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Chapter 49: Diabetes Mellitus
Lewis txt: end of chapter NCLEX questions and answers
11
Nursing
Undergraduate 3
09/25/2012

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Cards

Term
What assessment parameter is of highest priority when caring for a patient undergoing a water deprivation test?
Definition
Patient's weight.
Term
When instructing a patient regarding a urine study for free cortisol, it is most important for the nurse to tell the patient to:
Definition
Avoid stressful situations during the collection period. Also maintain a low sodium diet before and during collection.
Term
What does "type 2" mean for diabetes?
Definition
With Type 2 diabetes, insulin secretion is decreased and insulin resistance increased.
Term
The lab test to determine "past" glucose control?
Definition
A glycosylated hemoglobin level indicates control up to 2-3 months.
Term
Self monitoring blood glucose teaching.
Definition
Wash site with soap and water
Choose a site on the side of the finger, not the middle
Warm finger before puncturing
Tell nurse that 130mg indicates good control of diabetes.
Term
The max amount of calories derived from carbohydrates and monounsaturated fats is what percentage?
Definition
65% (range is 45%-65%)

Low carb diets are not recommended for DB management
Term
To facilitate active patient management of diabetes first assess:
Definition
The patient's understanding of what it means to have Diabetes.
Term
A vascular complication of diabetes:
Definition
Microangiopathy is particular to diabetes affecting the capillary membranes of eyes, kidneys, and skin.
Term
Classical clinical manifestations of diabetes? "The 3 P's"
Definition
Excessive thirst (polydipsia)
Excessive urine (polyuria)
Excessive hunger (polyphagia)
Term
How long is patient ordered to be NPO before a fasting blood glucose test is obtained?
Definition
NPO for 8 hours prior to test.
Term
Kussmaul respirations
Definition
deep, nonlabored respirations that occur with DKA. The lungs are trying to blow off volatile acids and CO2.
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