Adult Health 1: Diabetes/ Hypoglycemia- Questions and Answers Diabetes/Hypoglycemia 1.A patient with type 1 diabetes has told the nurse that his most recent urine test for ketones was positive. What is the nurses most plausible conclusion based on this assessment finding? A. The patient should withhold his next scheduled dose of insulin. B. The patient should promptly eat some protein and carbohydrates. D. The patient would benefit from a dose of metformin (Glucophage). Ans: C. Ketones in the urine signal that there is a deficiency of insulin and that control of type 1 diabetes is deteriorating. Withholding insulin or eating food would exacerbate the patients ketonuria. Metformin will not cause short-term resolution of hyperglycemia. 2.A patient presents to the clinic complaining of symptoms that suggest diabetes. What criteria would support checking blood levels for the diagnosis of diabetes? B.Random plasma glucose greater than 150 mg/dL C.Fasting plasma glucose greater than 116 mg/dL on 2 separate occasions D.Random plasma glucose greater than 126 mg/dL Ans: A. Criteria for the diagnosis of diabetes include symptoms of diabetes plus random plasma glucose greater than or equal to 200 mg/dL, or a fasting plasma glucose greater than or equal to 126 mg/dL. 3.A patient