NUR 368 FINAL EXAM LATEST UPDATE
A nurse who is caring for a pregnant diabetic should carefully monitor the client for which of the
following? (correct answers)UTI
A gravid client, 27 weeks' gestation, has been diagnosed with gestational diabetes. Which of the
following therapies will most likely be ordered for this client? (correct answers)Diet control with
excercise
A gestational diabetic, who requires insulin therapy to control her blood glucose levels, telephones the
triage nurse complaining of dizziness and headache. Which of the following actions should the nurse
take at this time? (correct answers)drink glass of milk or water then call back
A client has been admitted with a diagnosis of hyperemesis gravidarum. Which of the following orders
written by the primary health care provider is highest priority for the nurse to complete? (correct
answers)Fluids! IV with multvitamins
A client has been admitted with a diagnosis of hyperemesis gravidarum. Which of the following lab
valued would be consistent with this diagnosis? (correct answers)d. PO2 90, pCO2 45, HCO3 30 mEq/L,
pH7.50.
Hyperglycemia associated with diabetic ketoacidosis is defined as a blood glucose measurement equal
to or greater than: (correct answers)330 but the slides say 300?!?!
What is characteristic of the immune-mediated type 1 diabetes mellitus? (correct answers)age onset is
usually younger than 18 years old
manigestations of hypoglycemia include (correct answers)shaky feeling and dizziness
The nurse is caring for an 11-year-old boy who has recently been diagnosed with diabetes. What should
be included in the teaching plan for daily injections? (correct answers)he is old enough to give his own
injections
which site has fastest absorption rate for insulin? (correct answers)abdomen
Metabolic regulation (correct answers)the anabolic and catabolice chemical reactions that take place
within cells to maintain life
type one diabetes (correct answers)autoimmune disease. body produces antibodies which attack the
islet cells of the pancreas that produce insulin.
overt symptoms for type one diabtetics (correct answers)Three Ps. polyuria, polydipsia and polyphagia.
symptoms usually start occurring and 80-90% of islet cells are destroyed.
, tests to diagnose type 1 diabetes (correct answers)glucose toleralnce test over 200. fasting glucose
levels over 126.
goals for diabetic therapy (correct answers)achieve glycemic control (tight control is necessary to
prevent complications), positive psychosocial adjustment, prevention of acute and chronic
complications.
acute vs chronic complications for diabetes (correct answers)acute- hypo and hyper
chronic- micro and macrovascular changes.
hypoglycemia (correct answers)less than 60. can occur with exercise of greater than 20 mins. can lead to
rebound hyperglycemia.
mild vs severe treatment of hypoglycemia. (correct answers)15 carbs (3-6 ox orange juice)and recheck
15 mins later.
give 50% glucose IV
nocturnal Somogyi effect (correct answers)causes rebound hyperglycemia. may need to lower night
time insulin to not get rebound hyperglycemia.
hyperglycemia (correct answers)blood glucose greater than 250. dehydration, electrolyte imbalance,
DKA (Kussmaul resps), coma or death
fruity breath.
clinical manifestations of hyperglycemia (correct answers)low immune function and wound healing.
increased inflammation and blood clots.
fluid shifts, electrolyte imbalances.
ischemia
high ketones are harmful in exercise.
ketoacidosis (correct answers)over 300. complete absence of insulin.
body with use fat as an alternative source of energy.
ketonuria and acetone breath.
NEED fluids to rehydrate and suppress stress hormones.
Twaves
humalog (correct answers)rapid-acting. 15mins. peak 1-2 hrs. and 3-4 hour duration
A nurse who is caring for a pregnant diabetic should carefully monitor the client for which of the
following? (correct answers)UTI
A gravid client, 27 weeks' gestation, has been diagnosed with gestational diabetes. Which of the
following therapies will most likely be ordered for this client? (correct answers)Diet control with
excercise
A gestational diabetic, who requires insulin therapy to control her blood glucose levels, telephones the
triage nurse complaining of dizziness and headache. Which of the following actions should the nurse
take at this time? (correct answers)drink glass of milk or water then call back
A client has been admitted with a diagnosis of hyperemesis gravidarum. Which of the following orders
written by the primary health care provider is highest priority for the nurse to complete? (correct
answers)Fluids! IV with multvitamins
A client has been admitted with a diagnosis of hyperemesis gravidarum. Which of the following lab
valued would be consistent with this diagnosis? (correct answers)d. PO2 90, pCO2 45, HCO3 30 mEq/L,
pH7.50.
Hyperglycemia associated with diabetic ketoacidosis is defined as a blood glucose measurement equal
to or greater than: (correct answers)330 but the slides say 300?!?!
What is characteristic of the immune-mediated type 1 diabetes mellitus? (correct answers)age onset is
usually younger than 18 years old
manigestations of hypoglycemia include (correct answers)shaky feeling and dizziness
The nurse is caring for an 11-year-old boy who has recently been diagnosed with diabetes. What should
be included in the teaching plan for daily injections? (correct answers)he is old enough to give his own
injections
which site has fastest absorption rate for insulin? (correct answers)abdomen
Metabolic regulation (correct answers)the anabolic and catabolice chemical reactions that take place
within cells to maintain life
type one diabetes (correct answers)autoimmune disease. body produces antibodies which attack the
islet cells of the pancreas that produce insulin.
overt symptoms for type one diabtetics (correct answers)Three Ps. polyuria, polydipsia and polyphagia.
symptoms usually start occurring and 80-90% of islet cells are destroyed.
, tests to diagnose type 1 diabetes (correct answers)glucose toleralnce test over 200. fasting glucose
levels over 126.
goals for diabetic therapy (correct answers)achieve glycemic control (tight control is necessary to
prevent complications), positive psychosocial adjustment, prevention of acute and chronic
complications.
acute vs chronic complications for diabetes (correct answers)acute- hypo and hyper
chronic- micro and macrovascular changes.
hypoglycemia (correct answers)less than 60. can occur with exercise of greater than 20 mins. can lead to
rebound hyperglycemia.
mild vs severe treatment of hypoglycemia. (correct answers)15 carbs (3-6 ox orange juice)and recheck
15 mins later.
give 50% glucose IV
nocturnal Somogyi effect (correct answers)causes rebound hyperglycemia. may need to lower night
time insulin to not get rebound hyperglycemia.
hyperglycemia (correct answers)blood glucose greater than 250. dehydration, electrolyte imbalance,
DKA (Kussmaul resps), coma or death
fruity breath.
clinical manifestations of hyperglycemia (correct answers)low immune function and wound healing.
increased inflammation and blood clots.
fluid shifts, electrolyte imbalances.
ischemia
high ketones are harmful in exercise.
ketoacidosis (correct answers)over 300. complete absence of insulin.
body with use fat as an alternative source of energy.
ketonuria and acetone breath.
NEED fluids to rehydrate and suppress stress hormones.
Twaves
humalog (correct answers)rapid-acting. 15mins. peak 1-2 hrs. and 3-4 hour duration
