Skylar Hansen - DM, pediatric Vsim
LABS answerORDERS answer- call if The nurse would expect that a pt experiencing moderate hypoglycemia would exhibit which of the following sets of s/s? a double vision, cool dry skin b. bradycardia, polyuria, acidosis c. HA, light headedness, slurred speech d. hyperactivity, tachycardia, anorexia answer- HA, light headadness, slurred speech s/s grouped into 2 categories: adrenergic sx and CNS sx. In moderate hypoglycemia, the drop in blood glucose affects brain, resulting in HA, lightheadedness, and slurred speech, as well as other sx that may include loss of consciousness, hunger, tachycardia, and sweating The nurse understands that the pathophys of type 1 DM is characterized by which of the following? a. Insulin resistance b. necrosis of pancreatic alpha cells c. impaired insulin production d destruction of pancreatic beta cells answer- destruction of pancreatic beta cells these cells are responsible for the secretion of insulin. Type 2 DM is the result of impaired insulin production or insulin resistance which may be r/t necrosis of the pancreatic alpha cells The nurse knows that which of the following is a normal fasting serum glucose level for a pt of 18 y/o? a 90mg/dL b 120mg/dL c 150mg/dL d 50mg/dL answer- 90 mg/dL normal fasting serum glucose range for ages 2-18 is 60-100 mg/dL glycosylated hemoglobin (HgbA1c) represents average blood glucose levels over a period of approximately 2-3 mos. Which of the following would the nurse know to be a normal level range indicating good maintenance of blood glucose over time? a 6- 8% b 35 -45 %