NURS319 Final Exam Questions With 100%
Verified Answers
How is diabetes diagnosed? - answer✔-A1C of 7 or >
-fasting plasma glucose > or = 126 mg/dL
-2 hour plasma glucose level > or = to 200 mg/dL
-pt w/ polyuria, polydipsia, polyphagia, and unexplained weight loss or random plasma glucose
> 200 will be treated
what are the manifestations of diabetes? - answer✔-polyuria, polydipsia, polyphagia
-hyperglycemia
-unexplained weight loss
what is diabetes the leading cause of? - answer✔-End-stage renal disease
-Adult blindness
-Non-traumatic lower limb amputations
what are the complications of diabetes? - answer✔-heart disease
-hypertension
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-stroke
what should nutrition education be for someone with diabetes? - answer✔-eat at regular intervals
-should carb count
-coordinate diet with activity
-weight loss (if applicable)
-fruits and vegetables
what is the exercise education with pt with DM? - answer✔-consistent exercise
-walking 30 min/day for 5 days/week
-have snack before exercise, check BGM, keep simple carb on hand
-best done 1hr after meals or have 10-15g snack before
what is the nursing intervention for a patient with hyperglycemia? - answer✔-continue med
regimen
-check BGM fx
-increase fluids
-call provider
-check urine for ketones
what are the manifestations for hyperglycemia? - answer✔-hot dry skin
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-fruity breath
what are the manifestations for hypoglycemia? - answer✔-shakiness
-confusion
-profuse sweating
-palpitations
-headache
what is the rule of 15 for hypoglycemia? - answer✔-15g of simple carb (4-6oz of juice or soft
drink)
-recheck in 15 min
-if sustained give another 15g
-recheck in 15min
-repeat 2-3 doses, if unchanged call HCP
what is the emergency intervention for a pt with hypoglycemia? - answer✔-give 20-50 mL of
50% dextrose IV
-if no IV access & pt is unconscious give 1mg of glucagon IM or subQ
what is a rapid acting insulin? - answer✔aspart, lispro, gluisine
What is the onset for rapid acting insulin? - answer✔10-30 minutes
what is the peak for rapid acting insulin? - answer✔30 min to 3 hr