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NS 254_ Exam 1 Questions with Complete Solutions Graded A+
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NS 254_ Exam 1 Questions with Complete Solutions Graded A+
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NS 254_ Exam 1Questions with
Complete Solutions
Graded A+
Denning Muriithi [Date] [Course title]
, NS 254 Exam 1
1. Type 1 DM Correct Ans: -Destruction of beta cells in pancreas due to
autoimmune dysfunc- tion.
-Patients are insulin dependent
-Usually starts at young age.
2. Type 2 DM Correct Ans: -Progressive insulin resistance and decreased
insulin production r/t obesity, inactivity, and genetics.
- usually starts later in life
- most prevalent >40 years of age
3. DM Risk Factors Correct
Ans: Obesity
hypertension
hyperlipide
mia smoking
genetics
race (African American, American Indian,
Hispanic) Inactivity
4. DM S/S Correct Ans: 3 P's Correct Ans:
polyuria, polydipsia, polyphagia
hyperglycemia
weight loss
dehydration Correct Ans: decreased skin tugor, weak pulse,
hypotension, dry mucus mem- branes)
fruity breath
kussmaul RR Correct Ans:
increased rate and depth n/v
headache
decreased
LOC
5. DM Goal Correct Ans:
Correct Ans: Reduce
symptoms Promote well
being
prevent complications
delay onset +
progression
6. DM diagnosis Correct Ans: Two or more of the following on separate
days Correct Ans:
- Casual/Random BG Correct Ans: >200
- Fasting BG Correct Ans: >115 (ADA) or >125 (Lewis) Correct Ans:
, NS 254 Exam 1
preferred method on 2-3 occasions
- BG >200 w/ oral glucose tolerance test
- HgbA1c Correct Ans: > 6.5% Correct Ans: goal <7% (8% kids +
elderly)
7. DM Patient Teaching Correct Ans: - rotate subcut injection sites to
prevent lipohypertrophy
- Mixing insulins Correct Ans: Draw up clear before cloudy
- Never mix long- acting insulin (insulin glargine) with other insulins
- monitor for signs of hypoglycemia
- exercise Correct Ans: ideal time 1 hour after meals, take sugar with in
case, don't at peak insulin
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