MED SURG 170 FINAL PAPER PRACTICE QUESTIONS WITH VERIFIED ANSWERS PACKAGE

MED SURG 170 FINAL PAPER PRACTICE
QUESTIONS WITH VERIFIED ANSWERS
PACKAGE

●● Risk factors of Diabetes Type 1
Answer: Family HX
Genetics
Under 30 in age
issues w beta cells (produce insulin)
usually not obese
ABRUPT onset
hypertension
high cholesterol/triglycerides
post viral infection


●● Signs and Symptoms of Diabetes type 1
Answer: hyperglycemia
polyuria
polydipsia
polyphagia
weight LOSS

,SYMPTOMS ARE PRONOUNCED


●● DIAGNOSTICS for DIABETES
Answer: Fasting blood sugar (FBS)
Random blood sugar
A1C


●● Interventions for DIABETES type 1
Answer: insulin
diet
monitor Blood Sugar
sick day rules
maintain a1c at 7% or lower
pre meal blood sugar (70-130)
peak after meal blood sugar (less than 180)


●● sick day rules
Answer: 1. Monitor blood sugar frequently
2. Increase fluids


●● Patient Teaching for Diabetes Type 1
Answer: foot care

,nutrition
dont excerice when insulin is at its peak
no exercise if ketones present in urine


●● Foot care for diabetic pts
Answer: cotton socks
shoes with plenty of room
no soaking
trim toe nails straight across
wash/dry daily
lotion on feet (NOT between toes)
no sandals or flip flops


●● Nutrition for the diabetic pt
Answer: carb counting
25+ g of fiber
complex carbs, monounsaturated fats
avoid empty cals w simple sugars


●● What is Diabetes Type 2
Answer: insulin resistance

, ●● Risk factors Diabetes type 2
Answer: weigth
family hx
inactivty
age 50 and up
obestiy
INSIDIOUS ONSET
hx of gestational diabetes
certain cultures( AA, NA, Asian A, Hispanic, PI)
can have some dysfunction in beta cells


●● signs and symptoms of Diabetes type 2
Answer: hyperglycemia
polyuria
polydipsia
polyphagia
weight GAIN
SYMPTOMS ARE NOT ALWAYS OBVIOUS


●● Interventions for Diabetes type 2
Answer: Diet
insulin