Ch 17 Question Flashcards

0
Q

Normal blood glucose levels range from_________ mg/dL.

A

80 to 120

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1
Q

Patients with which type of diabetes are more likely to have metabolic problems and organ damage?

A

Type 1

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2
Q

A Sickle cell crisis caused by an acute drop in hemoglobin levels is known as a(n):

A

hemolytic crisis

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3
Q

Diabetes is a metabolic disorder in which the hormone___________ is missing or ineffective.

A

Insulin

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4
Q

Emergency care of a patient with hemophilia includes all of the following EXCEPT:

A. Rapid transport
B. Bleeding control
C. Oxygen at 4 L/min
D. Ventilations, if needed

A

Oxygen at 4 L/min

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5
Q

The accumulation of ketones and fatty acids in blood tissue can lead to a dangerous condition in diabetic patients known as:

A

Diabetic ketoacidosis

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6
Q

The term for excessive eating as a result of cellular “hunger” is:

A

Polyphagia

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7
Q

Insulin is produced by the:

A

Pancreas

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8
Q

Factors that may contribute to diabetic coma include:

A

Infection

Alcohol consumption

Insufficient insulin

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9
Q

The only organ that does not require insulin to allow glucose to enter it’s cells is the:

A

Brain

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10
Q

The sweet or fruity odor on the breath of a diabetic patient is caused by_________ on the blood.

A

Ketones

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11
Q

It is uncommon to encounter__________ patients with thrombophilia.

A

Pediatric

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12
Q

Oral diabetic medications include:

A

Micronase

Glucotrol

Diabinese

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13
Q

_________ is one of the basic sugars in the body.

A

Dextrose

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14
Q

_______ is the hormone that is normally produced by the pancreas that enables glucose to enter the cells.

A

Insulin

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15
Q

The term of excessive urination is;

A

Polyuria

16
Q

When fat is used as an immediate energy source,_________ and fatty acids are formed as waste products.

A

Ketones

17
Q

An African American patient complaining of severe, generalized pain may have undiagnosed:

A

Sickle cell disease

18
Q

The onset of hypoglycemia can occur within:

A

Minutes

19
Q

Without_________, or with very low levels, brain cells rapidly suffer permanent damage.

A

Glucose

20
Q

___________ is/are a potentially life-threatening complication of insulin shock.

A

Seizures

21
Q

Blood glucose levels are measured in:

A

Milligrams per deciliter

22
Q

Diabetic coma may develop as a result of:

A

Too little insulin

23
Q

Always suspect hypoglycemia in any patient with:

A

Altered mental status

24
Q

The most important step in caring for unresponsive diabetic patient is to:

A

Open the airway

25
Q

Determination of diabetic coma or insulin shock should:

A

Be based upon your knowledge of the signs and symptoms of each condition

26
Q

When obtaining the medical history of a patient experiencing a Sickle cell crisis, you should:

A

Ask the patient if he has compliant with his medications

27
Q

Contraindications for the use of oral glucose include:

A

Unconsciousness

28
Q

When reassessing the diabetic patient after administration of oral glucose, watch for:

A

Airway problems

Seizures

Sudden loss of consciousness

29
Q

Signs and symptoms associated with hypoglycemia include:

A

Anxious or combative behavior

30
Q

The patient in insulin shock is experiencing:

A

Hypoglycemia

31
Q

Signs of dehydration include:

A

Sunken eyes

32
Q

Hospital interventions for hemophilia may include:

A

Blood transfusions

Analgesics for pain

Intravenous (IV) therapy

33
Q

Causes of insulin shock include:

A

Taking too much insulin

Vigorous exercise without sufficient glucose intake

Nausea, vomiting, and anorexia

34
Q

Insulin shock can develop more often and more severely in children than in adults due to their:

A

High activity level and failure to maintain a strict schedule of eating

35
Q

Because diabetic coma is a complex metabolic condition that usually develops over time and involves all the tissues of the body, correcting this condition may:

A

Take hours in a hospital setting

36
Q

A patient in insulin shock or a diabetic coma may appear to be:

A

Intoxicated