Diabetes Test 6
Which one of the aforementioned chronic issues is linked to diabetes?
Explanation:
These are all long-term diabetic problems. No matter what type of diabetes a person has, consequences might include neuropathy, microvascular, and macrovascular problems. Nephropathy, retinopathy, neuropathy, and ASCVD events are among the microvascular and macrovascular consequences that vary depending on the severity and length of poorly controlled diabetes, particularly if it is coupled with other comorbidities like dyslipidemia and hypertension.
The reason the nurse is aware that glucagon can be used to treat hypoglycemia is because:
Explanation:
The alpha cells in the islets of Langerhans create the insulin antagonist glucagon, which causes the liver to convert glycogen into glucose. Glucagon is a polypeptide hormone that has FDA approval for the treatment of severe hypoglycemia and as a diagnostic tool in GI tract imaging. It is frequently used to treat severe hypoglycemia.
As part of the discharge plan, the nurse is instructing a client on how to administer insulin. Which insulin among the following begins to work the fastest?
Explanation:
The rapid-acting insulin Lispro begins to operate 15 minutes after injection, peaks in 30 to 90 minutes, and lasts for 2 to 4 hours. A rapid-acting human insulin mimic, insulin lispro controls the metabolism of carbs, proteins, and fats to lower blood sugar levels when administered parenterally. It functions by attaching to an insulin-specific glycoprotein receptor on the surface of target cells.
Which nursing intervention should be used for a patient who complains of nausea and throws up an hour after taking glyburide (DiaBeta)?
Explanation:
When a patient who has been taking an oral diabetes medication vomits, the nurse will check his blood sugar levels and check him periodically for hypoglycemia symptoms. Glyburide's potential for causing more hypoglycemia than other oral diabetes medications means that it must be closely monitored for warning signs and symptoms of falling blood sugar levels.
A patient has infection-related diabetic ketoacidosis (DKA). Which of the following symptoms might the nurse observe when the illness worsens?
Explanation:
Kussmaul's respirations (extremely deep but not laborious respirations) and a fruity odor on the breath signal the onset of a coma and severe acidosis. It's possible to experience Kussmaul's laborious, deep, and tachypneic breathing. Some healthcare professionals may love the fruity aroma that the patient's breath has when acetone is present.
When it's time for bed, a client with type 1 diabetes mellitus has a fingerstick glucose level of 258 mg/dl. Insulin on a sliding scale is on order. The nurse needs to:
Explanation:
The expected range of 70-105 mg/dl is exceeded by a value of 258 mg/dl; the nurse should thus deliver the insulin as directed. A correction for high blood sugar at bedtime may be part of sliding scale regimens. The nocturnal scale shouldn't be used to cover a snack before bed because it only takes into account the quantity of insulin needed to bring the blood sugar level back into the desired range.
Which of the following complications is prevented while providing insulin by rotating injection sites?
Explanation:
Insulin injection sites develop fatty masses due to insulin lipodystrophy, which results in erratic insulin absorption. Increased glycemic variability and unexplained episodes of hypoglycemia linked to lipodystrophy raise healthcare expenses and impair patient compliance. According to studies, the best method for protecting insulin sites against lipohypertrophy is to rotate them properly.
Which of the following electrolytes is forced into the cells by insulin from the plasma?
Explanation:
Hypokalemia is brought on by insulin, which drives potassium from the plasma back into the cells. Insulin and glucose must be transported into the cells with the assistance of potassium. Insulin increases the activity of the Na+-H+ antiporter on the cell membrane, which promotes the entry of sodium into cells and activates the Na+-K+ ATPase, which results in an electrogenic influx of potassium. Taking IV insulin lowers serum potassium levels in a dose-dependent manner.
Which of the following adjustments to a client's daily routine may be necessary for a client with type 1 diabetes when an infection is present?
Which of the following factors is the most typical cause of hyperglycaemic hyperosmolar nonketotic syndrome (HHNS)?
Explanation:
One of the most prevalent causes of HHNS is undiagnosed, untreated diabetes mellitus. A clinical disease called hyperosmolar hyperglycemic syndrome (HHS) develops as a result of a diabetes mellitus complication. Ninety to five percent to ninety-five percent of diabetes cases are type 2 diabetes. Patients who are obese tend to experience it more frequently. If diabetes mellitus is well managed, there is very little possibility of developing HHS.
Explanation:
To start, an IV bolus of insulin is administered to treat the hyperglycemia; this is followed by a continuous infusion of insulin that is titrated to lower blood sugar levels. An initial bolus of 0.1 U/kg followed by an infusion of 0.1 U/kg/h was advised by previous therapy guidelines. A more recent prospective randomized trial showed that individuals receiving hourly insulin infusions at 0.14 U/kg/hr do not require a bolus
