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Nurs 221 Exam 3 questions and answers verified 2024
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Nurs 221 Exam 3Glucose regulation - correct answer ✔Process of maintaining optimal blood
glucose levels; also known as glycemic control.
Hypoglycemia - correct answer ✔Blood sugar less than 70
euglycemia - correct answer ✔Blood sugar 70-14- normal
Hyperglycemia - correct answer ✔Blood sugar greater than 140
Prediabetes - correct answer ✔a condition in which the blood sugar level is
higher than normal, but not high enough to be classified as type 2 diabetes
gestational diabetes - correct answer ✔a form of diabetes mellitus that
occurs during some pregnancies
type 1 diabetes mellitus - correct answer ✔diabetes in which no beta-cell
production of insulin occurs and the patient is dependent on insulin for survival
Type 1 occurs at an age less than 30 years of age
type 2 diabetes(pg:1267&1271) - correct answer ✔Diabetes of a form that
develops especially in adults and most often obese individuals and that is
characterized by high blood glucose resulting from impaired insulin utilization
coupled with the body's inability to compensate with increased insulin
production.
- Adult onset (80-90 percent of all diabetics)
- Low carb diet
,- Insulin resistant
Risks:
- obesity
- age greater than 30 it can occur
- Genetics
Physical Changes in Type 1 diabetes - correct answer ✔- chronic long
lasting health condition
Type One 3 P's - correct answer ✔Polyuria
Polydipsia
Polyphagia
Gluconeogenesis - correct answer ✔the making of glucose from a
noncarbohydrate source such as amino acids or glycerol. Convert protein and
fat stores back into glucose
Glycogenolysis - correct answer ✔Liver breakdown of glycogen to glucose
Glycogen - correct answer ✔An extensively branched glucose storage
polysaccharide found in the liver and muscle of animals; the animal equivalent
of starch.
Glucagon - correct answer ✔A protein hormone secreted by pancreatic
endocrine cells that raises blood glucose levels; an antagonistic hormone to
insulin. Glucose is gone.
3 acid base control actions and mechanisms - correct answer ✔Chemical
Buffers, Respiratory, Kidneys
,Risk Factors for Type 2 diabetes - correct answer ✔Smoking
obesity
Poor diet
Sedentary lifestyle
Genetics: family history
Vascular changes: hypertension, atherosclerosis, PAD, PVD
Perfusion issues
polyuria - correct answer ✔excessive urination
polydipsia - correct answer ✔Excessive thirst that persists for long periods of
time, despite reasonable fluid intake. Often the result of excessive urination.
polyphagia - correct answer ✔excessive hunger
Physical Changes in Type 2 diabetes - correct answer ✔-Pancreas works
sometimes others not
- Not sufficient enough to accept insulin
Insulin - correct answer ✔- With meals
- Before meals
- Rapid insulin: quick acting
- Long acting: glucose stays more even throughout the day
, How do we assess patient with Diabetes? What do your findings tell you about
the patient? - correct answer ✔- skin assessment: wounds that are not
healing
- A1C
- Fasting glucose
- vision changes
- Labs: A1C, cholesterol, lipid profile
- Peripheral neuropathy
- retinopathy
- foot ulcers
Nephropathy - correct answer ✔disease of the kidney
Retinopathy - correct answer ✔disease of the retina
Peripheral Neuropathy - correct answer ✔a painful condition of the nerves of
the hands and feet due to damage to the peripheral nerves; also known as
peripheral neuritis
autonomic neuropathy - correct answer ✔damage to nerves supplying the
internal body structures that regulate functions such as blood pressure, heart
rate, bowel and bladder emptying, and digestion
hypoglycemia - correct answer ✔Skin: cool clammy
Dehydration: absent
Perspiration: Profuse
Respirations: no change or shallow
Mental status: irritable, shaky, confused, seizures, coma
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