Skylar Hansen (DM, pediatric) With All The Correct Answers

Skylar Hansen (DM, pediatric) With All The Correct Answers The nurse understands that the pathophys of type 1 DM is characterized by which of the following? answer- destruction of pancreatic beta cells these cells are responsible for secretion of insulin. Type 2 DM is the result of impaired insulin production or insulin resistance which may be r/t necrosis of the pancreatic alpha cells The nurse would expect that a pt experiencing moderate hypoglycemia would exhibit which of the following sets of s/s? answer- HA, light headedness, slurred speech s/s grouped into 2 categories: adrenergic sx and CNS sx. In moderate hypoglycemia, the drop in blood glucose affects brain, resulting in HA, lightheadedness, and slurred speech, as well as other sx that may include loss of consciousness, hunger, tachycardia, and sweating The nurse knows that which of the following is a normal fasting serum glucose level for a pt of 18 y/o? answer- 90 mg/dL normal fasting serum glucose range for ages 2-18 is 60-100 mg/dL glycosylated hemoglobin (HgbA1c) represents average blood glucose levels over a period of approximately 2-3 mos. Which of the following would the nurse know to be a normal level range indicating good maintenance of blood glucose over time? answer- 4-6% (indicates consistently near-normal blood glucose concentrations) For an unconscious pt who is experiencing hypoglycemia in a health care facility, the nurse would make what emergency management intervention? answer- 25 to 50 mL of dextrose 50% in water In hospitals and EDs, for pts who are unconscious or cannot swallow, 25-50 mL of D50W may be administered IV T/F: insulin regimen typically involve a combination of short-acting and long-acting insulin answer- T normally functioning pancreas secretes insulin throughout the day in response to blood glucose levels. Using a combination of short- and long-lasting insulin mimics this normal pattern The nurse would educate the patient that which of the following factors increase risk of developing type 2 DM? answer- family hx HTN obesity race/ethnicity, age, previously impaired fasting glucose or impaired glucose tolerance, HDL /= 35, and/or triglyceride /= 250, and hx of gestational diabetes are all risk factors the nurse understands that diabetes can lead to which of the following long-term complications?