NUR214 Diabetes case study
Study online at https://quizlet.com/_dep50t
1. The nurse would educate the patient Family history, obesity, race/ethnicity, age, previ-
that which of the following factors in- ously impaired fasting glucose or impaired glu-
crease the risk of developing type 2 dia- cose tolerance, hypertension, HDL = 35, and/or
betes? (Select all that apply.) triglyceride = 250, and a history of gestational
diabetes are all risk factors.
Remediation:
Brunner & Suddarth's Textbook of Medical-Sur-
gical Nursing, 14th Edition, p. 1457
2. For an unconscious patient who is ex- Your Response:Glucagon 10 mg IM
periencing hypoglycemia in a health Correct Response:25 to 50 mL of dextrose 50% in
care facility, the nurse would make what water
emergency management intervention? Rationale:In hospitals and emergency depart-
ments, for patients who are unconscious or can-
not swallow, 25 to 50 mL of dextrose 50% in water
(D50W) may be administered IV.
Remediation:Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 14th Edition, p. 1482
3. The nurse knows that which of the fol- Your Response:60 mg/dL
lowing is a normal fasting serum glu- Correct Response:90 mg/dL
cose level for a patient 18 years of age? Rationale:A normal fasting serum glucose range
for ages 2 to 18 years of age is 60 to 100 mg/dL.
Remediation:Lippincott Advisor: Fasting plasma
glucose level test: CD.978-1-58255-514-0.chap-
ter186
4. 4Glycosylated hemoglobin (HgbA1C) The HgbA1C normal values range from 4% to
represents average blood glucose lev- 6% and indicate consistently near-normal blood
els over a period of approximately 2 to glucose concentrations.
3 months. Which of the following would Remediation:
the nurse know to be a normal level
1/7
, NUR214 Diabetes case study
Study online at https://quizlet.com/_dep50t
range indicating good maintenance of Brunner & Suddarth's Textbook of Medical-Sur-
blood glucose over time? gical Nursing, 14th Edition, p. 1467
5. The nurse understands that diabetes Correct Response: Blindness, Peripheral neu-
can lead to which of the following ropathy Renal disease, Cardiovascular disease.
long-term complications? (Select all that Rationale:Atherosclerotic changes leading to car-
apply.) diovascular disease develops at an earlier age in
patients with diabetes. Most patients with dia-
betes have some degree of retinopathy after 20
years, which can lead to blindness. Nephropa-
thy, or kidney disease secondary to microvascular
changes in the kidney, is a common complication
that develops over 10 to 15 years. Peripheral
neuropathy increases with the age of the patient
and the duration of diabetes. Diabetic ketoaci-
dosis is an acute, short-term complication from
inadequate insulin.
Remediation:Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 14th Edition, pp.
1488-1496
6. The nurse understands that the patho- Your Response:Impaired insulin production
physiology of type 1 diabetes is charac- Correct Response:Destruction of pancreatic beta
terized by which of the following? cells
Rationale:Type 1 diabetes is characterized by the
destruction of the pancreatic beta cells which are
responsible for the secretion of insulin. Type 2
diabetes is the result of impaired insulin produc-
tion or insulin resistance which may be related to
necrosis of the pancreatic alpha cells.
Remediation:Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 14th Edition, p. 1458
2/7
Study online at https://quizlet.com/_dep50t
1. The nurse would educate the patient Family history, obesity, race/ethnicity, age, previ-
that which of the following factors in- ously impaired fasting glucose or impaired glu-
crease the risk of developing type 2 dia- cose tolerance, hypertension, HDL = 35, and/or
betes? (Select all that apply.) triglyceride = 250, and a history of gestational
diabetes are all risk factors.
Remediation:
Brunner & Suddarth's Textbook of Medical-Sur-
gical Nursing, 14th Edition, p. 1457
2. For an unconscious patient who is ex- Your Response:Glucagon 10 mg IM
periencing hypoglycemia in a health Correct Response:25 to 50 mL of dextrose 50% in
care facility, the nurse would make what water
emergency management intervention? Rationale:In hospitals and emergency depart-
ments, for patients who are unconscious or can-
not swallow, 25 to 50 mL of dextrose 50% in water
(D50W) may be administered IV.
Remediation:Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 14th Edition, p. 1482
3. The nurse knows that which of the fol- Your Response:60 mg/dL
lowing is a normal fasting serum glu- Correct Response:90 mg/dL
cose level for a patient 18 years of age? Rationale:A normal fasting serum glucose range
for ages 2 to 18 years of age is 60 to 100 mg/dL.
Remediation:Lippincott Advisor: Fasting plasma
glucose level test: CD.978-1-58255-514-0.chap-
ter186
4. 4Glycosylated hemoglobin (HgbA1C) The HgbA1C normal values range from 4% to
represents average blood glucose lev- 6% and indicate consistently near-normal blood
els over a period of approximately 2 to glucose concentrations.
3 months. Which of the following would Remediation:
the nurse know to be a normal level
1/7
, NUR214 Diabetes case study
Study online at https://quizlet.com/_dep50t
range indicating good maintenance of Brunner & Suddarth's Textbook of Medical-Sur-
blood glucose over time? gical Nursing, 14th Edition, p. 1467
5. The nurse understands that diabetes Correct Response: Blindness, Peripheral neu-
can lead to which of the following ropathy Renal disease, Cardiovascular disease.
long-term complications? (Select all that Rationale:Atherosclerotic changes leading to car-
apply.) diovascular disease develops at an earlier age in
patients with diabetes. Most patients with dia-
betes have some degree of retinopathy after 20
years, which can lead to blindness. Nephropa-
thy, or kidney disease secondary to microvascular
changes in the kidney, is a common complication
that develops over 10 to 15 years. Peripheral
neuropathy increases with the age of the patient
and the duration of diabetes. Diabetic ketoaci-
dosis is an acute, short-term complication from
inadequate insulin.
Remediation:Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 14th Edition, pp.
1488-1496
6. The nurse understands that the patho- Your Response:Impaired insulin production
physiology of type 1 diabetes is charac- Correct Response:Destruction of pancreatic beta
terized by which of the following? cells
Rationale:Type 1 diabetes is characterized by the
destruction of the pancreatic beta cells which are
responsible for the secretion of insulin. Type 2
diabetes is the result of impaired insulin produc-
tion or insulin resistance which may be related to
necrosis of the pancreatic alpha cells.
Remediation:Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 14th Edition, p. 1458
2/7
