Medsurg final 6

Question 1

Beta cell destruction leading to zero insulin

Answer 1

type 1 DM

Question 2

Onset time of DM 1

Answer 2

sudden

Question 3

Symptoms of DM 2, but not 1

Answer 3

infections
blurred vision
fatigue
impotence

Question 4

Management of DM 1: counting

Answer 4

carbs

Question 5

DM 1 and 2, which one definitely needs insulin right off the bat

Answer 5

1

Question 6

4 general steps of DM 2 tx

Answer 6

Diet, exercise
Oral Agents
Oral and insulin
Insulin

Question 7

Prediabetes: Blood glucose levels when fasting are

Answer 7

100 to 125 mg/dL

Question 8

Prediabetes: HbA1C of

Answer 8

5.7% to 6.4%

Question 9

DKA tx: Slow IV infusion by IV pump of ___ ___

Answer 9

regular insulin

Question 10

DKA tx: Careful replacement of _____ based on lab data

Answer 10

potassium

Question 11

DKA tx: Usually with isotonic IV fluids, ___, until stabilized

Answer 11

NS

Question 12

DKA tx: too rapid infusion of insulin to lower serum glucose can lead to ___ ___

Answer 12

cerebral edema

Question 13

Eye findings of DM2: ___ and ___

Answer 13

retinopathy and cataracts

Question 14

DM2 finding: Hair loss on extremities, indicating

Answer 14

poor perfusion

Question 15

DM2 finding: peripheral pulses

Answer 15

weak or absent

Question 16

DM2 finding: nails

Answer 16

thick (everyone at the VA)

Question 17

Diabetic nephropathy is the primary cause of

Answer 17

end-stage renal failure

Question 18

DM2 finding: Nighttime

Answer 18

diarrhea

Question 19

DM2 finding: Female:

Answer 19

vaginal dryness

Question 20

DM2 finding: Psychosocial

Answer 20

Depression

Question 21

DM1: Psychosocial issue for women

Answer 21

Increased risk of developing anorexia and bulimia

Question 22

DM: Overall goal is to make healthy nutritional choices

and eat a ___ diet

Answer 22

varied

Question 23

DM diet: foods high in ___ carbs

Answer 23

complex carbs

Question 24

DM diet: ____ beverages can be included in diet with

proper planning

Answer 24

Alcoholic

Question 25

managing sick days: Monitor ____ more frequently.

Answer 25

glucose

Question 26

Exercise after

Answer 26

mealtime

Question 27

may be needed before or during exercise

Answer 27

A snack

Question 28

If you’re not sure if the client is hyper or hypo glycemic, treat them for

Answer 28

hypo

Question 29

soaking feet

Answer 29

is to be avoided

Question 30

Feet may be moisturized with a lanolin product, but not

Answer 30

between the toes

Question 31

Corns and calluses should be removed by

Answer 31

a professional.

Question 32

lispro onset

Answer 32

30 min to an hour

Question 33

lispro peak

Answer 33

2 to 4 hour

Question 34

Aspart onset

Answer 34

5 to 15 min

Question 35

Aspart pear

Answer 35

around an hour

Question 36

Humulin R onset

Answer 36

30 to 60 min

Question 37

Humulin R peak

Answer 37

2 to 3 hours

Question 38

NPH onset

Answer 38

1 to 2 hour

Question 39

NPH peak

Answer 39

6 to 12 hour

Question 40

Glargine onset

Answer 40

4 to 8 hour

Question 41

Glargine peak

Answer 41

14 to 20

Question 42

Nursing implications: Lispro and aspart

Answer 42

Give within 15 min or a meal

Question 43

Nursing implications: Glargine

Answer 43

the solution is clear, but you can tell it’s not regular insulin based on the bottle

Question 44

Hyperglycemia or Hypoglycemia: tremors

Answer 44

hypo

Question 45

Hyperglycemia or Hypoglycemia: headache

Answer 45

hypo

Question 46

Hyperglycemia or Hypoglycemia: sweating

Answer 46

hypo

Question 47

Hyperglycemia or Hypoglycemia: nausea

Answer 47

hypo

Question 48

Hyperglycemia or Hypoglycemia: anxiety

Answer 48

hypo

Question 49

Hyperglycemia or Hypoglycemia: tingling at the mouth

Answer 49

hypo

Question 50

Hyperglycemia or Hypoglycemia: Poly, poly, poly

Answer 50

hyper

Question 51

Hyperglycemia or Hypoglycemia: blurred vision

Answer 51

hyper

Question 52

Hyperglycemia or Hypoglycemia: weakness

Answer 52

hyper

Question 53

Hyperglycemia or Hypoglycemia: syncope

Answer 53

hyper

Question 54

Hyperglycemia tx: encourage

Answer 54

water intake

Question 55

Hyperglycemia tx: assess for

Answer 55

ketoacidosis