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NUR 325 - Final Exam Questions And Correct Answers
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NUR 325 - Final Exam Questions And CorrectAnswers 2024-2025
A newly diagnosed pt. with diabetes is receiving teaching about signs and symptoms of
hypoglycemia. The following is NOT a sign of hypoglycemia: No sweating No hunger No
thirst Increased thirst No thirst Increased thirst Increased thirst is a symptom of
HYPERglycemia
The nurse is working with a pt that is symptomatic from a blood glucose of 62, you
delegate the treatment to the student nurse by sending them to the gallery to retrieve a
treatment source. You know the student nurse has understood the treatment when she
returns with which option?
o 4 oz can of diet sprite
o a package of peanut butter crackers
o 4 oz cup of apple juice
o 4oz cup of 2% milk
o 4 oz cup of apple juice
diet soda has no sugar; peanut butter crackers are long acting; pts should receive 8oz
of milk
which of the following results meet the diagnostic criteria for type 2?
o fasting blood glucose of 136
o oral glucose test of 135 at 2 hours
o HA1C of 5.8
o random blood glucose of 101
o fasting blood glucose of 136
- should be below 100
the others are normal: oral glucose test = over 200; HA1C should be below 6%, RBG
should be below 140
,What is NOT part of the 3 part treatment plan for new pts with diabetes
O nutrition therapy
O exercise therapy
O renal therapy
O medication therapy
O renal therapy
The other 3 are the parts to a treatment plan; think about the goal - symptom
management and avoiding long term consequences
The nurse is evaluating a newly diagnosed pt. with diabetes. Which symptom, from the
list below is a classic symptom associated with the disease?
a) excessive thirst
b) gradual weight gain
c) overwhelming fatigue
d) recurrent blurred vision
e) excessive thirst
This is part of the 3 P's of classic symptoms
The other options could be a result of other things
What WILL NOT be part of Diabetic Debbie's teaching plan??
1. a balance diet comprised of carbs/fat/protein
2. Can drink 2 or more alcoholic beverages daily
3. aerobic exercise at least 150 minutes per week
4. monitoring blood glucose at home
2. can consume 2 or more alcoholic beverages daily
For people with diabetes, alcohol should be consumed in conservative moderation
what are the 3 P's of diabetes - the classic symptoms
polyphagia (increased hunger), polydipsia (increased thirst), and polyuria (increased
,urine)
1. Polydipsia and polyuria related to diabetes are mainly because of
a. The release of ketones from the cells during the process of metabolizing fat.
b. fluid shifts related to osmotic effects of hyperglycemia.
c. kidney damage from exposure to high glucose.
d. changes in RBCs related to attachment of excess glucose to hemoglobin.
b. fluid shifts related to osmotic effects of hyperglycemia.
Increased thirst and urination - both relate to fluids and both are symptoms of
hyperglycemia - increased sugar)
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2. Which of the following statements would be correct for a patient with type 2 diabetes
who was admitted to the hospital with pneumonia?
a. The patient should receive insulin to prevent ketoacidosis.
b. The patient has islet cell antibodies that have destroyed the pancreas's ability to
produce insulin.
c. The patient demonstrates little or no endogenous insulin secretion and requires
multiple daily injections of insulin.
d. The patient has adequate endogenous insulin to prevent ketosis but can be
vulnerable to hyperosmolar hyperglycemia syndrome.
d. The patient has adequate endogenous insulin to prevent ketosis but can be
vulnerable to hyperosmolar hyperglycemia syndrome.
Type I: antibodies destroy the pancreas-insulin is released in type 2 but body unable to
use
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3. Analyze the following diagnostic results for your patient with type 2 diabetes. Which
of these will need further investigation?
a. A1C 9%
b. BP 126/80 mmHg
c. FBG 130 mg/dL (7.2 mmol/L)
, d. LDL cholesterol 100 mg/dL (2.6 mmol/L)
a. A1C 9%
A1C is the 3 month average = for 3 months they have been high, not just this one time
with FBG
what is the normals for LDL
4. The patient with type 2 diabetes says which of the following?
a. "I will not drink more than 1 drink of alcohol per day."
b. "I am not allowed to have any sweets since I have diabetes."
c. "I am not allowed to exercise since I am taking a medication to lower blood glucose."
d. "The fat content of my diet is not important. It is only the carbohydrates that increase
my blood sugar."
a. "I will limit my drink intake to 1 drink daily."
1 drink for women, 2 for men
alcohol inhibits liver gluconeogenesis = hypoglycemia
5. You are caring for a newly diagnosed patient with type 1 diabetes. Your patient
teaching before discharge from the hospital should include what? (select all that apply)
a. How to administer insulin
b. Sugar must not be included in diet
c. Exercise should be minimized
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