NUR 3225 Exam 1 Review | Questions and Answers 2024
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Course
Nursing
Institution
Nursing
NUR 3225 Exam 1 Review | Questions and Answers 2024
1. A patient with type I diabetes mellitus would present with the following symptoms and history:: 6 yr old underweight female with abrupt onset of poly- dipsia, polyphagia, and polyuria with presence of islet cell antibodies.
2. A patient wi...
NUR 3225 Exam 1 Review | Questions and Answers 2024
1. A patient with type I diabetes mellitus would present with the following symptoms and history::
6 yr old underweight female with abrupt onset of poly- dipsia, polyphagia, and polyuria with
presence of islet cell antibodies.
2. A patient with type II diabetes mellitus would present with the following symptoms and history:: A
35 year old male whose BMI is 37.8 and fasting glucose comes back 156. A subsequent hgba1c
comes back at 6.9%. When questioned, the patient admits to a family history of father,
grandmother, and 2 sisters who have "sugar issues".
3. All of the following are key differentiating factors between DKA and HHS EXCEPT::: DKA - sx
mimic stroke, mild dehydration occurs
HHS - Kussmaul respirations, fruity breath, dehydration
4. With both DKA and HHS, it is crucial to maintain which of the following interventions EXCEPT::
Allow the patient to sleep uninterrupted because their body is in a high metabolic state and
they need their rest.
5. What foods are most appropriate for diabetic patients?: A diet high in protein and vegetables
that limits carbs and sugars.
6. S/S of hypoglycemia:: shakiness, diaphoresis, anxiety, nervousness, hunger, pallor,
tachycardia, increased BP, altered mental status, H/A, visual changes
7. S/S of hyperglycemia: polyuria, polydipsia, polyphagia, dry skin, paresthesia, delayed wound
healing
8. Which blood sugar variation is the most dangerous and must be considered priority?:
Hypoglycemia
9. A patient is found unconscious with a fingerstick blood glucose of 19. What is the quickest and
safest way to raise their blood sugar?: Administer 1 amp of D50 IVP
10.Metformin, a 1st line oral diabetic medication, is contraindicated in all of the following
situations EXCEPT:: Patients whose BMI is above normal.
11.Insulin can be given in the following routes:: IV or SC
12.Somogyi Effect is caused by high doses of insulin that causes hypo- glycemia during the night
between the hours of 2 - 4 am that occurs secondary to a stress response from the release of epi &
NE. How should this drop in BG be managed?: Give a bedtime snack & reduce the dose of insulin.
13.Dawn Effect occurs during the predawn hours when counterregulatory hormones (GH & cortisol)
are released and results in morning hyperglycemia upon awakening. How should this elevation in BG
be managed?: Increase insulin or adjust administration time.
14. A wife brings her husband into the ED stating his breath smells fruity. Upon assessment, you
visualize Kussmaul respirations. You perform a fingerstick
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