MCCN SDAP X - Med-Surg Exam 2 with
verified answers rated A+ updated
Risk factors for DM2 - correct answer ✔✔Parent or sibling with DM2, Obesity, sedentary
lifestyle, ethnicity/race, history of GDM or delivery of a baby >9lbs, HTN.
Absence of insulin - correct answer ✔✔Fruity breath, Kussmaul respirations, acidosis,
hyperglycemia (related S/S)
DKA - correct answer ✔✔Occurs with DM1, sudden onset, fruity breath
Hyperglycemic-Hyperosmolar State(HHS) - correct answer ✔✔Occurs with DM2 has a gradual
onset, give IV insulin, fluids (hot and dry, dehydrated)
Chronic complications of diabetes - correct answer ✔✔Vascular disease, retinopathy,
nephropathy, neuropathy
Metabolic syndrome - correct answer ✔✔Simultaneous presence of metabolic factors known to
increase risk for developing DM2 and CVD
DM1 - correct answer ✔✔Will need insulin replacement forever, cannot take oral anti diabetic
meds (too slow), typically require less insulin, more susceptible to hypoglycemia.
Insulin pump therapy - correct answer ✔✔Uses short-acting insulin but releases a small amount
every few minutes and then larger amounts with food
, DM2 - correct answer ✔✔Insulin resistance. Fasting glucose >126, OGTT >200 2h after oral
glucose, often associated with HTN, hyperlipidemia, and CVD.
Glucocorticoid induced hyperglycemia - correct answer ✔✔Corticosteroids may induce
diabetes, especially in those who possess risk factors. This is a prolonged form of stress
hyperglycemia often seen in the hospital setting.
Diabetic foot ulcers - correct answer ✔✔Occurs in 15% of all patients with DM, major increase
in amputations and mortality among DM patients.
Hypoglycemia S/S - correct answer ✔✔Change in LOC, diaphoresis, tremors, fatigue, cold and
clammy gimme candy (15g CHO/15 min)
Hyperglycemia S/S - correct answer ✔✔Hot and dry = sugar high
Hyperglycemia interventions for DM1 - correct answer ✔✔Adjust insulin, test urine for ketones,
call physician
Hyperglycemia interventions for DM2 - correct answer ✔✔Increase fluid intake, mild exercise, if
glucose >400 call physician
Diagnostic Criteria for Diabetes - correct answer ✔✔A1C = 6.5 or above
Fasting glucose = 126 or above
OGTT = 200 or above
Diagnostic Criteria for Prediabetes - correct answer ✔✔A1C = 5.7-6.4
Fasting glucose = 100-125
OGTT = 140-199
verified answers rated A+ updated
Risk factors for DM2 - correct answer ✔✔Parent or sibling with DM2, Obesity, sedentary
lifestyle, ethnicity/race, history of GDM or delivery of a baby >9lbs, HTN.
Absence of insulin - correct answer ✔✔Fruity breath, Kussmaul respirations, acidosis,
hyperglycemia (related S/S)
DKA - correct answer ✔✔Occurs with DM1, sudden onset, fruity breath
Hyperglycemic-Hyperosmolar State(HHS) - correct answer ✔✔Occurs with DM2 has a gradual
onset, give IV insulin, fluids (hot and dry, dehydrated)
Chronic complications of diabetes - correct answer ✔✔Vascular disease, retinopathy,
nephropathy, neuropathy
Metabolic syndrome - correct answer ✔✔Simultaneous presence of metabolic factors known to
increase risk for developing DM2 and CVD
DM1 - correct answer ✔✔Will need insulin replacement forever, cannot take oral anti diabetic
meds (too slow), typically require less insulin, more susceptible to hypoglycemia.
Insulin pump therapy - correct answer ✔✔Uses short-acting insulin but releases a small amount
every few minutes and then larger amounts with food
, DM2 - correct answer ✔✔Insulin resistance. Fasting glucose >126, OGTT >200 2h after oral
glucose, often associated with HTN, hyperlipidemia, and CVD.
Glucocorticoid induced hyperglycemia - correct answer ✔✔Corticosteroids may induce
diabetes, especially in those who possess risk factors. This is a prolonged form of stress
hyperglycemia often seen in the hospital setting.
Diabetic foot ulcers - correct answer ✔✔Occurs in 15% of all patients with DM, major increase
in amputations and mortality among DM patients.
Hypoglycemia S/S - correct answer ✔✔Change in LOC, diaphoresis, tremors, fatigue, cold and
clammy gimme candy (15g CHO/15 min)
Hyperglycemia S/S - correct answer ✔✔Hot and dry = sugar high
Hyperglycemia interventions for DM1 - correct answer ✔✔Adjust insulin, test urine for ketones,
call physician
Hyperglycemia interventions for DM2 - correct answer ✔✔Increase fluid intake, mild exercise, if
glucose >400 call physician
Diagnostic Criteria for Diabetes - correct answer ✔✔A1C = 6.5 or above
Fasting glucose = 126 or above
OGTT = 200 or above
Diagnostic Criteria for Prediabetes - correct answer ✔✔A1C = 5.7-6.4
Fasting glucose = 100-125
OGTT = 140-199
