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NURS 3661 Exam 1 Review questions with correct answers.
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NURS 3661 Exam 1 Review questions with correct answers.
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NURS 3661 Exam 1 Review questions with correctanswers
clinical manifestations of diabetes (hyperglycemia) Correct Answer-
polyuria, polydipsia, polyphagia; fatigue, weight loss, poor wound
healing, CV disease, visual disturbances, renal insufficiency, recurring
infection, tingling/numbness of extremities
importance of insulin Correct Answer--transports and metabolizes
glucose for energy into cells
-stimulates storage in liver and muscle as glycogen
-signals liver to stop release of glucose
-enhances storage of dietary fat in adipose tissue
-accelerates transport of amino acids into cells
-inhibits breakdown of stored glucose, protein and fat
modifiable risk factors of diabetes Correct Answer-overweight, low
activity level, high blood pressure, high cholesterol; HDL < 35;
triglycerides >250
nonmodifiable risk factors of diabetes Correct Answer-age(45+),
genetics, ethnicity, other medical conditions
targeted A1C Correct Answer-<6.5% or <140
lab values that diagnose diabetes Correct Answer-- plasma glucose >200
,- fasting blood sugar >126
- OGTT 2 hr BS >200
- A1C >6.5%
prediabetes Correct Answer-5.7-6.4%
- 100-125 mg/dL
- 140-199 mg/dL
once the client has been diagnosed with diabetes what needs to occur
Correct Answer-teach how to monitor BG
- health history (compliance, life-style, cultural assessment)
- physical exam (BMI, BP, eye, skin, foot, neuro and oral)
- A1C, lipid profile, miroalbuminism, creatinine, urinalysis, ECG
self management goals for diabetes Correct Answer-- diabetes disease
and treatment processes
- incorporate nutritional management into lifestyle
- incorporate physical activity into lifestyle
- using medications safely
- monitoring blood glucose, interpreting, and using results
- prevention, detection, and treatment of acute complications
-develop strategies to address psychosocial issues
- develop strategies to promote health/change behavior
, ADA Diet Correct Answer-- control total caloric intake to
attain/maintain reasonable body weight; control blood glucose
- includes meal planning and weight control plus increase activity
What does the glycemic index measure? Correct Answer-a measure of
how a particular food affects blood glucose levels
How does the glycemic index work? Correct Answer-Ranks carbs from
0 to 100 based on how quickly they are converted into blood sugar. 50 g
of food are compared to 50 g of pure glucose.
exercise regime in a diabetic client Correct Answer-- exercise 3x/week
(not 2 days in a row)
- resistance training
- same day/time/duration (when glucose is at its peak)
- proper foot wear (inspect feet)
- stretch 10-15 min before
when should a diabetic client not exercise? Correct Answer-extreme
climates, BS >250, and ketones in urine
insulin dependent diabetic patient should eat 15 gm carb snack before
Correct Answer-they exercise
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