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Adult Health NR 325 Final Exam 1 Questions and Answers

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Adult Health NR 325 Final Exam 1 Questions and Answers What is the range of normal blood sugar? -Correct Answer= 70-100 mg/dL What is the purpose of giving basal insulin? -Correct Answer= to regulate blood glucose levels on a consistent basis What are the 3 P's of Diabetes? -Correct Answer= Pol...

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  • March 17, 2023
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Adult Health NR 325 Final Exam 1 Questions and Answers

What is the range of normal blood sugar? -Correct Answer= 70-100 mg/dL

What is the purpose of giving basal insulin? -Correct Answer= to regulate blood glucose
levels on a consistent basis

What are the 3 P's of Diabetes? -Correct Answer= Polydipsia
Polyuria
Polyphagia

Why is polyuria seen in diabetes? -Correct Answer= because your body is trying to get
rid of the extra glucose

Why is polydipsia seen in diabetes? -Correct Answer= because your body thinks its
dehydrated from all the urination

Why is polyphagia seen in diabetes? -Correct Answer= polyphagia means super hungry
People with diabetes are super hungry because there is no glucose being let into the
cells (which is what is needed to create energy/ATP) This makes the body think that it
needs more glucose

What are some signs that a person is experiencing diabetic keto acidosis? -Correct
Answer= -kussmaul respirations- rapidly blowing off excess CO2
-altered LOC (may seem intoxicated)
-increased potassium (because H+ is going into the cell, forcing potassium out of the
cell)
- the 3 P's
- sweet fruity smelling breath

What would be the first thing you would do for someone who is experiencing DKA?
Then what would you do? -Correct Answer= First give fluids (isotonic- NS 0.9%NaCl)
Then, give regular insulin by IV.

*Note that Regular insulin is the ONLY insulin that can be given by IV

What kind of compensation does the body do when someone is experiencing DKA?
why? -Correct Answer= they compensate via their respiratory system (deep, rapid
respirations) because when they are experiencing DKA they are in metabolic acidosis.

*This compensation occurs rapidly but, is not extremely effective and a therapeutic
approach is needed to help the problem

What is metformin used for? what is its MOA? -Correct Answer= It is used in diabetes
and it decreases hepatic glucose creation and increases insulin sensitivity

, What should be tried before metformin therapy? -Correct Answer= lifestyle changes

What makes insulin? -Correct Answer= beta cells in the pancreas

Stage 1 of DM Type I is AKA ____________________
How long does this stage last? -Correct Answer= honeymoon period lasts 3-12 months
after diagnosis

It is known as the honeymoon period because only a small amount of insulin is needed
because their are still beta cells creating insulin

What are the 3 stages of Type I DM for? -Correct Answer= They stand for beta cell
decline, meaning the more beta cells that are ruined, the less insulin is being produced
and then the more insulin is needed via medication.

If an individuals A1C is between 5.7%-6.4% they are in what category of diabetes?
-Correct Answer= Pre-diabetes because this is elevated but not high enough to be
labeled diabetes

What does A1C measure? -Correct Answer= amount of glucose on hemoglobin in the
blood

What range of 2 Hr GTT (2-hour glucose tolerance test) is considered pre-diabetic?
-Correct Answer= 140-199 mg/dL because this is elevated but not high enough to be
labeled diabetes

What range of intermittent fasting glucose is pre-diabetic? -Correct Answer= 100-125
mg/dL

What are the ranges for A1C, fasting blood glucose, random blood glucose and 2 Hr
GTT for someone with Type II DM? -Correct Answer= A1C- > 6.4
FBG- >/= 126 mg/dL
random BG- > 200 mg/dL
2 Hr GTT- >/= 200 mg/dL

Why is high fructose corn syrup bad? -Correct Answer= it tricks the brain because our
body cannot process it, which makes you crave more sugar and causes weight gain

Alcohol blocks ____________________________ -Correct Answer= Gluconeogenesis
causing low plasma glucose levels

When mixing insulins, what is the correct process? -Correct Answer= Air into cloudy
Air into clear
Draw up clear
Draw up cloudy

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