Endocrine part 1

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    A 46 year old male with a h/o hypertension has fasting blood glucose of 118 and hemoglobin A1C was 6.3%, glucose tolerance of 2 hours is 199 during annual follow up visit. What education should the nurse provide?

    • How to monitor glucose and self test. How to administer insulin and what s/s of hypoglycemia are.
    • Instruct the patient that they will start on oral hypoglycemic medication and caution the s/s of hypoglycemia 
    • Encourage patient to keep diet as is and no modification is necessary since he is not exceeding the defined limit to be diagnosed as a diabetic.
    • Caution the patient that they are considered “pre-diabetic” and that they will have to make some lifestyle changes to healthier diet and exercise because it takes about 10 years for Type II DM to develop. 
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Endocrine Part 1 - Quiz

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  • 2. 

    Select all the leading complications of diabetes, SATA

    • Cause of new cases of blindness

    • End stage renal disease

    • Lower leg amputation 

    • Pancreatic cancer

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  • 3. 

    A woman who had gestational diabetes should not be concerned with developing diabetes because delivering the baby resolves the issue 

    • True

    • False

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  • 4. 

    What is the primary action of insulin in the body?

    • Aids in the process of gluconeogenesis.

    • Enhances the transport of glucose across cell walls.

    • Decreases the intestinal absorption of glucose.

    • Stimulates the pancreatic beta cells.

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  • 5. 

    What is true about pre-diabetes? SATA

    • From impaired glucose tolerance 

    • The beta cells do not produce insulin

    • They are at higher risks for diabetic ketoacidosis

    • From impaired fasting glucose 

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  • 6. 

    Identify the critical point of insulin?

    • Stimulates protein uptake in skeletal muscles

    • Stimulates liver to convert glucose to glycogen

    • Stimulates uptake of fat in adipose tissue

    • Without insulin, protein and body fat are broken down

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  • 7. 

    A patient who’s HbA1C level was at 7.3% said to the nurse, “I don’t understand why it’s so high, I stopped eating sugary food and pop for a whole month?” What’s the best response from the nurse?

    • “We will retest your HbA1C level as soon as possible”

    • Assess if the patient ate breakfast the morning before the test

    • “HbA1C test detects how well controlled your blood sugar has been over 2-3 months”

    • Explain that the level is just slightly elevated 

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  • 8. 

    What best describes the cause of type 1 DM?

    • Too much glucose in blood causes desensitization of cells to take in glucose and become insulin resistant 

    • The immune system destroys the cells that make insulin 

    • Being obese

    • The liver does not release enough glycogen 

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  • 9. 

    Select all that apply for type 1 diabetes signs and symptoms 

    • Gradual onset

    • Rapid onset

    • Increase thirst

    • Increased eating

    • Weight gain

    • Increased frequency of infections 

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  • 10. 

    What best describes the cause of type 2 DM?

    • Too much glucose in blood causes desensitization of cells to take in glucose and become insulin resistant  & impaired insulin secretion 

    • The immune system destroys the cells that make insulin 

    • Being obese

    • The liver does not release enough glycogen 

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  • 11. 

    Select all the signs and symptoms of type 2 diabetes.

    • Gradual onset

    • Rapid onset

    • Increased thirst

    • Increased hunger

    • Tingling feet

    • Blurred vision

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  • 12. 

    What statement made by a patient with diabetes indicate that they need further education about health maintenance visits?

    • “I will make a doctor appointment every 3 months to check my heart, skin, meds, and lab”

    • “I see my ophthalmologist every 2  years with dilated eye exam”

    • “I never miss my yearly podiatrist appointments”

    • “I need to schedule an appointment with a dietitian since my blood sugar has been out of control”

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  • 13. 

    A patient is scheduled for a routine glycosylated hemoglobin (HbA1C) test. What is important for the nurse to tell the patient before this test?

    • Drink only water after midnight and come to the clinic early in the morning.

    • Eat a normal breakfast and be at the clinic 2 hours later.

    • Expect to be at the clinic for several hours because of the multiple blood draws.

    • Come to the clinic for your morning appointment to have your blood drawn.

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  • 14. 

    Select ALL the major complications from diabetes 

    • Wounds in foot that will not heal and leads to amputation 

    • Blindness from damaged vessels in the retina

    • Heart disease

    • Stroke

    • Kidney failure

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  • Dec 20, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Dec 20, 2023
    Quiz Created by
    Themes
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