NURS 180 Quiz 2 COMPLETE QUESTIONS AND
ANSWERS 100% CORRECT
diabetes mellitus (DM) - ANSWER insulin is not secreted adequately or tissues
are resistant to its effects
-chronic disorder of the pancreas
-Signs and Symptoms: polyuria (increased urine output), ploydipsia (increased
thirst), and polyphagia (increased hunger)
-Fasting blood glucose >126 mg/dl
-Glucosuria
-weight loss (type 1)
-fatigue
Long acting insulin - ANSWER Glargine (Lantus)
-onset 1 hr
-duration 24 hrs
-administered once daily usually at bedtime
Nursing Process: Insulin - ANSWER -identify drugs that a patient currently takes
, -Determine the patients knowledge of diabetes
-check for s/s of hypo or hyperglycemia
-Nursing Diagnosis: skin integrity, risk for
-planning: patient will self administer insulin correctly
Insulin: Dose - ANSWER Depends on blood sugar
-Stress or illness: may increase gluconeogenesis and blood glucose readings
-pt may need insulin coverage or more insulin during hospitalization
-Unable to eat: Insulin requirements may be less if a pt is NPO. If pt is i able to eat
due to illness, they may reduce amount of insulin
-Pts at home should have a plan for such days, Coverage is used in the hospital
and for sick days
Hypothyroidism - ANSWER A disorder caused by a thyroid gland that is slower
and less productive than normal
-Primary: decreases T4 and elevated TSH levels
-Secondary: Lack of TSH secretion
-Tertiary: Lack of TRH
Signs and Symptoms of Hypothyroidism - ANSWER Early Signs:
-generalized weakness
-dry skin
-muscle cramps
-decreases metabolism
Emergent Signs:
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