Examl 2:l NUR242l /l NURl 242l (Latestl
2025/l 2026l Update)l Medical-Surgicall
Nursingl Conceptsl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen
Q:l Typel 1l Diabetesl s/sl (3l P's)
Answer:
Onsetl usuallyl youngerl thanl 30l yearsl old,l Abruptl onset,l thirst,l hunger,l increasedl urinel
output,l weightl loss
pancreaticl beta-celll destruction
insulinl dependent
Polydipsia
Polyphagia
Polyuria
Q:l Typel IIl Diabetesl s/s
Answer:
Peak'sl inl 50's,l mayl occurl earlier,l frequentlyl nol symptoms
-l canl presentl withl thirst,l fatigue,l blurredl vision,l vascularl orl neurall complications
-l dysfunctionall pancreaticl beta-cells
-l insulinl neededl forl 20-30%l ofl patients
Q:l Hypoglycemial Symptoms
Answer:
Shaky,l fastl heartbeat,l sweating,l dizzy,l anxious,l hungry,l blurredl vision,l weaknessl orl
fatigue,l headache,l irritable
,Q:l Hypoglycemial treatment
Answer:
checkl bloodl sugar,l takingl 30l tol 4l glucosel tabletsl orl hardl candiesl youl chewl quicklyl
suchl asl
-l peppermintl orl byl drinkingl 4l ouncesl ofl fruitl juicel orl 1/2l canl ofl regularl sodl a
-l recheckl bloodl sugarl afterl 15l minutes.l Ifl stilll low,l treatl again
Q:l Hyperglycemial symptoms
Answer:
Extremel thirst,l needl tol urinatel often,l dryl skin,l hungry,l blurredl vision,l drowsy,
Q:l typel 2l diabetes
Answer:
insulinl resistance
Q:l Typel 1l diabetes
Answer:
insulinl dependent
Q:l Dawnl phenomenon
Answer:
Earlyl morningl glucosel elevationl producedl byl thel releasel ofl growthl hormone,l whichl
decreasesl peripherall uptakel ofl glucosel resultingl inl elevatedl morningl glucosel levels.l
Adminl ofl NPHl insulinl atl al laterl timel inl dayl willl coordinatel insulinl peakl withl thel
hormonel release.
Q:l Somogyil phenomenon
, Answer:
Al reboundl phenomenonl thatl occursl inl clientsl withl typel 1l diabetesl mellitus.l Normall orl
elevatedl bloodl glucosel levelsl arel presentl atl bedtime;l hypoglycemial occursl atl aboutl 2l tol
3l am.
Counterregulatoryl hormones,l producedl tol preventl furtherl hypoglycemia,l resultl inl
hyperglycemial (evidentl inl thel prebreakfastl bloodl glucosel level).l Treatmentl includesl
decreasingl thel eveningl (predinnerl orl bedtime)l dosel ofl intermediatel actingl insulinl orl
increasingl thel bedtimel snack.
Q:l 3l S'sl thatl raisel bloodl glucose
Answer:
stress,l surgery,l steroids
Q:l Treatmentl ofl mildl hypoglycemia
Answer:
BSl lessl thenl 70
-l 15gl ofl carbohyrates
-l glucosel tablets
-l 120mll ofl fruitl juicel orl softl drink
-l 240mll ofl skiml milk
-l 6l tol 10l candies
-l 4l cubesl ofl sugar
-l 6l saltines
-l 3l graml crackers
-l 1l tbspl ofl honeyl orl syrup
Q:l metformin
Answer:
helpl musclesl utilizel glucose
reducesl productionl ofl glucosel byl liver
slowsl carbl absorptionl inl intestines
2025/l 2026l Update)l Medical-Surgicall
Nursingl Conceptsl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen
Q:l Typel 1l Diabetesl s/sl (3l P's)
Answer:
Onsetl usuallyl youngerl thanl 30l yearsl old,l Abruptl onset,l thirst,l hunger,l increasedl urinel
output,l weightl loss
pancreaticl beta-celll destruction
insulinl dependent
Polydipsia
Polyphagia
Polyuria
Q:l Typel IIl Diabetesl s/s
Answer:
Peak'sl inl 50's,l mayl occurl earlier,l frequentlyl nol symptoms
-l canl presentl withl thirst,l fatigue,l blurredl vision,l vascularl orl neurall complications
-l dysfunctionall pancreaticl beta-cells
-l insulinl neededl forl 20-30%l ofl patients
Q:l Hypoglycemial Symptoms
Answer:
Shaky,l fastl heartbeat,l sweating,l dizzy,l anxious,l hungry,l blurredl vision,l weaknessl orl
fatigue,l headache,l irritable
,Q:l Hypoglycemial treatment
Answer:
checkl bloodl sugar,l takingl 30l tol 4l glucosel tabletsl orl hardl candiesl youl chewl quicklyl
suchl asl
-l peppermintl orl byl drinkingl 4l ouncesl ofl fruitl juicel orl 1/2l canl ofl regularl sodl a
-l recheckl bloodl sugarl afterl 15l minutes.l Ifl stilll low,l treatl again
Q:l Hyperglycemial symptoms
Answer:
Extremel thirst,l needl tol urinatel often,l dryl skin,l hungry,l blurredl vision,l drowsy,
Q:l typel 2l diabetes
Answer:
insulinl resistance
Q:l Typel 1l diabetes
Answer:
insulinl dependent
Q:l Dawnl phenomenon
Answer:
Earlyl morningl glucosel elevationl producedl byl thel releasel ofl growthl hormone,l whichl
decreasesl peripherall uptakel ofl glucosel resultingl inl elevatedl morningl glucosel levels.l
Adminl ofl NPHl insulinl atl al laterl timel inl dayl willl coordinatel insulinl peakl withl thel
hormonel release.
Q:l Somogyil phenomenon
, Answer:
Al reboundl phenomenonl thatl occursl inl clientsl withl typel 1l diabetesl mellitus.l Normall orl
elevatedl bloodl glucosel levelsl arel presentl atl bedtime;l hypoglycemial occursl atl aboutl 2l tol
3l am.
Counterregulatoryl hormones,l producedl tol preventl furtherl hypoglycemia,l resultl inl
hyperglycemial (evidentl inl thel prebreakfastl bloodl glucosel level).l Treatmentl includesl
decreasingl thel eveningl (predinnerl orl bedtime)l dosel ofl intermediatel actingl insulinl orl
increasingl thel bedtimel snack.
Q:l 3l S'sl thatl raisel bloodl glucose
Answer:
stress,l surgery,l steroids
Q:l Treatmentl ofl mildl hypoglycemia
Answer:
BSl lessl thenl 70
-l 15gl ofl carbohyrates
-l glucosel tablets
-l 120mll ofl fruitl juicel orl softl drink
-l 240mll ofl skiml milk
-l 6l tol 10l candies
-l 4l cubesl ofl sugar
-l 6l saltines
-l 3l graml crackers
-l 1l tbspl ofl honeyl orl syrup
Q:l metformin
Answer:
helpl musclesl utilizel glucose
reducesl productionl ofl glucosel byl liver
slowsl carbl absorptionl inl intestines
