VSIM
1. Glycosylated hemoglobin
4-6% (indicates consistently near-normal blood
(HgbA1C) represents average
glucose concentrations).
blood glucose levels over a
Rationale: The HgbA1C normal values range
period of approximately 2 to
from 4% to 6% and indicate consistently near-
3 months. Which of the
normal blood glu- cose concentrations
following would the nurse
know to be a normal lev-
el range indicating good
mainte- nance of blood
glucose over time? Obesity
Family
2. The nurse would educate the
history
pa- tient that which of the
following
factors increase the risk of develop- Hypertension.
ing type 2 diabetes? (Select Rationale: Family history, obesity, race/ethnicity,
all that apply.) age, previously impaired fasting glucose or
HDL cholesterol >36mmol impaired glu- cose tolerance, hypertension, HDL =
Obesity 35, and/or triglyc- eride = 250, and a history of
Family history gestational diabetes are all risk factors.
Decreased
triglycerides
Hypertension
Destruction of pancreatic beta cells.
3. The nurse understands that Rationale: Atherosclerotic changes leading to
the pathophysiology of type cardio- vascular disease develops at an earlier
1 DM is characterized by age in patients with diabetes. Most patients
which of the fol- lowing? with diabetes have some degree of retinopathy
after 20 years, which can lead to blindness.
Nephropathy, or kidney disease secondary to
microvascular changes in the kidney, is a
common complication that develops over 10 to 15
1/
10
, Skylar Hansen (Post-test VSIM), Skylar Hansen pre-test
VSIM
years. Periph- eral neuropathy increases with the
age of the patient and the duration of diabetes.
Diabetic ketoacidosis is an acute, short-term
complication from inadequate insulin.
2/
10