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vsim case 5 Skylar Hansen COMPLETE SOLUTION
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vsim case 5 Skylar Hansen The nurse understands that the pathophys of type 1 DM is characterized by which of the following? Ans: 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 resis...

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  • May 30, 2022
  • 3
  • 2020/2021
  • Exam (elaborations)
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vsim case 5 Skylar Hansen
The nurse understands that the pathophys of type 1 DM is characterized by which of the following?
Ans: 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? Ans: 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?
Ans: 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? Ans: 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? Ans: 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 Ans: 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

The nurse would educate the patient that which of the following factors increase risk of developing type
2 DM? Ans: family hx
HTN
obesity

race/ethnicity, age, previously impaired fasting glucose or impaired glucose tolerance, HDL </= 35,
and/or triglyceride >/= 250, and hx of gestational diabetes are all risk factors

the nurse understands that diabetes can lead to which of the following long-term complications? Ans:
CV disease

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