21080526
Description
Quiz by Alyssa Magill, updated more than 1 year ago
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Created by Alyssa Magill
about 4 years ago
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Question 1
Question
clinical manifestations of diabetic ketoacidosis include
Answer
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hyperglycemia, hypo-osmolality, anion gap acidosis
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hyperglycemia, hyper-osmolality, hypernatremia
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hyperglycemia, hypo-osmolality, ketone production
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hyperglycemia, hyper-osmolality, anion gap acidosis
Question 2
Question
18 yo with type 1 diabetes is admitted with a hyperglycemic emergency. her initial glucose was 520 with a K of 6.2. your priority is
Answer
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correcting glucose levels
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lowering K level
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restarting home SQ insulin
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correcting fluid deficit
Question 3
Question
4 hours after starting an insulin infusion in a pt with DKA the pt's blood glucose is 235. which of the following fluids should be administered?
Answer
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hypertonic solution to hydrate the cell
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D5 45 or D5 NS with a glucose source
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isotonic saline bolus to maintain extracellular hydration
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hypotonic saline to provide cellular hydration
Question 4
Question
a cardinal sign of hyperosmolar hyperglycemic state (HHS) is
Answer
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ketones present in serum & urine &increased serum osmolality
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decreased serum osmolality & rapid shallow breathing
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markedly elevated serum glucose & altered mental status
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volume overload and metabolic acidosis
Question 5
Question
commonn lab finding in a pt with diabetes insipidus (DI) is
Answer
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decreased serum osmolality
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decreased urine output
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elevated urine specific gravity
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elevated serum osmolality
Question 6
Question
you would expect which of the following lab findings in a pt with diabetes insipidus
Answer
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increased serum osmo, decreased serum Na, increased urine osmo
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increased serum osmo, increased serum Na, decreased urine osmo
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decreased serum osmo, increased serum Na, decreased urine osmo
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decreased serum osmo, decreased serum Na, decreased urine osmo
Question 7
Question
A 56 year old suffered a cardiopulmonary arrest and received 45 minutes of chest compressions. On day 2 of hospital stay you notice his urine drainage bag is suddenly full. urine is clear without color, he continues with urine output of 700-1000ml/hr x 2 hrs. which assessment would you expect?
Answer
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serum sodium level of 126
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serum osmolality of 320
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urine specific gravity of 1.025
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serum K of 3.5
Question 8
Question
pt from psych unit was admitted for close monitoring after drinking 8 liters of water in an hour. you would expect which of the following
Answer
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hyponatremia
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hypernatremia
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hypokalemia
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elevated serum osmolality
Question 9
Question
severely depressed diabetic pt is admitted after taking a large amount of insulin in an attempt to commit suicide. asking about suicidal thoughts will help you ascertain
Answer
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if they have a specific plan to attempt suicide again
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place the patient on suicide watch
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give them ideas for successful suicide
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if they are more depressed
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