4705525
Descripción
Test por Dinah Santos, actualizado hace más de 1 año
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Creado por Dinah Santos
hace alrededor de 8 años
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Pregunta 1
Pregunta
What is an essential component of a quality improvement program?
Respuesta
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A. A clear statement of philosophy.
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B. Evidence that clients are meeting program objectives.
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C. Development of behavioral objectives for each teaching session.
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D. A remedial plan addressing deficiencies in meeting established standards
Pregunta 2
Pregunta
During the perinatal period, when is the woman with type 1 diabetes most at risk for hypoglycemia?
Respuesta
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A. First trimester of the pregnancy.
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B. Second trimester of the pregnancy.
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C. Third trimester of the pregnancy.
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D. No change in risk throughout the pregnancy.
Pregunta 3
Pregunta
What would be the most appropriate recommendation for the diabetes educator to make for an overweight person taking short-acting insulin at supper and experiencing hypoglycemia during the evening?
Respuesta
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A. change to a rapid-acting insulin analogue at supper.
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B. Eat more carbohydrate at supper
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C. Inject into the abdomen to decrease insulin absorption time.
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D. Increase the frequency of blood glucose monitoring.
Pregunta 4
Pregunta
Which of the following combinations of food provide approximately 30 g of carbohydrate?
Respuesta
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A. 4 Melba toast, 1 small banana, 125 ml milk.
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B. 125 ml milk, 1/2 orange, 1 slice of bread.
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C. 125 ml turnips, 125 ml cooked macaroni.
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D. 200 ml cooked porridge, 250 ml strawberries, 250 ml plain yogurt
Pregunta 5
Pregunta
A client with type 2 diabetes taking multiple daily injections of rapid acting insulin before meals and intermediate-acting insulin at bedtime has consistently elevated fasting blood glucose. What action should be taken to correct this trend?
Respuesta
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A. Increase pre-breakfast rapid-acting insulin.
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B. Check blood glucose at 0300-0400 hours; if not below target, increase bedtime intermediate acting insulin.
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C. Decrease the bedtime intermediate-acting insulin to decrease the risk of nocturnal hypoglycemia.
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D. Adjust his nutrient intake and encourage increased physical activity.
Pregunta 6
Pregunta
Hannah and her family will be traveling to England, which is 5 hours ahead. What should the diabetes educator recommend regarding insulin adjustment?
Respuesta
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A. Reduce insulin when traveling to England.
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B. Increase insulin when traveling to England.
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C. No insulin dose adjustments are required.
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D. Upon return, adjust the usual insulin doses by 30%.
Pregunta 7
Pregunta
When teaching Hannah's parents about hypoglycemia which of the following statements is most critical?
Respuesta
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A. Hannah may not recognize or verbalize hypoglycemia.
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B. Testing should be done at 0300 hours twice per week.
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C. Testing is necessary to confirm hypoglycemia.
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D. Hannah's bedtime snack must include 15 g of carbohydrate and a protein choice.
Pregunta 8
Pregunta
Hannah has been unwell with influenza for 6 hours. Her mom reports Hannah has vomited once. What is the most appropriate response for sick-day management?
Respuesta
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A. Ensure adequate oral intake every 2 hours.
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B. Test blood glucose and ketones and discontinue the insulin.
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C. Test blood glucose and ketones and continue the insulin.
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D. Take Hannah to the nearest emergency department.
Pregunta 9
Pregunta
Bob has type 2 diabetes and has been prescribed acarbose 50 mg TID. He takes no other oral agents for his diabetes. What is the best advice to give Bob?
Respuesta
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A. Take your medications during meals.
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B. Test your blood glucose before meals.
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C. Take your medication with the first bite of the meal.
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D. Take your medication after meals.
Pregunta 10
Pregunta
What is the most important factor when assessing the learning needs of a client?
Respuesta
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A. the client's diabetes control as assessed by a recent A!C.
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B. The client's past attendance at a diabetes education program.
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C. The client's perception of his/her present problem or concern
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D. The Client's past experience and knowledge related to diabetes.
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