NUR 325 Exam 7 - a. Decreased lipolysis b. Increased serum pH c....

NUR 325 Exam 7

• Which pathophysiologic processes occur in diabetic ketoacidosis? Select all that apply.
• Decreased lipolysis
• Increased serum pH
• Increased fatty acids
• Increased glyconeogenesis
• Increased hormonal levels, including cortisol levels

Answer

• Increased fatty acids

• Increased glyconeogenesis
• Increased hormonal levels, including cortisol levels

• The health care provider (HCP) teaches an individual with type 1 diabetes mellitus about

recurrent infections. Which statement indicates that teaching was successful?

• "My immune system has become overactive.
• "My pancreas became infected and is damaged."
• "Sugar in the blood provides nutrition for bacteria
• "Insulin is needed to kill both bacteria and viruses."

Answer

• "Sugar in the blood provides nutrition for bacteria

• Two individuals, one with type 1 diabetes mellitus and one with type 2, have polydipsia,

polyphagia, and polyuria. The health care provider (HCP) would interpret these findings as which condition?

• Both have hyperglycemia.
• Both have an acute illness.
• Both have too much insulin.
• Both have pancreatic necrosis.

Answer

• Both have hyperglycemia.

• The health care provider (HCP) would monitor an individual with diabetes and

microvascular disease for which conditions? Select all that apply. 1 / 4

• Stroke
• Neuropathy
• Retinopathy
• Nephropathy
• Coronary artery disease
• Peripheral vascular disease

Answer

• Neuropathy

• Retinopathy
• Nephropathy

• The health care provider (HCP) teaches a pregnant individual about gestational diabetes.

Which statement indicates a need for further teaching?

• "After I have the baby, this will go away permanently."
• "I will need to be evaluated closely for type 2 diabetes."
• "The baby is affected if my blood glucose levels are high."

• "I will most likely develop gestational diabetes again for my next pregnancy."

Answer

• "After I have the baby, this will go away permanently."

• The health care provider (HCP) teaches the staff about the effects of ad- vanced glycation

end products (AGEs) in individuals with diabetes. Which statement from the staff indicates teaching was effective?

• "AGEs increase tissue injury."
• "AGEs decrease platelet adhesion."
• "AGEs increase ketoacid formation."
• "AGEs reduce chronic complications."

Answer

• "AGEs increase tissue injury."

• Which individual meets the diagnostic criteria for diabetes mellitus?
• An individual with a glycosylated hemoglobin of 5.5%
• An individual with a fasting blood glucose of 128 mg/dL 2 / 4

• An individual with a random serum glucose of 197 mg/dL

• An individual with a serum glucose of 185 mg/dL two hours after taking 75 grams of

glucose

Answer

• An individual with a fasting blood glucose of 128 mg/dL

• Which condition results in hormone deficiency from lack of ACTH,TSH, FSH, and LH?
• Hypothyroidism
• Graves disease
• Panhypopituitarism
• Hypoparathyroidism

Answer

• Panhypopituitarism

• Which information would the health care provider (HCP) include when teaching staff

about the two mechanisms responsible for the development of type 2 diabetes mellitus?

• Insulin resistance and beta-cell dysfunction
• Ketone formation and nonenzymatic glycation
• Insulin deficiency and autosomal dominant mutations
• Pancreatic enzyme deficiency and autoantibody production

Answer

• Insulin resistance and beta-cell dysfunction

• Which clinical manifestations will alert the health care provider (HCP) that an individual

with type 1 diabetes is experiencing hypoglycemia? Select all that apply.

• Coma
• Confusion
• Diaphoresis
• Tachycardia
• Ketoacidosis
• Kussmaul respirations

Answer

• Coma 3 / 4

• Confusion
• Diaphoresis
• Tachycardia

• Which disease characteristics would the health care provider (HCP) include when

teaching a community group about type 1 diabetes mellitus? Select all that apply.

• Individuals are prone to diabetic ketoacidosis.
• This type of diabetes results in insulin dependence.
• Most individuals are diagnosed before 30 years of age.
• It often is associated with dyslipidemia and hypertension.
• The genetic abnormality is an autosomal dominant gene mutation.

Answer

• Individuals are prone to diabetic ketoacidosis.

• This type of diabetes results in insulin dependence.
• Most individuals are diagnosed before 30 years of age.

• Which treatments would the health care provider (HCP) include when teaching an

individual diagnosed with type 1 diabetes mellitus? Select all that apply.

• Meal planning
• Insulin therapy
• Exercise schedule
• C-peptide supplements
• Oral hypoglycemic drugs

Answer

• Meal planning

• Insulin therapy
• Exercise schedule

• Which information would the health care provider (HCP) include when teaching the staff

about metabolic mechanisms that contribute to chronic complications of diabetes mellitus? Select all that apply.

• Polyol pathway
• Protein kinase C
• Hexosamine pathway
• Nonenzymatic glycation
• / 4