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/. The nurse understands that the pathophys of type 1 DM is characterized by which of
the following? - 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? - Answer-HA, light headedness, slurred speech
s/s grouped into 2 categories: adrenergic sx and CNS sx. In moderate hypoglycemia,
the drop in blood glucose affects brain, resulting in HA, lightheadedness, and slurred
speech, as well as other sx that may include loss of consciousness, hunger,
tachycardia, and sweating
/.The nurse knows that which of the following is a normal fasting serum glucose level for
a pt of 18 y/o? - Answer-90 mg/dL
normal fasting serum glucose range for ages 2-18 is 60-100 mg/dL
/.glycosylated hemoglobin (HgbA1c) represents average blood glucose levels over a
period of approximately 2-3 mos. Which of the following would the nurse know to be a
normal level range indicating good maintenance of blood glucose over time? - Answer-
4-6% (indicates consistently near-normal blood glucose concentrations)
/.For an unconscious pt who is experiencing hypoglycemia in a health care facility, the
nurse would make what emergency management intervention? - Answer-25 to 50 mL of
dextrose 50% in water
In hospitals and EDs, for pts who are unconscious or cannot swallow, 25-50 mL of
D50W may be administered IV
/.T/F: insulin regimen typically involve a combination of short-acting and long-acting
insulin - Answer-T
normally functioning pancreas secretes insulin throughout the day in response to blood
glucose levels. Using a combination of short- and long-lasting insulin mimics this normal
pattern