10th Edition

ISBN:9780357391747

Author:DEBRUYNE

Publisher:DEBRUYNE

Chapter21: Carbohydrate- Controlled Diets For Diabetes Mellitus

Section: Chapter Questions

Problem 8SC

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Similar questions

One of the indications for prescribing nateglinide is:A. Depletion of pancreatic beta-cellsB. Significant postprandial hyperglycemiaC. Tendency to develop lactic acidosisD. Resistance to sulfonylureasE. Insulin resistance
Which of the following is not correct for oral hypoglycaemic drugs?A. Stimulation of insulin synthesisB. Reduction of carbohydrate absorptionC. Inhibition of gluconeogenesisD. Stimulation of insulin releaseE. Anorexigenic effect
If a type I diabetic client takes too much insulin, what clinical manifestations would alert the nurse to the fact that the client has become hypoglycemic? Question 11 options: confusion and cool, clammy skin fruity smelling breath and urinary ketones tremors of the limbs and bradycardia complaints of abdominal pain and nausea
A 12-year-old boy is brought to the physician because of increased urination and progressive fatigue during the past two weeks. Vital signs are within normal limits except for a pulse of 120/min. Physical examination shows dry skin and mucous membranes. His fasting serum glucose concentration is 350 mg/dL. The patient improves after insulin treatment. Which of the following best describes the effect of insulin binding to the insulin receptor (IR) on the surface of hepatocytes in this patient? a. Activation of serine/threonine kinase activity of the IR b. Down regulation of phosphoenolpyruvate carboxykinase c. Inactivation of ras d. Inhibition of glucose-transporter-4 (GLUT-4) translocation to the cell membrane e. Inhibition of phosphatidylinositol-3-kinase signaling pathway
What leads to type 1 diabetes mellitus? The individual is resistant to glucagon. The individual is not producing enough glucagon. The individual has a defect in the insulin receptors. The individual is not producing enough insulin.
Insulin should be prescribed under all of the following circumstances, except:A. Status post pancreatectomyB. Type 2 diabetes with diabetic foot syndrome C. Type 1 diabetesD. Gestational diabetesE. Type 2 diabetes
Which of the following medications may cause hypoglycemia when is use as monotherapy? (select all that apply) Insulin Rosiglitazone Glipizide Metformin exenatide
Escalation of care is actioned/intervened for dehydrated patients with tye 1 diabetes. Why?
e. Given her recent diagnosis, Julia finds it difficult to administer an appropriate amount of insulin. Before every meal, Julia carries out the following procedure. 1. Measures her blood glucose level 2. Estimates the mass of glucose in her meal 3. Injects the quantity of insulin required to metabolise the amount of glucose in her meal. She then measures her blood glucose level again two hours after her meal. Julia records all this information on an app on her smartphone. The chart below was obtained from the app on her smartphone after 24 hours. ii. Concentration (mmol/L) i. 30 25 20 15 5 0 10 Blood glucose before eating Insulin injected Blood glucose two hours after eating Breakfast Lunch Dinner Dessert Identify the meal estimated by Julia to contain the lowest amount of glucose and give a reason. Suggest two reasons why Julia's blood glucose level was 15 mmol/L in two hours after dinner.
A client with T2DM is admitted to the medical unit with pneumonia. The client’s oral antidiabetic medication has been discontinued and the patient is now receiving insulin for glucose control. Which of the following statements best explains the rationale for this change in medication? Question 73 options: a) Insulin administration will help prevent hypoglycemia during the illness b) Acute illnesses like pneumonia will cause increased insulin resistance c) Infection has compromised beta cell function so the client will need insulin from now on d) Stress-related conditions such as infections induce a hypermetabolic state
How does Type-2 Diabetes occur? Explain the pathophysiology and give its laboratory diagnosis
Insulin lispro was given to a client at 0700 by a night nurse who needed to leave early. At 0730 the client is clammy and refusingb reakfast, stating "I don't feel well, I need to lie down," What is the nurse's action? 1) Check the blood sugar and convince the client to drink juice if possible. 2) Document the refusal and let the client sleep since. 3) Call the night nurse at home and tell her to come back and deal with the situation. 4) Wait to offer breakfast until the client feels better.

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