Selected Harry George (Room 401) Quiz | Lesson 22 | Diabetes Mellitus, Part 1

Question 1 1 / 1 pts Exercise 2 - Virtual Hospital Activity Sign in to work at Pacific View Regional Hospital for Period of Care 1. (Note: If you are already in the virtual hospital from a previous exercise, click on Leave the Floor and then on Restart the Program to get to the sign-in window.) From the Patient List, select Harry George (Room 401). Click on Go to Nurses’ Station. Click on Chart and then on 401. Click on History and Physical. Exercise 2 - Question 1 What risk factors for diabetes are noted in Harry George’s history? Your Answer: Maternal grandmother DM & HTN, maternal grandfather died of age 79 of stroke, Poor nutrition, Noncompliance with blood glucose monitoring and inconsistent with medications. Paternal grandmother died of COPD at 79, age, HTN, cigarette smoking for 36 years ETOB abuse. Maternal grandmother has diabetes, Hypertension Question 2 1 / 1 pts Exercise 2 - Question 2 Describe the history of his present illness. Your Answer: Infection & swelling of left foot and he broke foot approximately 4 years ago in a motorcycle accident. He has Fractures of metatarsals and left malleolus. In admission, told he was diagnosed with DM. ETOH abuse after accident and never told of bone infection. Harry George has had problems with infection and swelling of left foot off and on for last 4 years since he broke his foot in a motorcycle accident. Type 2 diabetes was diagnosed at that time. He has a current history of alcohol abuse and smoking. Question 3 1 / 1 pts Exercise 2 - Question 3 What is the relationship between the infection in Harry George’s foot and his diabetes mellitus? Your Answer: The relationship between the infection, foot, an DM is due to pts. DM2, hyperglycemia and vascular changes r/t DM not allowing foot to heal, wound/poor wound healing, improper nutrients to foot to heal. Hyperglycemia and vascular changes from diabetes decrease WBC activity, inhibit gas exchange in the tissue, and promote growth of microorganisms. Question 4 1 / 1 pts Click on Laboratory Reports. Exercise 2 - Question 4 Harry George's blood glucose level on admission was ______ mg/dL. 380