VSIM Scenario 5 Skyler Hansen Diabetes Pretest
1. a) Destruction of pancreatic beta 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 production 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: The nurse understands that the pathophysiology of type 1 diabetes is characterized
by which of the following?
a) Destruction of pancreatic beta cells
b) Insulin resistance
c) Necrosis of pancreatic alpha cells
d) Impaired insulin production
2. b) TRUE
Rationale:The normally functioning pancreas secretes insulin throughout the day in
response to the blood glucose levels. Using a combination of short- and long-lasting
insulin mimics this normal pattern.
Remediation:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th Edition,
pp. 1468-1469: Is the following statement true or false? Insulin regimens typically involve
combination of short-acting and long-acting insulin.
a) FALSE
b) TRUE
3. a) 25 to 50 mL of dextrose 50% in water
Rationale:In hospitals and emergency departments, for patients who are un- consciou
or cannot 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:
For an unconscious patient who is experiencing hypoglycemia in a health care facility, the
nurse would make what emergency management intervention?
a) 25 to 50 mL of dextrose 50% in water
b) 2 to 3 teaspoons of honey
c) IV bolus of 500mL D5W over 30 minutes
d) Glucagon 10 mg IM
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1. a) Destruction of pancreatic beta 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 production 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: The nurse understands that the pathophysiology of type 1 diabetes is characterized
by which of the following?
a) Destruction of pancreatic beta cells
b) Insulin resistance
c) Necrosis of pancreatic alpha cells
d) Impaired insulin production
2. b) TRUE
Rationale:The normally functioning pancreas secretes insulin throughout the day in
response to the blood glucose levels. Using a combination of short- and long-lasting
insulin mimics this normal pattern.
Remediation:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th Edition,
pp. 1468-1469: Is the following statement true or false? Insulin regimens typically involve
combination of short-acting and long-acting insulin.
a) FALSE
b) TRUE
3. a) 25 to 50 mL of dextrose 50% in water
Rationale:In hospitals and emergency departments, for patients who are un- consciou
or cannot 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:
For an unconscious patient who is experiencing hypoglycemia in a health care facility, the
nurse would make what emergency management intervention?
a) 25 to 50 mL of dextrose 50% in water
b) 2 to 3 teaspoons of honey
c) IV bolus of 500mL D5W over 30 minutes
d) Glucagon 10 mg IM
1/4
