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Edapt nr507 Diabetes | Chamberlain
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Type 1 diabetes Caused by destruction of pancreatic beta cells
Which of the following best describes the primary pathophysiological mechanism underlying the development of type 2 diabetes? a Hypersecretion of insulin by pancreatic beta cells b Enhanced insulin sensitivity in skeletal muscle c Insulin resistance in peripheral tissues d Hypersecretion of glucagon by pancreatic alpha cells
c
Hypo glycemia irritability, hunger, sweating
Hyperglycemia blurred vision, increased thirst, frequent urination
increased risk factors for type 1 diabetes(case study)
Age 16, twin with type 1,
The nurse practitioner (NP) ordered a random plasma glucose, and the result was 250 mg/dL.
The np should diagnose the client with diabetes
Who is most at risk for DM 2 A 50 year old, BMI 30, sedentary
The nurse practitioner (NP) evaluates a client [INSERT diagnosed with Type 2 diabetes] who presents with increased thirst, frequent urination, and excessive hunger. The client's plasma glucose is 240 mg/dL and hemoglobin A1c is 8.5%. Which of the following should the NP include in the client's plan of care? Select all that apply. a- Oral hypoglycemic agent b- Oral glucose tolerance test c-Insulin therapy d- Continuous glucose monitoring e- Lifestyle modifications
a,c,d,e
Diabetic Ketoacidosis type 1, metabolic acidosis, ketones
HHS hyperosmolarity, some circulating insulin, type 2
Jayla Alvarez (pronouns she/her/hers), 49 years old case study
increased thirst frequent urination, fatigue
Jayla Alvarez (pronouns she/her/hers), 49 years old case study associated with type 1 or type 2
Type 1-req. insulin, diagnosed young, t ype 2-risk increases with age, lifestyle mod, obesity
The nurse practitioner (NP) evaluates Jayla during a follow-up appointment 3 months later. Which of the following lab results best indicates that her condition has improved? a Negative urine ketone b Fasting plasma glucose 75 mg/dL c Random plasma glucose 120 mg/dL d Hemoglobin A1c 5.4% e Negative urine glucose
d
The nurse practitioner (NP) evaluates a client who presented to the emergency department (ED) after fainting while exercising. The client is lethargic, and the serum blood glucose level is 54 mg/dL. Which of the following should the NP order? Select all that apply. a Administer dextrose 50% intravenously b Administer regular insulin intravenous c Initiate hyperglycemic hyperosmolar syndrome (HHS) protocol d Recheck blood glucose level in 30 minutes e Initiate intravenous access f Administer 15 grams dextrose orally
A,E----bg should be checked in 15 min not 30
