DKA/HHS
Aside from extreme elevation in blood glucose, what other profound symptom would a patient exhibit when presenting to the ER with suspected hyperosmolar hyperglycemic syndrome
What is Dehydration
What is anytime
True or False. These combined characteristics place you at risk for Diabetes Type 2. History of PCOS, Abdominal Obesity, BMI of 23.8%.
What is False.
BMI is not overweight, obese, or morbidly obese.
The nurse should provide education to clients with pancreatitis to take a fat soluble vitamin supplement. Which vitamin should the client supplement?
What is Vitamin A
True or False. Clients with acute pancreatitis should avoid Coffee and Chocolate.
What is true.
A client presents as this: 64-year-old, infection to the right foot, history of type II diabetes, and current blood glucose of 647 mg/dL. What is their medical diagnosis?
What is HHS
True or False. It is important to rotate injection sites at least an inch away from a previous injection site.
What is true
A client is carb counting to assist in the treatment of their Diabetes Type 2. How many grams of carbohydrates qualifies as one serving of carbohydrates?
What is 15 grams
These are the two most common causes of Pancreatitis in the United States
What is: Cholelithiasis and alcohol abuse
This is when pancreatic enzymes should be taken.
When assessing a client with DKA, these three assessment findings would be noted.
What is: Kussmaul respirations, tachycardia, orthostatic hypotention
A nurse assesses a client with diabetes mellitus and notes that the patient minimally responds to a sternal rub, has capillary blood glucose of 37 g/dL, and has an intravenous line that is infiltrated with antibiotics ordered. What action would the nurse take first?
What is administer glucagon IM
A client comes to the outpatient clinic experiencing elevated blood glucose in the AM. What teaching should the nurse provide to the patient to assist with monitoring the cause?
What is: check your blood glucose levels at 0200
A client reports BM that are pale and foul smelling. What is the client experiencing?
What is steatorrhea
The nurse notes bruising to the flank of a client with acute pancreatitis. The nurse should alert the physician and provide this other priority intervention.
What is ensure the client has a patent large bore IV catheter
This is the priority action by the nurse for the client experiencing DKA with Kussmaul respirations
What is: Administer regular insulin IV per DKA protocol
A client is awake and alert but shaky and sweaty. The nurse provides 125 ml orange juice to drink but the clients symptoms do not change. The nurse takes this action next.
What is give another 125 ml of Orange Juice
What is use a thermometer to test the bath water temperature
Persons discharged with a diagnosis of Pancreatitis should be encouraged to eat certain foods. What food is emphasized as most important to increase consumption of?
What is protein rich foods
A client is admitted to your unit with acute pancreatitis. Orders are placed for large bore IV placement, strict I&O, bed rest, and regular diet. What order should be questioned?
What is regular diet
The nurse is assessing a client admitted with diabetic ketoacidosis. This would be the nurse's highest priority in the plan of care.
What is: Acute Kidney Injury
A patient expresses to the nurse "I will never be able to inject myself with a needle". The nurse responds best by stating this.
What is: tell me what about the injection is concerning you
The newly diagnosed client reports difficulty seeing road signs when driving. The nurse understands this is an indicator of what complication?
What is retinopathy
Pancreatic cultures are positive for enterococcus. The nurse suspects acute necrotizing pancreatitis. The nurse will administer this medication, if that diagnosis is correct.
What is Imipenem
The nurse is caring for a client with severe acute pancreatitis. The nurse notes a half eaten bag of potato chips and a Starbucks coffee on the bedside table after the spouse arrived. The nurse should provide this education to the client and family.
What is avoid bringing outside food and beverage in to client.