NUR 229 MODULE 1 EXAM STUDY QUESTIONS AND CORRECT ANSWERS
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Course
NUR 229
Institution
NUR 229
Diabetes mellitus Which disease is a multi-system disease. This is because the body does not have enough glucose to fuel cell properly, b/c insulin is not being produced to take take sugar from blood into cells. It could be also b/c pancreas is not producing enough insulin leaving the cells very hu...
NUR 229 MODULE 1 EXAM STUDY
QUESTIONS AND CORRECT ANSWERS
Diabetes mellitus ✅Which disease is a multi-system disease. This is because the body
does not have enough glucose to fuel cell properly, b/c insulin is not being produced to
take take sugar from blood into cells. It could be also b/c pancreas is not producing
enough insulin leaving the cells very hungry or the body is not recognizing insulin as a
vehicle to get glucose into cells.
Obesity ✅What is a major *risk factor* for Diabetes?
Type 1 Diabetes Mellitus ✅Which type of DM has the following xteristics:
(a) *no insulin production*
b. autoimmune disease caused by destruction of pancreas
C. *onset is RAPID!*
d. Pt. will require Insulin for life (*Insulin dependent)*
e. *It is genetic*
Type 1 Diabetes Mellitus ✅Which type of DM does Virus play a role in developing in
patients?
Type 2 diabetes Mellitus ✅Which type of DM has the following xteristics:
a. *Insulin resistance*
b. Pancreas continues to produce insulin, however, it is either insufficient for the body's
need or the body is not using it.
c*. May have genetic link too*
d. *Insufficient insulin pdtn or insulin resistance*.
a. Genetic link
b. *3 Ps (polyuria, polydipsia and polyphagia*)
c. Fatigue and muscle weakness ✅What is the common features in both Type 1 and
type 2 DM?
a. 3P's
b. fatigue and muscle weakness
c. *weight loss*
D. *KETOACIDOSIS (DKA)*, Metabolic acidosis
e. *Occurs in YOUNG CLIENTS*
f. Thin, normal or obese
g. *KETONE is present*
H. *Absent insulin* ✅What are the clinical manifestations in seen in Type 1 Diabetes?
, a. 3Ps (Polydipsia, polyphagia, polyuria)
b. *weight gain (remember in type 1-weight loss)*
c. HHS
D. Prolonged wound healing
e. Visual changes (Blurry vision)
f.Hyperinsulemia
g. *Hyperglycemia due to insulin resistance*
h. *Re-occurring infections*
i. *NO KETONE*
J. *occurs In ADULT (around age 40) remember type 1 occurs in young children*
✅What are the clinical manifestations in seen in Type 2 Diabetes?
*Dry warm skin
*foot ulcers
*loss of hair on toes
*slow wound healing
*Parasthesias
*Rapid deep breathing (aka Kussmaul Respiration)*
*HYPOTENSION*
*weak and rapid pulse
*Fruity breath (acetone breath)
*Confusion
*Coma
*muscle weakness or muscle wasting
*3ps
*increased AIC level (>6)
*blurry vision
*numbness and tingling
*delay wound
*HYPERGLYCEMIA*
*Hyperosmolarity
*Fasting glucose more than 126 (100-126, anything higher= diabetes)*
*random glucose more than 200 ( normal is less than 200)*
*OGTT glucose more than 200 (normal is less than 200)* ✅What are the general
assessment findings in a diabetic patient?
Diabetic Ketoacidosis (DKA) ✅Which Acute diabetic complications is described as the
following:
* Severe HYPERGLYCEMIA with ketoacidosis*
*often occurs with type 1 DM (acute exacerbation)
*it occurs suddenly*
*Triggered by stress, infection and lack of insulin*?
*ketoacidosis or Ketosis*
*Dehydration*
*Hyperglycemia*
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