O GoConqr está de visual novo! Conte para nós o que você achou.

Registre-se grátis

Quiz

Exemplar 12.1: Diabetes

Olivia McRitchie 23 perguntas

Fazer o quiz

Este quiz tem tipos de pergunta que abrem no player de sempre.

Perguntas do quiz (23)

  1. 1What are a couple of the major differences and similarities between type 1 and type 2 diabetes mellitus?
    1. AType 1 results from the destruction of Langerhans cells in the pancreas, type 2 is caused by cellular resistance to insulin and the pancreas being unable to compensate due to the increased demand.
    2. BBoth types manifest with hyperglycemia and ketosis
    3. CGenetics is a risk factor in both types
    4. DCommon manifestations of both types are polyuria, polydipsia, and polyphagia.
    5. EMost cases of type 1 are immune mediated, whereas type 2 is not largely immune-mediated.
    6. FObesity, physical inactivity, race/ethnicity, and gender is a risk factor for both types
  2. 2You are talking to a mother whose 6-year-old daughter has just been diagnosed with type 1 diabetes. She has at least a high school education, but you assess that her medical literacy is low. After speaking with her about her daughter's disorder, you are concerned that she is susceptible to not complying with the treatment regimen, and instead trying naturopathic treatments to "cure" her daughter. Which of the following statements made by the mother would make you think that?
    1. A"My daughter had the mumps about a month ago. She probably has a genetic background, but having the mumps could have caused it to appear."
    2. B"The increased eating, drinking, peeing, and tiredness were likely because of my daughter's diabetes. These should go away once her diabetes is controlled."
    3. C"My daughter is at risk for diabetic ketoacidosis because of high blood sugar, but this can be prevented easily with diet and proper exercise alone."
    4. D"I need to stress to my daughter that she needs to keep an eye on her blood sugar even when I'm not there because she can have low blood sugar and not even know it."
    5. E"If my daughter develops low blood sugar, I should take her blood glucose, give her 15 grams of carbohydrates, wait 15 minutes, re-test, and then give her another 15 grams if her blood sugar is still too low."
    6. F"My daughter's blood glucose before a meal should be between 70 and 130 mg/dL."
    7. G"I need to get a device to prick my daughter's finger, a glucose meter, and test strips that go with that brand of glucose meter. My insurance may cover this."
    8. H"I should following all the instructions that you gave me for storing and administering insulin so that my daughter does not accidentally get hurt."
    9. I"I should balance my daughter's diet very carefully to avoid high blood sugar."
  3. 3Match the correct signs/symptoms and lab findings with the correct hyperglycemic state. Only place the answers specific to that hyperglycemic state; if the answer is correct for both states, it does not count.

    Just to make sure nobody has the answer wrong even though it should be right, I've put the answers in ALPHABETICAL ORDER.

    Diabetic ketoacidosis:
    -[blank_start]Blood glucose >300 mg/dL[blank_end]
    -[blank_start]Blurred vision[blank_end]
    -[blank_start]Confusion[blank_end]
    -[blank_start]Fruity breath[blank_end]
    -[blank_start]Increased plasma & urine ketones[blank_end]
    -[blank_start]Moderate fluid loss[blank_end]
    -[blank_start]Plasma pH <7.3[blank_end]

    Hyperosmolar hyperglycemic state:
    -[blank_start]Blood glucose >600 mg/dL[blank_end]
    -[blank_start]Extreme thirst[blank_end]
    -[blank_start]Lethargy[blank_end]
    -[blank_start]Malaise[blank_end]
    -[blank_start]Normal breath[blank_end]
    -[blank_start]Normal plasma & urine ketones[blank_end]
    -[blank_start]Normal plasma pH[blank_end]
    -[blank_start]Normal respirations[blank_end]
    -[blank_start]Profound fluid loss[blank_end]
    -[blank_start]Seizures[blank_end]
    1. ABlood glucose >300 mg/dL
    2. BBlurred vision
    3. CConfusion
    4. DFruity breath
    5. EIncreased plasma & urine ketones
    6. FModerate fluid loss
    7. GPlasma pH <7.3
    8. HBlood glucose >600 mg/dL
    9. IExtreme thirst
    10. JLethargy
    11. KMalaise
    12. LNormal breath
    13. MNormal plasma & urine ketones
    14. NNormal plasma pH
    15. ONormal respirations
    16. PProfound fluid loss
    17. QSeizures
    18. RFlushed, dry, and warm skin
    19. SIncreased thirst
    20. TDecreased blood pressure
    21. UIncreased pulse rate
    22. VIncreased fluid intake
    23. WNausea & vomiting
    24. XAbdominal pain
    25. YDecreasing level of consciousness
    26. ZAbnormal K, Na, and Cl
    27. AA>340 mOsmol/L
  4. 4Select the signs and symptoms of hypoglycemia.
    1. APallid, moist, cool skin
    2. BProfuse perspiration
    3. CIncreased thirst
    4. DAnxiousness & restlesness
    5. EHunger
    6. FAbdominal pain
    7. GFluid loss
    8. HFatigued
    9. IHeadache
    10. JMood changes
  5. 5You have a 6-year-old boy (J.C.) brought to your emergency room via ambulance after his father (A.C.) called 911. A.C. states that he was about to drive J.C. to urgent care because he was "acting weird" when J.C. suddenly became unresponsive. When asked by the R.N. to specify "acting weird", A.C. states that J.C. could not remember his age, birthday, or location. Prior to passing out, J.C. had been sick at home for about a day with what A.C. called a "stomach flu": he was nauseated, vomiting, had a fever, and had abdominal pain. He was very thirsty, but not diaphoretic.

    Temp is 101.2 degrees Fahrenheit; BP 85/50; HR 134 bpm; respirations 32/min, labored, regular, even, and symmetrical; SpO2 91%. J.C. is not conscious. Skin is flushed, warm, and dry. Breath smells like fruit.

    Telemetry shows flat, inverted T waves. Serum potassium is 2.5 mEq/L; serum sodium is 124 mEq/L; serum chloride is 90 mEq/L.. Blood glucose is 375 mg/dL. ABG results shows that pH is 7.29, HCO2 is 18 mEq/L, PaCO2 is 36 mmHg.

    What acute manifestation of diabetes is J.C. suffering from?
    1. ADiabetic ketoacidosis
    2. BHyperosmolar hyperglycemic state.
    3. CHypoglycemia
  6. 6Select appropriate interventions to enact for a patient that is conscious and suffering from diabetic ketoacidosis. Assume that this patient is suffering from severe textbook DKA, with blood pH above 7.20 but below 7.35, hypokalemia, and hyponatremia.
    1. A4-6 L of oral fluid within first 12 hours of treatment.
    2. B0.45% saline, administered 500-1,000 mL/hr until BP returns to normal range.
    3. C0.9% saline, administered 500-1,000 mL/hr until BP returns to normal range.
    4. D0.45% saline with dextrose administered at 200-500 mL/hr once BP is normal & blood glucose is 250 mg/dL or less.
    5. EIntravenous insulin.
    6. FAdministration of potassium with 0.9% saline.
    7. GConstant telemetry monitoring.
    8. HReassessment of vitals, heart sounds, lung sounds, and blood glucose every 2 hours while fluid is being administered, and every 4 hours once fluid is done being administered.
    9. IElectrolyte panel retaken every 2 hours.
  7. 7You have a 40-year-old single mother (C.D.) being brought into your ER via ambulance, reportedly because her 12-year-daughter (O.M.) called 911 stating that her mother was "acting weird".

    Temp is 99.7; BP is 100/62; HR is 120 bpm; respirations are 16/min, regular, even, unlabored, and symmetrical; SpO2 is 96%. C.D. is conscious, but lethargic. She reports dull, throbbing pain, 7/10, generalized throughout abdomen that is worst right before vomiting and better (1/10) for "about 30 minutes" after. Skin is flushed, dry warm, diaphoresis not noted. She reports that she has been running a fever around 102 degrees Fahrenheit, accompanied by nausea and vomiting, for the past 3-4 days. She further reports that she has been very thirsty and has been peeing a lot for "about 2 weeks".

    Her blood glucose is 720 mg/dL. Sodium is 123 mEq/L, potassium is 2.0 mEq/L, chloride is 91 mEq/L. Telemetry shows inverted T waves. Her ABGs are pH 7.40, HCO3 26 mEqL, and PaCO2 39 mmHg.

    What acute complication of diabetes is this patient experiencing?
    1. ADiabetic ketoacidosis
    2. BHyperosmolar hyperglycemic state
    3. CHypoglycemia
  8. 8You have a 30-year-old male (M.H.) brought to your ER from the grocery store because, according to a police officer (J.V.), he was allegedly "verbally abusing the customers, employees, and managers". J.V. and his partner were called to detained M.H.. but after noticing a medical alert bracelet stating that M.H. is type 1 diabetic, J.V. opted to call an ambulance instead.

    Temp is 98.8 degrees Fahrenheit; BP is 98/58; HR is 125 BPM; respirations are 24 breaths/min; SpO2 is 95%. Headache 5/10 reported; M.H. cannot recall when it started, but states there are no alleviating factors. M.H. is still combative; he appears anxious, and cannot recall when be last took his insulin. His skin is pallid, moist, and cool, and he is sweating profusely. He is not thirsty, but informs the RN that he is very hungry.

    His ABGs are pH 7.38, HCO3 25 mEq/L, PaCO2 40 mmHg. His sodium is 132 mEq/L, potassium is 4.1 mEq/L, and his chloride is 101 mEq/L. Serum osmolality is 290 mOsm/L.

    Even without being given the blood glucose value, what acute complication of diabetes do you think this patient is experiencing?
    1. ADiabetic ketoacidosis
    2. BHyperosmolar hyperglycemic state
    3. CHypoglycemia
  9. 9You are a high school nurse. Following a very public incident in which a type 1 diabetic student was denied the ability to replenish her blood glucose with a food or drink, you are giving a talk to the teachers about how to manage type 1 diabetes.

    Which of the following statements about type 1 diabetes is accurate?
    1. A"Type 1 diabetics will sometimes have to eat 15 grams of carbohydrate in the form of a snack or a drink, wait 15 minutes, then eat another 15 grams if their sugar is still low. This is called the 15/15 rule, and it is important for diabetics to be able to do this."
    2. B"Type 1 diabetics can almost always identify when they are hypoglycemic, especially at this age."
    3. C"Although hypoglycemia can sometimes manifest as mood changes and fatigue, diabetic students should be aware that they are hypoglycemic, and therefore should be held to the same behavioral standards as other students at all times."
    4. D"Additionally, students with type 1 diabetics can go into a hyperosmolar hyperglycemic state and be unaware of it. This is caused by hyperglycemia, counts as a medical emergency, and is something that you should be watching out for."
  10. 10Treatment for hyperosmolar hyperglycemic state is similar to the treatment for diabetic ketoacidosis.
    1. AVerdadeiro
    2. BFalso

Informações

Descrição
NCLEX Nursing (Medical-Surgical) Quiz sobre Exemplar 12.1: Diabetes, criado por Olivia McRitchie em 27-10-2018.
Idioma
English
Visualizações
81
Avaliação
Ainda sem avaliações
Avalie este quiz
Avalie este quiz

Fale Conosco

Sobre o que é sua mensagem?

O que você acha do novo visual?

Você gostou?