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NUR 112 Unit 3 Flashcards | StudBud
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NUR 112 Unit 3
NUR 112 Unit 3
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1
Which cell is responsible for the secretion of glucagon?
WBC
T Cell
Beta cell
Alpha cell
2
Which disease is an autoimmune disorder?
diabetes insipidus
diabetes type 2
diabetes type 1
gestational diabetes
3
Which pts are more likely to receive a new DM1 dx than a new DM2 dx? (select all)
A 14 yo European girl
11 yo baseball player
An obese 8 year old who loves video games
A healthy 45 yo African American man
4
Which is considered at high risk and should be checked frequently in a person with diabetes?
lower extremity joints
Feet & toes
Carotid pulse
Auditory canal
5
Risk factors for gestational diabetes include all of the following except:
family history of diabetes
previous history of hypertension
obesity
Older maternal age
6
Which medication is often used first for type 2 DM
Metoclopramide
Midazolam
Metformin
Metabolite
7
When teaching about medications, explain that all of the following EXCEPT ____ may aid in weight loss.
Liraglutide
Sitagliptin
Semaglutide
Dapagliflozin
8
Which pancreatic cells secrete glucagon?
gamma cells
iota cells
alpha cells
beta cells
9
When mixing insulin, which of the following statements is false
never mix long-acting insulin with others
some insulins can be mixed in the same syringe
if mixing intermediate and regular insulin, draw up the intermediate first
roll it, don't shake it
10
Factors precipitating DKA include all but:
overdose of insulin
eating too many proteins
failure to take insulin
extreme stress
11
In healthy patients, glucose is stored in the CNS
True
False
12
When explaining your pts dx, you tell them glucose is there but can’t enter their cells effectively. Pt is likely:
Malnourished
Insulin resistant
Insulin deficient
In DKA
13
Symptoms: extreme hyperglycemia, metabolic acidosis, ketones in serum
Gestational Diabetes
Metabolic Syndrome
HHS
DKA
14
What distinguishes HHS from the other complications of diabetes?
Dehydration
Confusion
Lack of ketosis
Extreme hyperglycemia
15
What category of insulin are Novolin N and Humulin N?
Short-acting
Long-acting
Intermediate
Rapid
16
Type 2 DM teaching includes:
Insulin is your only option
The body has become insulin resistant
The kidneys can no longer secrete cortisol
The pancreatic beta cells have been destroyed
17
Which of these brands is NEVER to be mixed with anything?
Humulin R
Novolog
Humalog Mix 50/50
Lantus
18
Which of the following are considered modifiable risk factors for DM2
Poor cholesterol
Ethnicity
BMI >26
Family hx of DM2
19
Primary treatment for DKA and HHS?
Fluid resuscitation and insulin therapy
Insulin and controlled diet
Potassium supplements and fluids
Fluid resuscitation and oral hypoglycemics
20
Kussmaul respirations are the body's response to:
respiratory acidosis
respiratory alkalosis
metabolic alkalosis
metabolic acidosis
21
A pt with blood sugar 98; Hemoglobin A1C 7.8 displays
good glycemic control today and over last 3 months
poor glycemic control today and over last 3 months
good glycemic control over last 3 months; poor control today
poor glycemic control over last 3 months; good control today
22
Pregnant women with type 1 diabetes are at higher risk for all except:
infection
Peristalsis
preeclampsia
ketosis
23
The care plan for a patient with diabetes includes all of the following except:
correcting blood lipid panel abnormalities
limiting salt intake
weight control
rigorous exercise
24
pt states that they consume 14 bottles of water a day & feel like they can't quench their thirst. This is described as
Polydipsia
Polyphagia
Polyuria
Pyelonephritis
25
How many types of diabetes are there?
4
3
1
2
26
Which organ is primarily responsible for BG regulation?
Appendix
Heart
Small intestines
Pancreas
27
Glargine/Lantus is what type of insulin?
Rapid
Long-acting
Intermediate
Short-acting
28
What does HHS stand for
hypertensive-hyperosmolar situation
hypotensive-hyperglycemic symptoms
hypoglycemic-hypertensive serum
hyperglycemic-hyperosmolar state
29
Give NPH at 6:00 a.m. When is highest risk of hypoglycemia?
9:00 a.m.
7:30 a.m.
7:00 a.m.
10:00 a.m.
30
What test/result, on two separate occasions, is used to diagnose type 2 diabetes?
AST of 20 U/L
A1C of 6.5% or greater
Insulin level <3.0%
Blood Glucose of 200 mg/dL or greater
31
The only insulin that can be given intravenously is:
Lantus
Regular
Humalog
NPH
32
Which of the following is the preferred site to inject insulin
abdomen
arm
thigh
buttocks
33
Which hormone in the body lowers blood glucose by allowing the cells to use it for energy.
insulin
estrogen
glucagon
cortisol
34
pre-prandial blood glucose
blood test before giving insulin
blood test before a meal
blood test before bedtime
blood test before eating sugar
35
Fruity breath for someone with DM likely means:
diabetic ketoacidosis (DKA)
hyperglycemic-hyperosmolar state (HHS)
nephrotic syndrome
Hypoglycemia
36
Insulin classifications include (select all)
Long-acting
Rapid
Intermediate
37
NPH insulin should be given
P.O. Capsules
IV Piggyback
Intramuscular Injection
Subcutaneous Injection
38
Which medication(s) stimulate(s) B cells to produce more insulin? (select all)
Glyburide
Glipizide
Glimepiride
Metformin
39
Symptoms: polyuria, polydipsia, dehydration, fatigue, weight loss, hunger
hypoglycemia
bovinemia
euglycemia
hyperglycemia
40
Your hypoglycemic patient likely has all of these symptoms except:
diaphoresis
fruity/sweet breath
irritability
reduced cognition
41
What happens naturally during the first 20 weeks of pregnancy?
drop in cortisol levels
decreased insulin release
increase in insulin production
decreased need for carbohydrates
42
Of the following, which is the best group of ways to manage DM
diet, exercise, oral hypoglycemics, insulin
oral antihistamines, DASH diet, exercise
oral hypoglycemics, high-carb diet, exercise
diet, chemotherapy, endogenous insulin
43
Pt with diabetes and hypertension. Which med causes most concern?
Calcium channel blocker
Beta Blocker
Angiotensin receptor blocker
ACE inhibitor
44
Type 2 DM pt admitted with pneumonia. Rationale for changing oral antidiabetic med to insulin for glucose control?
compromised beta cell fx - will need insulin from now on
Stress-related states increase risk of hyperglycemia
Acute illnesses like pneumonia will cause increased insulin resistance
insulin will help prevent hypoglycemia during illness