1. multiple choice
A patient has a blood glucose of 45 and is sweating, cold and clammy. The patient is conscious. What is your next nursing intervention?
A. Recheck the blood glucose in 5 minutes
B. Give the patient 15g of complex carb
C. No intervention needed because this is a normal blood glucose
D. Give the patient 15g of simple carb
D. 15g of a simple carb (glucose)
A patient is scheduled to take a morning dose of Metformin. The patient is scheduled for surgery tomorrow. Which of the following nursing interventions are correct?*
A. Administer the medication as ordered.
B. Hold the dose and notify the doctor for further orders.
C. Administer the medication as ordered but hold the next day's dose.
D. Check the patient’s blood glucose prior to administering the medication.
B. Hold the dose and notify the doctor for further orders.
This type of diabetes NEEDS insulin.
What is Type 1
What is HHS?
The only hormone known for direct effect on lowering blood glucose levels
insulin
Which of the following insulins has non peak but a duration of 24 hours?
A. NPH
B. Novolog
C. Lantus
D. Humulin N
C. Lantus
A patient is scheduled to take 5 units of Humulin R and 10 units of NPH. What is the proper way of mixing these insulins?
A. These insulins cannot be mixed, therefore, should be drawn up in different syringes.
B. Draw-up the Humulin R insulin first and then the NPH insulin.
C. Draw-up 2.5 units of NPH, then 10 units of Humulin R, and then finish drawing up 2.5 units of NPH.
D. Draw-up the NPH insulin first and then the Humulin R insulin.
B. Draw-up the Humulin R insulin first and then the NPH insulin.
This complication has a faster onset, diagnosed with pH,7.35.
What is DKA
The type of complication is associated with Kussmaul's breathing
DKA
Action of insulin
promotes glucose uptake by cells
When is a patient most susceptible to hypoglycemic symptoms after the administration of insulin?
A. Onset
B. Peak
C. Duration
D. Duration and peak
B. Peak
*important to educate patients about not skipping meals*
Type 1 diabetics typically have the following clinical characteristics:
A. Thin, young with ketones present in the urine
B. Overweight, young with no ketones present in the urine
C. Thin, older adult with glycosuria
D. Overweight, adult-aged with ketones present in the urine
A. thin, young with ketone present in urine
physical symptoms of excess insulin
cold and clammy
Microvascular injuries related to hyperglycemia
neuropathies, nephropathies, retinopathies
A patient is NPO for surgery. They state they feel cold and clammy. You check the glucose and it is 52 What would the next nursing intervention be?
Administer dextrose 50% IV
You administered 5 units of Humalog at 0800. What is the ONSET and DURATION of this medication?
A. Onset: 15 minutes, Duration: 3 hours
B. Onset: 2 hours, Duration: 16 hours
C. Onset: 30 minutes, Duration: 1 hour
D. Onset: 2 hours, Duration: 24 hours
A. onset= 15 minutes; duration= 3 hours
A Type 2 diabetic may have all the following signs or symptoms EXCEPT:
A. Blurry vision
B. Ketones present in the urine
C. Glycosuria
D. Poor wound healing
B. ketones present in the urine
signs and symptoms of decreased glucose to the CNS
dizziness, disorientation, stupor, convulsions
Macrovascular injuries related to hyperglycemia
impaired circulation-- CAD, PVD, foot ulcers
Type 2 diabetic may have all the following signs or symptoms EXCEPT:
A. Blurry vision
B. Ketones present in the urine
C. Glycosuria
D. Poor wound healing
B. ketone in urine
Which of the following statements are INCORRECT about Diabetic Ketoacidoisis?
A. Extreme Hyperglycemia that presents with blood glucose >600 mg/dL
B. Ketones are present in the urine.
C. Metabolic acidosis is present with Kussmaul breathing.
D. Potassium levels should be at least 3.3 or higher during treatment of DKA with insulin therapy.
A. extreme hyperglucemia >600 = HHS
The _____ ______ secrete insulin which are located in the _______.
A. Alpha cells, liver
B. Alpha cells, pancreas
C. Beta cells, liver
D. Beta cells, pancreas
D. Beta cells, pancreas
a 36 y.o. M is a newly diagnosed with type 2 DM. What do you expect to be started initially?
diet and exercise regime