vsim case 5 Skylar Hansen
when providing the pt education for skyler, it is important for the nurse to emphasize the
peak effect times for insulin. The expected peak for regular insulin is which of the
following? - CORRECT ANSWER-2-3 hrs after injecting
subQ intermediate insulin has peak of 4-15 hrs after injection
long acting has peak of 10-30 hrs after injection
the nurse realizes additional pt education is required when skyler makes which of the
following statements? - CORRECT ANSWER-"i will make sure to eat one snack per
day"
which of the following does the nurse recognize as the major, acute complications of
diabetes? - CORRECT ANSWER-DKA
hypoglycemia
hyperglycemic hyperosmolar syndrome
the nurse understands that diabetes can lead to which of the following long-term
complications? - CORRECT ANSWER-CV disease
blindness
renal disease
peripheral neuropathy
atherosclerotic changes leading to CV disease develops at an earlier age in pts w/
diabetes. Most pts w/ diabetes have some degree of retinopathy after 20 yrs, which can
lead to blindness. Nephropathy, or kidney disease secondary to microvascular changes
in the kidneys, is a common complication that develops over 10-15 yrs. Peripheral
neuropathy increases w/ age of pt and duration of diabetes. DKA is an acute, short-term
complication from inadequate insulin.
The nurse understands that the pathophys of type 1 DM is characterized by which of the
following? - CORRECT ANSWER-destruction of pancreatic beta cells
these cells are responsible for secretion of insulin. Type 2 DM is the result of impaired
insulin production or insulin resistance which may be r/t necrosis of the pancreatic alpha
cells
The nurse would expect that a pt experiencing moderate hypoglycemia would exhibit
which of the following sets of s/s? - CORRECT ANSWER-HA, light headedness, slurred
speech
when providing the pt education for skyler, it is important for the nurse to emphasize the
peak effect times for insulin. The expected peak for regular insulin is which of the
following? - CORRECT ANSWER-2-3 hrs after injecting
subQ intermediate insulin has peak of 4-15 hrs after injection
long acting has peak of 10-30 hrs after injection
the nurse realizes additional pt education is required when skyler makes which of the
following statements? - CORRECT ANSWER-"i will make sure to eat one snack per
day"
which of the following does the nurse recognize as the major, acute complications of
diabetes? - CORRECT ANSWER-DKA
hypoglycemia
hyperglycemic hyperosmolar syndrome
the nurse understands that diabetes can lead to which of the following long-term
complications? - CORRECT ANSWER-CV disease
blindness
renal disease
peripheral neuropathy
atherosclerotic changes leading to CV disease develops at an earlier age in pts w/
diabetes. Most pts w/ diabetes have some degree of retinopathy after 20 yrs, which can
lead to blindness. Nephropathy, or kidney disease secondary to microvascular changes
in the kidneys, is a common complication that develops over 10-15 yrs. Peripheral
neuropathy increases w/ age of pt and duration of diabetes. DKA is an acute, short-term
complication from inadequate insulin.
The nurse understands that the pathophys of type 1 DM is characterized by which of the
following? - CORRECT ANSWER-destruction of pancreatic beta cells
these cells are responsible for secretion of insulin. Type 2 DM is the result of impaired
insulin production or insulin resistance which may be r/t necrosis of the pancreatic alpha
cells
The nurse would expect that a pt experiencing moderate hypoglycemia would exhibit
which of the following sets of s/s? - CORRECT ANSWER-HA, light headedness, slurred
speech
