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NURS319 Final Exam With Complete Solutions
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NURS319 Final Exam With Complete Solutions...
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NURS319 Final Exam With Complete SolutionsHow is diabetes diagnosed? - Answer -A1C of 7 or >
-fasting plasma glucose > or = 126 mg/dL
-2 hour plasma glucose level > or = to 200 mg/dL
-pt w/ polyuria, polydipsia, polyphagia, and unexplained weight loss or random plasma
glucose > 200 will be treated
what are the manifestations of diabetes? - Answer -polyuria, polydipsia, polyphagia
-hyperglycemia
-unexplained weight loss
what is diabetes the leading cause of?
-Answer-
End-stage renal disease
Adult blindness
Non-traumatic lower limb amputations
what are the complications of diabetes?
-Answer
heart disease
hypertension
,stroke
what should nutrition education be for someone with diabetes?
-Answer
eat at regular intervals
should carb count
coordinate diet with activity
weight loss(if applicable)
fruits and vegetables
what is the exercise education with pt with DM?
-Answer
consistent exercise
-exercise 30 min/day for 5 days/wk
-snack before exercise check BGM have simple carb available
-best if 1hr after meals or pre-exercise snack 10-15g
what is the nursing intervention for a patient with hyperglycemia? - Answer -continue
medication regimen
-monitor BGM function
-encourage fluid intake
-notify physician
-urine ketones
-excessive perspiration
- palpitations
, -headache
what is the rule of 15 for hypoglycemia? - Answer -15g of simple carb (4-6oz of juice or
soft drink)
-recheck in 15 min
-if sustained give another 15g
-recheck in 15min
-repeat 2-3 doses, if unchanged call HCP
what is the emergency intervention for a pt with hypoglycemia? - Answer -give 20-50 mL
of 50% dextrose IV
-if no IV access & pt is unconscious give 1mg of glucagon IM or subQ
what is a rapid acting insulin? - Answer aspart, lispro, gluisine
What is the onset for rapid acting insulin? - Answer 10-30 minutes
what is the peak for rapid acting insulin? - Answer 30 min to 3 hr
what is the duration for rapid acting insulin? - Answer 3-5 hours
what are the short acting insulins? - Answer regular
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