Duplicate of Canale Lecture 2 review

Question 1

A glucose level drop of 10% in the first hour of insulin administration is a positive response for a patient in DKA?

Accepted Answer

True

Question 2

When providing education regarding lifestyle changes, what should we include? (select all)

Accepted Answer

Smoking cessation, Weight management, Exercise

Question 3

Which are considered clinical manifestations of type 2 DM? (Select all)

Accepted Answer

Visual disturbances, Fatigue, Poor wound healing

Question 4

If administering insulin to decrease hyperglycemia, administering bicarbonate is also a priority

Accepted Answer

True

Question 5

The nurse documents glucose in the urine as

Accepted Answer

Glucosuria

Question 6

Which of the following is secreted from the adrenal medulla?

Accepted Answer

Epinephrine

Question 7

A priority intervention in a patient with HHS is fluid replacement?

Accepted Answer

True

Question 8

If a patient presents with DKA, care should be taken to manage metabolic alkalosis

Accepted Answer

False

Question 9

The use of sodium bicabonate to correct acidosis can precipate a further drop in potassium levels

Accepted Answer

True

Question 10

What education should you provide to a patient to prevent DKA?

Accepted Answer

Check for urine ketones if blood glucose > 240, Drink sports drinks if not able to eat

Question 11

Should a patient skip insulin doses if they are vomiting?

Accepted Answer

False

Question 12

Which safety measure is the most important for the nurse to institute for a patient with cushings disease?

Accepted Answer

Using a lift sheet to change the patients position

Question 13

What are key findings with DKA?

Accepted Answer

Positive anion gap, Serum bicarb level less than 18

Question 14

What is measured by the HbgA1c test?

Accepted Answer

Average blood glucose concentration over time

Question 15

An anion gap of 15 is normal

Accepted Answer

False

Question 16

The nurse notes that which disorder places the patient at greatest risk of hypertensive crisis?

Accepted Answer

Pheochromocytoma

Question 17

What electrolyte is critical to treat/ monitor in a patient with DKA?

Accepted Answer

Potassium

Question 18

The following may be present in DKA, select all

Accepted Answer

Stupor, Smell of acetone, Kussmaul breathing

Question 19

Which statement indicates a need for further teachinging after a bilateral adrenalectomy?

Accepted Answer

If I have nausea/ vomiting, I will skip the medication until it is resolved

Question 20

What insulin would you anticipate giving to provide a stable level of blood glucose?

Accepted Answer

Insulin Glargine

Question 21

What is the most likely cause of the Somogyi effect?

Accepted Answer

Basal insulin injections before bed without a snack

Question 22

A patient in HHS will present with (select all)

Accepted Answer

High serum osmolality, Blood glucose level of 600 mg/dL or higher

Question 23

Would you expect to see polycythemia in a patient in HHS?

Accepted Answer

False

Question 24

The following may be demonstrated in HHS, select all

Accepted Answer

Tachycardia, Thirst, Hypotension

Question 25

What are key educational points to provide to patients to prevent DKA?

Accepted Answer

Stay well hydrated, Check your insulin levels more frequent when sick

Question 26

HHS has a higher mortality rate than DKA?

Accepted Answer

True

Question 27

The function of the adrenal glands is under the control of what?

Accepted Answer

Anterior pituitary gland

Question 28

In a diabetic patient, numbness, tingling, and pain in the hands and feet are all symptoms of what?

Accepted Answer

Diabetic peripheral neuropathy

Question 29

Which of the following actions is caused by secretion of mineralacorticoids?

Accepted Answer

Sodium reabsorption

Duplicate of Canale Lecture 2 review

Questions 29

Duplicate of Canale Lecture 2 review

Questions 29