diabetestalk.net

Dka Quizlet Questions

Med Conversations

Med Conversations

Davors back doing his Davor thing and sprucing neurology to the world (whether they want to hear about it or not). So, if the holiday blues have you feeling numb to the world or passion for the new year has Continue reading Davors back doing his Davor thing and sprucing neurology to the world (whether they want to hear about it or not). So, if the holiday blues have you feeling numb to the world or passion for the new year has Continue reading Get your amphora ready to catch some of the golden stuff and see if you have the blood and the protein to raise some nephrologist eyebrows. Weve heard the requests of the people and taken on GN in an epic Continue reading Get your amphora ready to catch some of the golden stuff and see if you have the blood and the protein to raise some nephrologist eyebrows. Weve heard the requests of the people and taken on GN in an epic Continue reading Think you might have what it takes to join the extraordinary league of gentle-people against epilepsy? Well youll need some training first. Come join Davor and Rahul for a shake-down of the epilepsy world. P.S. I tried my best to Continue reading Think you might have what it takes to join the extraordinary league of gentle-people against epilepsy? Well youll need some training first. Come join Davor and Rahul for a shake-down of the epilepsy world. P.S. I tried my best to Continue reading You know when people invite you to dinner and tell you not to bring anything, but actually if you got your act together and brought a salad theyd be really glad? MET calls and interns are kind of like that. Continue reading You know when people invite you to dinner and tell you not to bring anything, but actually if you got your act together and brought a salad theyd be really glad? MET calls and interns are k Continue reading >>

Medconversations On Apple Podcasts

Medconversations On Apple Podcasts

Glomerulonephritis Part 2 Nephritic Syndromes Glomerulonephritis Part 2 Nephritic Syndromes If you naively thought that part 2 of glomerulonephritis would never come and you could spend the rest of your summer wallowing in glorious ignorance of those confusing glomerulonephritidis then you were wrong. Here are the rest of the nephritic Continue reading Davors back doing his Davor thing and sprucing neurology to the world (whether they want to hear about it or not). So, if the holiday blues have you feeling numb to the world or passion for the new year has Continue reading Has your troubled history of pot plant homicide led to legal action over your plant carer registration AND/OR your grandmother giving up on you and gifting all her cuttings to her previously second favourite grandchild? We cant help you with Continue reading Dust off your ear horn, ruffle up your ruffles and prepare your first-born son for a painful but career-favouring transition. Bec and Scott are back and hitting every high note as they croon, roar and trill their way through hypercalcaemia Glomerulonephritis Part 1 Nephrotic Syndromes Glomerulonephritis Part 1 Nephrotic Syndromes Get your amphora ready to catch some of the golden stuff and see if you have the blood and the protein to raise some nephrologist eyebrows. Weve heard the requests of the people and taken on GN in an epic Continue reading Think you might have what it takes to join the extraordinary league of gentle-people against epilepsy? Well youll need some training first. Come join Davor and Rahul for a shake-down of the epilepsy world. P.S. I tried my best to Continue reading Continue reading >>

Endocrine/diabetes Nclex Questions

Endocrine/diabetes Nclex Questions

4.intravenous infusion of sodium bicarbonate Primary goal achievement of HHNS is to rehydrate the client to restore fluid volume and to correct electrolyte deficiency. 572. An external insulin pump is prescribed for a client with DM and the client asks the nurse about the functioning of the pump. The nurse bases the response on which info about the pump? 1.is timed to release programmed doses of short-duration or NPH insulin into the bloodstream at specific intervals 2.continuously infuses small amounts of NPH insulin into the bloodstream while regularly monitoring blood glucose levels 3.is surgically attached to the pancreas and infuses regular insulin into the pancreas, which in turn releases insulin into the bloodstream 4.gives a small continues dose of short-duration insulin subcutaneously, and the client can self administer a bolus with an additional dose from the pump before each meal And insulin pump provides a small continuous dose of short - duration (rapid or short acting) insulin subcutaneously throughout the day and night, and the client can self-administered a bolus with an additional dose from the pump before each meal as needed. short - duration insulin is used in an insulin pump. And external pump is not attach surgically to the pancreas. 573. The client with a diagnosis of DKA is being treated in the ED. Which findings would the nurse expect to know as confirming this diagnosis? Select all that apply. In DKA, the arterial pH is lower than 7.35, plasma bicarbonate is lower than 15 mEq/L, The blood glucose level is higher than 250 mg/dL, and ketones are present in the blood and urine. The client would be experiencing polyuria, and Kussmaul's respirations would be present. A comatose state may occur if DKA is not treated, but coma would not confirm the di Continue reading >>

Ati: Chapter 84 Complications Of Diabetes Mellitus

Ati: Chapter 84 Complications Of Diabetes Mellitus

Sort What are clinical manifestations of DKA polyuria polydipsia polyphagia weightloss GI effects blurred vision, headach eweakness orthostatic hypotension fruity odor of breath Kussmaul respirations metabolic acidosis mental status changes A nurse is reviewing th ehealth record fo a client who has hyperglycemic-hyperosmolar state (HHS) which of the following data confirms this diagnosis? (select all that apply) A. Evidence of recent MI B> BUn 35 mg/dL C. Takes a calcium channel blocker D. Age 77 E. No insulin production A. Evidence of recent MI B Bun 35 mg/dL C. takes calcium channel blocker D. Age 77 A nurse is assessing client who has DKA and ketones in the urine. Which of the following are expected findings (select all that apply) A. Weight gain B. fruity odor of breath C. abdominal pain D. Kussmaul respirations E. Meatabolic acidosis B. fruity odor of breath C. abdominal pain D. Kussmaul respirations E. meatabolic acidosis A nurse is preparing to administer IV fluids to a client who has DKA. Which of the following` is an appropriate nursing action? A. administer an IV infusion of regular insulin at 0.3units/kg/hr B. Administer an IV infusion of 0.45% sodium chloride C. Rapidly administer an IV infusion of 0.9% sodium chloride D. Add glucose to the IV when serum glucose is at 350mg/dL C. Rapidly administer an IV infusion of 0.9% sodium choloride A nurse is providing discharge teaching to a client who experienced diabetic ketoacidosis. Which of the following should the nurse include in the teaching? (select all that apply) A. Drink 3 L of fluid daily B. monitor blood glucose every 4 hours when ill C> Admin insulin as prescribed when ill. D. Notify the provider when blood glucose is 200mg/dL E. Report ketones in the urine after 24 hours of illness A. drink 3 L of flui Continue reading >>

Test: Bstrandable Nclex Endocrine Review | Quizlet

Test: Bstrandable Nclex Endocrine Review | Quizlet

"(SELECT ALL THAT APPLY) A 45-year-old female client is admitted to the hospital with Cushing's syndrome. Which nursing interventions are appropriate for this client? "After undergoing a subtotal thyroidectomy, a client develops hypothyroidism. The physician prescribes levothyroxine (Synthroid), 25 mcg P.O. daily. For which condition is levothyroxine the preferred agent? An external insulin pump is prescribed for a client with DM. The client asks the nurse about the functioning of the pump. The nurse bases the response on the information that the pump: "a. Gives small continuous dose of regular insulin subcutaneously, and the client can self-administer a bolus with an additional dosage from the pump before each meal. b. Is timed to release programmed doses of regular or NPH insulin into the bloodstream at specific intervals. c. Is surgically attached to the pancreas and infuses regular insulin into the pancreas, which in turn releases the insulin into the bloodstream. d. Continuously infuses small amounts of NPH insulin into the bloodstream while regularly monitoring blood glucose levels" A program of weight loss and exercise is recommended for a patient with impaired fasting glucose (IFG). When teaching the patient about the reason for these lifestyle changes, the nurse will tell the patient that a. the high insulin levels associated with this syndrome damage the lining of blood vessels, leading to vascular disease. b. although the fasting plasma glucose levels do not currently indicate diabetes, the glycosylated hemoglobin will be elevated. c. the liver is producing excessive glucose, which will eventually exhaust the ability of the pancreas to produce insulin, and exercise will normalize glucose production. d. the onset of diabetes and the associated cardiovascular Continue reading >>

Lewis Med Surg -diabetes Nclex Review Practice Questions

Lewis Med Surg -diabetes Nclex Review Practice Questions

B. Increased high-density lipoproteins (HDL) C. Decreased low-density lipoproteins (LDL) D. Decreased very-low-density lipoproteins (VLDL) Macrovascular complications of diabetes include changes to large- and medium-sized blood vessels. They include cerebrovascular, cardiovascular, and peripheral vascular disease. Increased triglyceride levels are associated with these macrovascular changes. Increased HDL, decreased LDL, and decreased VLDL are positive in relation to atherosclerosis development. A patient is admitted with diabetes mellitus, malnutrition, and cellulitis. The patient's potassium level is 5.6 mEq/L. The nurse understands that what could be contributing factors for this laboratory result (select all that apply)? A. The level may be increased as a result of dehydration that accompanies hyperglycemia. B. The patient may be excreting extra sodium and retaining potassium because of malnutrition. C. The level is consistent with renal insufficiency that can develop with renal nephropathy. D. The level may be raised as a result of metabolic ketoacidosis caused by hyperglycemia. E. This level demonstrates adequate treatment of the cellulitis and effective serum glucose control. The additional stress of cellulitis may lead to an increase in the patient's serum glucose levels. Dehydration may cause hemoconcentration, resulting in elevated serum readings. Kidneys may have difficulty excreting potassium if renal insufficiency exists. Finally, the nurse must consider the potential for metabolic ketoacidosis since potassium will leave the cell when hydrogen enters in an attempt to compensate for a low pH. Malnutrition does not cause sodium excretion accompanied by potassium retention. Thus it is not a contributing factor to this patient's potassium level. The elevated p Continue reading >>

Adult Health - Endocrine

Adult Health - Endocrine

Home > Preview A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperglycemic hyperosmolar state (HHS) is made. The nurse would immediately prepare to initiate which anticipated health care provider's prescription? 1. Endotracheal intubation 2. 100 units of NPH insulin 3. Intravenous infusion of normal saline 4. Intravenous infusion of sodium bicarbonate An external insulin pump is prescribed for a client with diabetes mellitus and the client asks the nurse about the functioning of the pump. The nurse bases the response on which information about the pump? 1. Is timed to release programmed doses of short-duration or NPH insulin into the bloodstream at specific intervals 2. Continuously infuses small amounts of NPH insulin into the bloodstream while regularly monitoring blood glucose levels 3. Is surgically attached to the pancreas and infuses regular insulin into the pancreas, which in turn releases the insulin into the bloodstream 4. Gives a small continuous dose of short-duration insulin subcutaneously, and the client can self-administer a bolus with an additional dose from the pump before each meal 4. Gives a small continuous dose of short-duration insulin subcutaneously, and the client can self-administer a bolus with an additional dose from the pump before each meal A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the emergency department. Which findings would the nurse expect to note as confirming this diagnosis? Select all that apply. 1. Increase in pH 2. Comatose state 3. Deep, rapid breathing 4. Decreased urine output 5. Elevated blood glucose level 6. Low plasma bicarbonate level 3. Deep, rapid breathing 5. Elevated blood glucose level 6. Low plasma bicarbonate level The nurse teaches a cl Continue reading >>

Diabetes

Diabetes

Sort 1. A 54-year-old patient admitted with type 2 diabetes asks the nurse what "type 2" means. What is the most appropriate response by the nurse? A. "With type 2 diabetes, the body of the pancreas becomes inflamed." B. "With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased." C."With type 2 diabetes, the patient is totally dependent on an outside source of insulin." D. "With type 2 diabetes, the body produces autoantibodies that destroy β-cells in the pancreas." B."With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased." Rationale: In type 2 diabetes mellitus, the secretion of insulin by the pancreas is reduced, and/or the cells of the body become resistant to insulin. The pancreas becomes inflamed with pancreatitis. The patient is totally dependent on exogenous insulin and may have had autoantibodies destroy the β-cells in the pancreas with type 1 diabetes mellitus. 2. The nurse caring for a patient hospitalized with diabetes mellitus would look for which laboratory test result to obtain information on the patient's past glucose control? A. Prealbumin level B. Urine ketone level C. Fasting glucose level D. Glycosylated hemoglobin level D. Glycosylated hemoglobin level Rationale. A glycosylated hemoglobin level detects the amount of glucose that is bound to red blood cells (RBCs). When circulating glucose levels are high, glucose attaches to the RBCs and remains there for the life of the blood cell, which is approximately 120 days. Thus the test can give an indication of glycemic control over approximately 2 to 3 months. The prealbumin level is used to establish nutritional status and is unrelated to past glucose control. The urine ketone level will only show that hyperglycemia or starvation is pr Continue reading >>

Diabetes Mellitus Nclex Practice Quiz #1 (40 Questions)

Diabetes Mellitus Nclex Practice Quiz #1 (40 Questions)

This exam is all about Diabetes Mellitus! The purpose of this exam is to provide nurses and future nurses an overview of the disease, including its management, impact, and complications. Accomplish this 40-item NCLEX style examination and guarantee a good performance on your NCLEX. Though no one can go back and make a brand new start, anyone can start from now and make a brand new ending. ~ Carl Bard Topics Included topics in this practice quiz are: Guidelines Follow the guidelines below to make the most out of this exam: Read each question carefully and choose the best answer. You are given one minute per question. Spend your time wisely! Answers and rationales are given below. Be sure to read them. If you need more clarifications, please direct them to the comments section. Questions See Also You may also like these quizzes: 3,500+ NCLEX-RN Practice Questions for Free – Tons of practice questions for various topics in the NCLEX-RN! Study Guides Cardiovascular System Respiratory System Nervous System Digestive and Gastrointestinal System Endocrine System Urinary System Homeostasis: Fluids and Electrolytes Cancer and Oncology Nursing Burns and Burn Injury Management Emergency Nursing Miscellaneous Recommended Books and Resources Selected NCLEX-RN review books: MUST HAVE: Saunders Comprehensive Review for the NCLEX-RN® Examination, 7th Edition – A must have book if you're taking the NCLEX-RN. You need to have this. Saunders Strategies for Success for the NCLEX – An invaluable guide that will help you master what matters most in passing nursing school and the NCLEX. Mosby's Comprehensive Review of Nursing for NCLEX-RN – This book has helped nurses pass the NCLEX exam for over 60 years. Practice with over 600 alternative item question formats. Prioritization, Dele Continue reading >>

Decreased Bowel Sounds & Diabetic Ketoacidosis & Embolic Mesenteric Infarction & Tachycardia: Causes & Reasons - Symptoma

Decreased Bowel Sounds & Diabetic Ketoacidosis & Embolic Mesenteric Infarction & Tachycardia: Causes & Reasons - Symptoma

Hypokalemia is common during the treatment of diabetic ketoacidosis (DKA); however, severe hypokalemia at presentation prior to insulin treatment is exceedingly uncommon. [ncbi.nlm.nih.gov] [] due to weakness of accessory muscle movement to breath) Confusion, weak Flaccid paralysis Decrease deep tendon reflexes Decreased bowel sounds Easy way to Remember 7 Ls Lethargy [registerednursern.com] A 38-year-old obese woman presented with recurrent polymorphic ventricular tachycardia secondary to persistent hypokalemia necessitating more than 40 DC shocks. [ncbi.nlm.nih.gov] Home Random Stuff Differences between Hyperosmolar Non-Ketotic Hyperglycaemic Coma and Diabetic Ketoacidosis Random Stuff 3,293 Views The differences between diabetic [howmed.net] , abdominal pain (ileus), gastric stasis, and leg cramps ketosis causes nausea and vomiting acidosis causes tachycardia, rapid deep breathing (Kussmaul), hypotension(vasodil [d3jonline.tripod.com] Volume depletion can lead to dry mucous membranes, tachycardia, and hypotension. Fever and abdominal tenderness may also be present. [accessmedicine.mhmedical.com] ketoacidosis; and myxedema. [patientcareonline.com] Additional symptoms that may accompany the condition are nausea, abdominal distention, vomiting, decreased bowel sounds, and also a mild level of tenderness over the abdomen [constipation-remedies.co.uk] Among its most deleterious effects are its ability to produce tachycardia, hypertension, and ischemia. [ncbi.nlm.nih.gov] Diabetic ketoacidosis is an acute, often life-threatening complication of diabetes which is mainly seen in individuals with the type 1 diabetes. [symptoma.com] Abstract Ventricular tachycardia is uncommon in children without CHD. [ncbi.nlm.nih.gov] Supraventricular tachycardia (SVT), however, is a very r Continue reading >>

Airway Obstruction And Asthma

Airway Obstruction And Asthma

An elderly client with pneumonia may appear with which of the following symptoms first? 2. Which of the following pathophysiological mechanisms that occurs in the lung parenchyma allows pneumonia to develop? 3. A 7-year-old client is brought to the E.R. Hes tachypneic and afebrile and has a respiratory rate of 36 breaths/minute and a nonproductive cough. He recently had a cold. From his history, the client may have which of the following? Chronic obstructive pulmonary disease (COPD) 4. Which of the following assessment findings would help confirm a diagnosis of asthma in a client suspected of having the disorder? 5. Which of the following types of asthma involves an acute asthma attack brought on by an upper respiratory infection? 6. A client with acute asthma showing inspiratory and expiratory wheezes and a decreased expiratory volume should be treated with which of the following classes of medication right away? 7. A 19-year-old comes into the emergency department with acute asthma. His respiratory rate is 44 breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions should be taken first? 8. A 58-year-old client with a 40-year history of smoking one to two packs of cigarettes a day has a chronic cough producing thick sputum, peripheral edema, and cyanotic nail beds. Based on this information, he most likely has which of the following conditions? Adult respiratory distress syndrome (ARDS) 9. The term blue bloater refers to which of the following conditions? Adult respiratory distress syndrome (ARDS) 10. The term pink puffer refers to the client with which of the following conditions? 11. A 66-year-old client has marked dyspnea at rest, is thin, and uses accessory muscles to breathe. Hes tachypneic, with a prolonged expiratory p Continue reading >>

Diabetic Ketoacidosis

Diabetic Ketoacidosis

List Clinicopathologic features that might be present with DKA? Elevation in liver enzymes (hepatic lipidosis, pancreatitis) Hyperlipidemia Hyperlipasemia Hyperamylasemia Metabolic Acidosis Serum Hyperosmolality Azotemia (usually pre-renal) Hemeturia, pyuria, bactiuria (always submit cysto for culture an dsensitivity) Ketonuria Continue reading >>

Diabetic Ketoacidosis And Patho

Diabetic Ketoacidosis And Patho

pathophysiology ketogenesis due to insulin deficiency leads to increased serum levels of ketones anad ketonuria acetoacetate, beta-hydroxybutyrate; ketone bodies produced by the liver, organic acids that cause metabolic acidosis respiration partially compensates; reduces pCO2, when pH < 7.2, deep rapid respirations (Kussmaul breathing) acetone; minor product of ketogenesis, can smell fruity on breath of ketoacidosis patients elevated anion gap Methanol intoxication Uremic acidosis Diabetic ketoacidosis Paraldehyde ingestions Intoxicants (salicyclate, ethylene glycol, nipride, epinephrine, norepinephrine) Lactic acidosis (drug induced; didanosine, iron, isoniazid, metformin, zidovudine) Ethanol ketoacidosis Severe renal failure starvation Blood glucose regulation (6) 1. When blood glucose levels rise above a set point, 2. the pancreas secretes insulin into the blood. 3. Insulin stimulates liver and muscle cells to make glycogen, dropping blood glucose levels. 4. When glucose levels drop below a set point, 5. the pancreas secretes glucagon into the blood. 6. Glucagon promotes the breakdown of glycogen and the release of glucose into the blood. (The pancreas signals distant cells to regulate levels in the blood = endocrine function.) Insulin and Glucagon (Regulation) (10) 1. High blood glucose 2. Beta cells 3. Insulin 4. Glucose enters cell 5. Blood glucose lowered 6. Low blood glucose 7. Alpha cells 8. Glucagon 9. Liver releases glucose from glycogen 10. Blood glucose raised What is the manifestations (symptoms) of Type 1? (10) 1. Extreme thirst 2. Frequent urination 3. Drowsiness, lethargy 4. Sugar in urine 5. Sudden vision change 6. Increased appetite 7. Sudden weight loss 8. Fruity, sweet, or wine like odor on breath 9. Heavy, laboured breathing 10. Stupor, unconscious Continue reading >>

Medconversations Podcast

Medconversations Podcast

Player FM is scanning the web for high-quality podcasts for you to enjoy right now. It's the best podcast app and works on Android, iPhone, and the web. Signup to sync subscriptions across devices. Start listening to #MedConversations on your phone right now with Player FM's free mobile app, the best podcasting experience on both iPhone and Android. Your subscriptions will sync with your account on this website too. Podcast smart and easy with the app that refuses to compromise. Guides you to smart, interesting podcasts based on category, channel, or even specific topics Right from the start, I found the experience of using Player FM enjoyable Im actually rather surprised this app is free. Looking for a high-quality podcasts app on Android? Player FM might just be it. Player FM isnt just about looks: What sets the app apart from other podcasting applications is its emphasis on discovery. ""THE best podcast/netcast app. Brilliantly useful, fantastically intuitive, beautiful UI. Developers constantly update and improve. No other podcast/netcast app comes close."" ""Excellent app. Easy and intuitive to use. New features frequently added. Just what you need. Not what you don't. Programmer gives this app a lot of love and attention and it shows."" Continue reading >>

Nephron Power: July 2014

Nephron Power: July 2014

Topic Discussion: Stones: HEART of the MATTER Last year, aprospective study was published inJAMA suggesting that having a history of kidney stones as an independentrisk factor for cardiac disease (CHD). In short, thiswas a prospective study of 45 748men and 196 357 women in the United Stateswithout a history of CHD at baseline who were participants in the three studycohort registries. Coronary heart disease was defined as fatal or nonfatalmyocardial infarction (MI) or coronary revascularization. The outcome wasidentified by biennial questionnaires and confirmed through review of medicalrecords. Of a total of over240,000 participants, over 19,000 reported a history of kidney stones. After upto 24 years of follow-up in men and 18 years in women, 16 838 incident cases of CHD occurred. After adjusting for allconfounders, amongst the 2 cohorts of women, a history of kidneystones was associated with a modest but statistically significantly increasedrisk of CHD; there was no significant association in a separate cohort of men. The knowledge of history of kidney stones was obtained via anindependently validated survey. When looking at the covariates, most risk variants of bothformation of kidney stones and CHD were evaluated and controlled for. 1.CHD and stone formers share the same risk factors- obesity,metabolic syndrome, DMII, HTN, high lipids but when controlled for all this,the risk of getting CHD was independently associated with history of stones 2.Perhaps common dietary factors- sugary drinks, low calcium diet,high protein diet, but dietary adjustments were also made in the study. 3.One adjustment that was not made was renal disease. Stone formerscan perhaps have CKD and CKD becomes then a CHD risk factor. This was not analyzed per authors in themanuscript. 1.Perhaps t Continue reading >>

More in ketosis