Diabetes Mellitus

Question 1

No insulin Present any Type ?

Answer 1

Type 1 DM

Question 2

Body resistances insulin - what type ?

Answer 2

Type 2 DM

Question 3

Burn Fat ( ketone) in any type ?

Answer 3

Type 1 DM

Question 4

Patient must use insulin in any Type ?

Answer 4

Type 1 DM

Question 5

Causes of DM type 1 ?

Answer 5

Genetic
Autoimmune
Virus

Question 6

Symptoms type 1

Answer 6

Patient are going thin ( because burn fat )

It’s going to happen all of sudden and ketone present in urine

Question 7

لو فحصنا المريض بتاع. Type 2 هنلاقي في دموا ؟

Answer 7

Hyperinsulinmeia

Question 8

Why Hyperinsulinmeia in type 2

Answer 8

علشان في سكر في الدم فا الجسم بيفرز انسلين والخلايا ما بتستقبل الانسلين في بيضل في سكر في الدم بيرجع الجسم يفرز تاني انسلين لحد لما نوصل لل Hyperinsulinmeia

Question 9

Treatment for type 2 DM

Answer 9

1- diet

2- exercise

Question 10

if treatment for type 2 failed?

Answer 10

Patient will start take oral medications

Question 11

Symptoms of hypoglycemia

Answer 11

Sweating
Clammy متعرق
Confused مشوش
Dizzy دائخ

Question 12

Early signs and symptoms of type 1 DM

Answer 12

Frequent urination
Increase thirst
Always feeling hungry
Feeling very tired

Question 13

Treatment of hypoglycemia

Answer 13

Simple carbs ( hard candy)
Fruit juice
بسكوت بطعم العسل

Question 14

لو المريض مغما عليه بسبب hypoglycemia شو بتعطيه

Answer 14

50 dextrose injection ( D50 )

Question 15

50 dextrose injection ( D50 ) used for what

Answer 15

Treat low blood sugars

Question 16

Polyuria

Answer 16

Frequent urination

Question 17

Polydipsia

Answer 17

Very thirsty

Question 18

Polyphagia

Answer 18

Feeling hungry all the time

Question 19

3 P’s we see in patient with DM type 1

Answer 19

Polyuria
Polydipsia
Polyphagia

Question 20

ليش مريض السكري بيكون عندوا polydipsia

Answer 20

علشان بيكون عندوا polyuria الي هي بيروح الحمام كتير وبسببها بيكون المريض عطشان

Question 21

ليش المريض السكري بيكون جعان (polyphagia)

Answer 21

علشان بيحرق الfatالي بالجسم علشان بدو طاقة فا بيضل بدو يوكل

Question 22

كلمة ( Sugar ) بمريض السكري اعراض ممكن تشوفها

Answer 22

Slow wound healing 
Blurry vision 
Glycosuria
acetone breath
Rashes on skin

Question 23

Complication of DM

Answer 23

Atherosclerosis 
Heart disease 
Stroke
HTN
Neuropathy 
Decrease wound healing
Eye trouble 
Infection 
Diabetes ketoacidosis (DKA)

Question 24

What happens in Atherosclerosis in DM patient ?

Answer 24

Glucose sticks to protein of vessels become hard form (plaques)

Question 25

``` Which of the following symptoms do NOT present in hyperglycemia? A. Extreme thirst B. Hunger C. Blood glucose <60 mg/dL D. Glycosuria ```

Answer 25

C

Question 26

Type 1 diabetics typically have the following clinical characteristics: A. Thin, young with ketones present in the urine B. Overweight, young with no ketones present in the urine C. Thin, older adult with glycosuria D. Overweight, adult-aged with ketones present in the urine

Answer 26

A

Question 27

. A patient with diabetes has a morning glucose of 50. The patient is sweaty, cold, and clammy. Which of the following nursing interventions is the MOST important? A. Recheck the glucose level B. Give the patient ½ cup (4 oz) of fruit juice C. Call the doctor D. Keep the patient nothing by mouth

Answer 27

B

Question 28

Which of the following patients is at most risk for Type 2 diabetes? A. A 6 year old girl recovering from a viral infection with a family history of diabetes. B. A 28 year old male with a BMI of 49. C. A 76 year old female with a history of cardiac disease. D. None of the options provided.

Answer 28

B

Question 29

``` 5. The _____ ______ secrete insulin which are located in the _______. A. Alpha cells, liver B. Alpha cells, pancreas C. Beta cells, liver D. Beta cells, pancreas The answer is D. ```

Answer 29

D

Question 30

A 36-year-old male is newly diagnosed with Type 2 diabetes. Which of the following treatments do you expect the patient to be started on initially? A. Diet and exercise regime B. Metformin BID by mouth C. Regular insulin subcutaneous D. None, monitoring at this time is sufficient enough

Answer 30

A

Question 31

Which of the following statements are true regarding Type 2 diabetes treatment? A. Insulin and oral diabetic medications are administered routinely in the treatment of Type 2 diabetes. B. Insulin may be needed during times of surgery or illness. C. Insulin is never taken by the Type 2 diabetic. D. Oral medications are the first line of treatment for newly diagnosed Type 2 diabetics. The answer is B.

Answer 31

B

Question 32

What statement or statements are INCORRECT regarding Diabetic Ketoacidosis? A. DKA occurs mainly in Type 1 diabetics. B. Ketones are present in the urine in DKA. C. Cheyne-stokes breathing will always present in DKA. D. Severe hypoglycemia is a hallmark sign in DKA. E. Options C & D

Answer 32

E

Question 33

A patient who has diabetes is nothing by mouth as prep for surgery. The patient states they feel like their blood sugar is low. You check the glucose and find it to be 52. The next nursing intervention would be to: A. Administer Dextrose 50% IV per protocol B. Continue to monitor the glucose C. Give the patient 4 oz of fruit juice D. None, this is a normal blood glucose reading

Answer 33

A

Question 34

``` 10. A Type 2 diabetic may have all the following signs or symptoms EXCEPT: A. Blurry vision B. Ketones present in the urine C. Glycosuria D. Poor wound healing ```

Answer 34

B