A nurse is assessing a diabetic patient's log of blood glucose levels. The nurse finds a glucose reading of 70 mg/dL at 3:00 am and 150 mg/dL at 7:00 am. Which of the following does the nurse suspect is causing the change in glucose levels? a. Dawn phenomenon b. Somogyi effect c. Prediabetes d. Diabetic Ketoacidosis
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- If a type I diabetic client takes too much insulin, what clinical manifestations would alert the nurse to the fact that the client has become hypoglycemic? Question 11 options: confusion and cool, clammy skin fruity smelling breath and urinary ketones tremors of the limbs and bradycardia complaints of abdominal pain and nauseaYou are required to formulate a plan of education for a Diabetic Ketoacidosis Patient's Family, so they will better understand his condition and be able to assist him to manage those days when is unwell. What areas would you cover? How would you ascertain their understanding?Which of the following statements is true regarding carbohydrate in the diabetic diet? a. Low-carbohydrate diets are recommended b. High-fiber, minimally processed carbohydrates should be emphasized O C. Artificial sweeteners should be avoided O d. Simple carbohydrates should be completely eleminated
- A patient diagnosed with type 2 diabetes mellitus is admitted to the medical unit with pneumonia. The patient's oral antidiabetic medication has been discontinued and the patient is now receiving insulin for glucose control. Which of the following statements best explains the rationale for this change in medication? acute illness like pneumonia will cause increased insulin resistance b. stress-related states such as infections increase risk of hyperglycaemia c. insulin administration will help prevent hypoglycaemia during the illness d. infection has compromised beta cell function so the patient will need insulin from now onWhen glucocorticoids are prescribed using “twice a day” dosing, the doses should be divided in the following manner:A. Half in the morning and half in the eveningB. Two thirds in the morning and one third in the afternoonC. One third in the morning and two thirds in the eveningD. Half in the morning and half in the afternoonE. One third in the afternoon and two thirds in the eveningWhich of the following is a sign of diabetic ketoacidosis? Select one: A. Dysuria B. Diabetic foot C. Hypoglycemia D. Insulin shock E. Frequent and deep respiration O O
- 39 words A school-age child present with new-onset type 1 diabetes mellitus. The nurse should recognize the caregiver demonstrates understanding of how to manage the child's illness by which statement? 30) X A. Long-acting insulin is administered before each meal. B. Index fingers should be used for blood glucose testing. C. Blood glucose stability can be achieved with a restricted diet. D. Insulin injection sites are rotated between arm and legs. Accessibility: Investigate English (United States)Sammy is a student with a diagonis of Type 1 Diabetes who comes to your office and has a BG of 200. He is going to eat 45 grams of carbs for lunch. Target BG is 150, ISF=1unit decreases bg by 100mg/dl, Insulin carb ratio + 1 unit per 20 gms carb. How much insulin do you give Sammy and when do you give it to him? Sammy has a basal rate of 0.20u/hr. His last bolus of insulin was over 4hrs agoPlease, choose an appropriate therapy for treatment of patients with type II diabetes and obesity: A. Actrapid and protaphaneB. Metformin and glimepirideC. Glibenclamide and protaphaneD. Glibenclamide and glibometE. Gliclazide and actrapid
- Alexandra Gonzalez is a 28-YO ski instructor. She suffered multiple fractures, which included a broken pelvis leaving her immobile. Activity Level = 1.0. She measured 5’4 and weighted 141# when she was admitted 1-week ago, but has lost 15# since her arrival. She is diabetic and requires the use of antidiabetic drugs (Metformin) and injectable insulin. She has stated she has had low appetite since the accident and follows a strict CHO counting diet. MD has issued orders for a nasoduodenal tube feeding and will receive all oral medication via tube. Describe the precautions that should be taken since Ms. Gonzalez receives medications through the feeding tube. After 24-hours of feeding, Ms. Gonzalez develops diarrhea. Identify the possible cause for this and describe what measures can be taken to correct the diarrhea. Using total calories determined in question #2, plan Ms. Gonzalez tube feeding schedule to provide the following: Intermittent feedings 6 times/day Intermittent feedings 8…A nurse is assessing a 49-year-old male patient who complainsof migraines that have become “unbearable.” The patient tellsthe nurse, “I just got laid off from my job last week and I havetwo kids in college. I don’t know how I’m going to pay for itall.” Which physiologic effects of stress would be expectedfindings in this patient? Select all that apply.a. Changes in appetiteb. Changes in elimination patternsc. Decreased pulse and respirationsd. Use of ineffective coping mechanisms e. Withdrawalf. Attention-seeking behaviorsDuration of long-acting insulin is: A. 18-30 hoursB. 6-18 hoursC. 24-36 hoursD. 36-72 hours
