NURS 623 Exam2_CaryReview+Questions.

NURS 623 Exam2_CaryReview+Questions.• Know what effects exercise and diet have on the body, on blood glucose, blood pressure, cholesterol A patient with type 2 diabetes asks the clinician why she needs to exercise. In order to answer her, the clinician must understand that exercise has what effect on the patient with type 2 diabetes? a. Reduces postprandial blood glucose b. Reduces triglycerides and increases high-density lipoprotein (HDL) c. Reduces total cholesterol d. All of the above • Know the frequency in which you would perform a foot exam on a DM patient How often should the clinician examine the feet of a person with diabetes? a. Once a year b. Every 6 months c. Every 3 months d. Every visit • Know the diferenece in addsions, cushings and graves disease and s/s pts will exhibit, and Understand the patho related to the disease process Addisons: -Need to ADD cortisol o Inadequate amount of hormones produced by the adrenal glands o Cortisol and sometimes aldosterone for this disease o GI  Diarrhea, nausea, vomiting, weight loss d/t loss of appetite o Derm  Paleness or darkening of skin in places that causes the skin to have a patchy appearance o Other  Muscle weakness, fatigue, slow or sluggish movement, hypoglycemia, low blood pressure, fainting, and salt craving Cushings: -Have a CUSHION of cortisol  Cushing’s Disease o ACTH-Dependent: o Related to excess ACTH caused by pituitary adenoma causes adrenal cortex to over secrete cortisol