DM part 8

Question 1

Nursing Assessment: Objective Data

What are the possible diagnostic findings?

Answer 1

• serum electrolyte abnormalities
• fasting blood glucose level of 126 mg/dL or higher
• OGTT or random glucose level exceeding 200 mg/dL
• leukocytosis
• increased BUN, creatinine
• increased triglycerides, cholesterol, LDL, VLDL
• decreased HDL
• A1C greater than 6%
• glycosuria
• ketonuria
• albuminuria
• acidosis

Question 2

What are 3 ways blood glucose can be raised?

Answer 2

• physical and emotional stress
• illness, injury, surgery,
• counterregulatory hormones

Question 3

How often should blood glucose be check during times of illness?

Answer 3

every 4 hours

Question 4

If glucose is greater than 240 how often should you check urine for ketones?

Answer 4

every 3 to 4 hours

Question 5

Two consecutive glucose levels greater than what need to be reported to the HCP?

Answer 5

greater than 300

Question 6

What type of teaching and care do newly diagnosed diabetics need?

Answer 6

• regular oral and dental care
• eye exam asap then yearly after that
• regular bathing and foot care: inspect daily, avoid going barefoot, proper footwear, how to treat/monitor wounds