N3661 - Exam 1 (Med Surg - D. Cleary) questions with correct answers
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Course
RN- Nursing
Institution
RN- Nursing
What type of environment does patient with hypoparathyroidism need? Why? Correct Answer-quiet!
due to neuromuscular excitability
↓Ca+ = ↑action potentials
Patient with Addison's disease should have what kind of snack foods? Correct Answer-low in K+
high in Na, carbs, protein
(turkey and...
N3661 - Exam 1 (Med Surg - D. Cleary) questions with
correct answers
What type of environment does patient with hypoparathyroidism need?
Why? Correct Answer-quiet!
due to neuromuscular excitability
↓Ca+ = ↑action potentials
Patient with Addison's disease should have what kind of snack foods?
Correct Answer-low in K+
high in Na, carbs, protein
(turkey and cheese sandwich)
What are the 2 hormones important in maintaining blood sugar?
Where are they released from? Correct Answer-insulin
glucagon
released by pancreas
What cells release insulin? Where are they located? Correct Answer-beta
cells
pancreas
What does insulin do? Correct Answer-facilitates transport of glucose in
blood across cell membrane into the cell
,What cells release glucagon? Where are they located? Correct Answer-
alpha cells
pancreas
Starting with #1: eating carbohydrates, what are the following steps?
Correct Answer-1. eat carbs
2. converted & absorbed via GI tract
3. glucose travels in bloodstream to targeted cells
4. blood glucose levels are elevated, triggers beta cells in pancreas to
release insulin
5. insulin transports glucose across cell membrane
6. blood glucose levels now low, insulin stops secreting and alpha cells
of pancreas release glucagon
7. glucagon stimulates release of sugar from liver stores
insulin resistance vs deficiency Correct Answer-resistance: can't cross
cell wall
deficiency: not enough produced
type 1 vs type 2 diabetes Correct Answer-type 1: produces no insulin at
all (dx before 30, common with autoimmune disorders)
type 2: insulin resistance
What BMI puts you at risk for type 2 DM? Correct Answer->25
,What are the cardinal signs of diabetes? (3) Correct Answer-the 3 P's
polyuria
polydipsia (excessive thirst)
polyphagia (excessive eating)
Why does diabetic experience polyuria? Correct Answer-result of
increased concentration of glucose in urine
(sugar attracts more water, pulls from cells into urine)
Why does diabetic experience polydipsia? Correct Answer-due to
increased output and the massive fluid shift from cells to vascular space
(so much sugar in blood)
Why do diabetics experience polyphagia? Correct Answer-insulin not
bringing glucose into cell so cell eats proteins & fats for energy, causing
starvation mode & leads to increased appetite
Relating to reproductive system, men and women with diabetes likely
experience what? Correct Answer-men: erectile dysfunction
women: vaginal infections
What would the expected HA1C be for;
diabetic
prediabetic Correct Answer-diabetic: >6%
pre: 5.7-6%
What is the primary treatment of type 1 diabetes? Correct Answer-
insulin!
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