Exam (elaborations)
Adult Health NR-325 Exam 1 with correct answers
- Course
- NR-325 (NR325)
- Institution
- Chamberlain College Of Nursing
Adult Health NR-325 Exam 1 with correct answers
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Adult Health NR-325 Exam 1 with correct answersWhat is the range of normal blood sugar? - ** VERIFIED ANSWERS **✔✔70-100 mg/dL
What is the purpose of giving basal insulin? - ** VERIFIED ANSWERS **✔✔to regulate blood
glucose levels on a consistent basis
What are the 3 P's of Diabetes? - ** VERIFIED ANSWERS **✔✔Polydipsia
Polyuria
Polyphagia
Why is polyuria seen in diabetes? - ** VERIFIED ANSWERS **✔✔because your body is trying to get
rid of the extra glucose
Why is polydipsia seen in diabetes? - ** VERIFIED ANSWERS **✔✔because your body thinks its
dehydrated from all the urination
Why is polyphagia seen in diabetes? - ** VERIFIED ANSWERS **✔✔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? - ** VERIFIED ANSWERS
**✔✔-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? - ** VERIFIED ANSWERS **✔✔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? - **
VERIFIED ANSWERS **✔✔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? - ** VERIFIED ANSWERS **✔✔It is used in diabetes
and it decreases hepatic glucose creation and increases insulin sensitivity
What should be tried before metformin therapy? - ** VERIFIED ANSWERS **✔✔lifestyle changes
What makes insulin? - ** VERIFIED ANSWERS **✔✔beta cells in the pancreas
Stage 1 of DM Type I is AKA ____________________
How long does this stage last? - ** VERIFIED ANSWERS **✔✔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? - ** VERIFIED ANSWERS **✔✔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? - ** VERIFIED
ANSWERS **✔✔Pre-diabetes because this is elevated but not high enough to be labeled diabetes
What does A1C measure? - ** VERIFIED ANSWERS **✔✔amount of glucose on hemoglobin in the
blood
What range of 2 Hr GTT (2-hour glucose tolerance test) is considered pre-diabetic? - ** VERIFIED
ANSWERS **✔✔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? - ** VERIFIED ANSWERS **✔✔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? - ** VERIFIED ANSWERS **✔✔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? - ** VERIFIED ANSWERS **✔✔it tricks the brain because our
body cannot process it, which makes you crave more sugar and causes weight gain
Alcohol blocks ____________________________ - ** VERIFIED ANSWERS **✔✔Gluconeogenesis
causing low plasma glucose levels
When mixing insulins, what is the correct process? - ** VERIFIED ANSWERS **✔✔Air into cloudy
Air into clear
Draw up clear
Draw up cloudy
What does basal rate of insulin mean? - ** VERIFIED ANSWERS **✔✔this is the normal amount of
insulin you're going to give to a specific patient before meals
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