ExamI2:INURSI623/INURS623I(New
Update)IAdult/IGerontologyIHealthI
CareIIIIGuideIwithIQsI&IAs|I100%I
Correct|IGradeIAI(VerifiedIAnswers)-
IMaryville
QUESTION
differentiateIbetweenIdiabetesItypeIoneIandItypeItwo
Answer:
TypeIoneImostIlikelyIisIautoimmune,IinsulinIdeficiency,IearlierIonset,InotItypicallyIoverIweigh
t.I
TypeItwoIisIinsulinIresistant,IlaterIonset,IpatientIisIoftenIobese.
QUESTION
TypeIoneIdiabetesIs/s
Answer:
Polydipsia,Ipolyuria,Ipolyphasia,IanorexiaI&IwtIloss
QUESTION
DiagnosticsIforIdiabetes
Answer:
A1CI6.5IorIhigher,IfastingIbloodIglucoseIgreaterIthanI126IonItwoIdifferentIoccurrences
,QUESTION
TypeIoneIdiabetesIoneImanagement
Answer:
InsulinItherapy
•InitialIgoal:InormalizeIbloodIglucose
•PlasmaIglucoseIlevelsIatI80ItoI120Img/dLIbeforeImeals
•PlasmaIglucoseIlevelsIofI100ItoI140Img/dLIatIbedtime
•A1CIbelowI7%
•New-onsetItypeI1IdiabeticIoftenIpresentsIinIcrisisIandIrequiresIhospitalization
•RequiresIdiligentIandIfrequentIbloodIglucoseImonitoring
•DosesIofIregularIinsulinIbeforeImealsIwithIanIeveningIdoseIofINPHI(orIglargineIorIdetemir)
•IntensiveIinsulinIregimens
•IncreasesIchanceIofIhypoglycemicIepisodes
QUESTION
TypeIoneIdiabetesImanagementIcont
Answer:
CheckIbloodIsugarIlevelsI3-4XIaIday
UrineIketoneItestingIasIneeded
MealIplanningI(dietitian)
ExerciseIandIinsulin-
IcheckIbloodIsugarsIbeforeIandIafter.IavoidIexerciseIisIsugarIisIoverI250,IalsoIifIlessIthanI100I
theyIshouldIeatIaIlittleIextraIcarbs.
QUESTION
PatientIeducationIforItypeIoneIdiabetes
,Answer:
allIinsulinIdevices-Ipumps,Isyringes,Ipens,Imonitors...
FootIcare
Diet-IcarbIcounting,ImealtimeIinsulinIdosage.
AdjustingItheIdoseIduringIillness
signsIofIDKAIandIwhenItoIgoItoItheIhospital
QUESTION
DKA
Answer:
HighIlevelsIofIketonesIinItheIurine,IsymptomsIareIexcessiveIthirst,IfrequentIurination,ISOB,Ifr
uityIbreath,Ivomiting.
QUESTION
DiagnosticItestsIforIthyroidIproblems
Answer:
TSH
FreeITI4
-
ImedsIcanIalterIlabs:ISteroids,Iadrogens,Iestrogens,Isalicylates,Iheparine,IiodineIcontainingIcou
mpounds.
IfIFt4Inormal,IthenIdoIFT3
AlsoIdoICBCIandILFT
QUESTION
, FurtherItestingIafterIinitialIthyroidItesting
Answer:
TSHIreceptorIantibody
NucImedIscan
24IhourIiodineIuptake
ultrasound
fineIneedleIbiopsy
QUESTION
HyperthyroidI(gravesIdisease)ILabsI
TSHIlevelIwouldIbeI__
T3/T4IwouldIbeI___
Answer:
TSHIwouldIbeIlowI
SerumIfreeIT3IandIT4IwouldIbeIelevated.I
RememberItheIknockingIonItheIdoorIanalogy:I
theIpituitaryIglandIrecognizesIthatItheIt3IandIt4IareIelevated,IsoIitIwillInotIsendIanyoneItoIkno
ckIonItheIthyroidsIdoorItoIincreaseIitI(akaIwillInotIsendIoutIanyImoreITSH)
QUESTION
HypothyroidismI(hashimotos's)IlabsI
TSHIlevelIwouldIbeI__
T3/T4IwouldIbeI___
Answer:
TSHIlevelIisIhigh
T3&IT4IareIlow.I
ThisIisIbecauseItheITSHIisItryingItoIgetItheIthyroidItoIproduceImoreIT3IandIT4,IbutItheIthyro
idIcant.IHenceItheIpatientIwillIneedIsyntheticIT4.I(synthroid)