DKA, Hypoglycemic reaction, HHNC

Question 1

DKA,caused by inadequate insulin, is a complication of what type of diabetes?

Answer 1

Type I

Question 2

What type of diabetic coma can result from too much insulin or oral hypoglycemic agent?
A. Diabetic ketoacidosis
B. Hyperglycemic hyperosmolar nonketotic coma
C. Kussmaul coma
D. Hypoglycemic reaction

Answer 2

D. Hypoglycemic reaction

Question 3

Which type of diabetic coma has symptoms of fruity breath, Kussmaul’s respirations and hot, dry, flushed skin?
A. Diabetic ketoacidosis
B. Hyperglycemic hyperosmolar nonketotic coma
C. Kussmaul coma
D. Hypoglycemic reaction

Answer 3

A. Diabetic ketoacidosis

Question 4

Hyperglycemic hyperosmolar nonketotic coma includes the following signs and symptoms:
A. Low BP, onset minutes - hours, and hunger
B. Dysuria, Bradycardia, and ketonuria
C. Onset within days, very dry mucous membranes, decreased BP
D. Rapid, shallow respirations, fruity breath and cool, moist skin

Answer 4

C. Onset within days, very dry mucous membranes, decreased BP

Question 5

Irritability, tremors, impaired consciousness and personality changes are common neurosensory changes in which type of diabetic coma?
A. Diabetic ketoacidosis
B. Hyperglycemic hyperosmolar nonketotic coma
C. Kussmaul coma
D. Hypoglycemic reaction

Answer 5

D. Hypoglycemic reaction

Question 6

Match the type of diabetic coma with the correct blood glucose level:
1. DKA a. Usually

Answer 6

1. DKA c. 300-800 mg/dL

2. Hypoglycemic reaction a. Usually

Question 7

In which type of diabetic coma is polyuria and polydipsia present? (select all)
A. Diabetic ketoacidosis
B. Hyperglycemic hyperosmolar nonketotic coma
C. Kussmaul coma
D. Hypoglycemic reaction

Answer 7

A. Diabetic ketoacidosis

B. Hyperglycemic hyperosmolar nonketotic coma

Question 8

A patient with severe dehydration, increased body temperature and normal respirations is seen at the ER. They also have decreased BP, and glycosuria with no ketones. Which diabetic coma are they at risk for?
A. Diabetic ketoacidosis
B. Hyperglycemic hyperosmolar nonketotic coma
C. Kussmaul coma
D. Hypoglycemic reaction

Answer 8

B. Hyperglycemic hyperosmolar nonketotic coma

Question 9

What are the top three nursing priorities for a patient during the acute stage of diabetic ketoacidosis? (select all)
A. administer Humulin R via IV
B. give 10-20 g of quick-acting carbohydrate
C. Increase fluids
D. Increase electrolytes

Answer 9

A. administer Humulin R via IV
C. Increase fluids
D. Increase electrolytes

Question 10

Match the type of diabetic coma with the time frame onset :

1. DKA a. Days
2. HHNC b. Minutes to hours
3. Hypoglycemic reaction c. Hours to days

Answer 10

1. DKA c. Hours to days
2. HHNC a. Days
3. Hypoglycemic reaction b. Minutes to hours

Question 11

All of the following are appropriate treatments for hypoglycemic reaction EXCEPT:

a. Give patient one tube of Cake Mate icing gel
b. Have patient drink one whole can of diet cola
c. Give 2 tsp of sugar or honey
d. Give 10-20 g of quick acting carbohydrates

Answer 11

b. Have patient drink one whole can of diet cola