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1.Based on Mr. Javier clinical finding, you recongnize the client most likely experiencing the following acute complication of diabetes myelitis?

A. Diabetes insipidus 

B. Insulin shock

c. Diabetic ketoacidosis

D. Hypersmolar hyperglycemic nonketotic coma 

 

2. Mr. Javier urinalysis result noted glucosuria. As the the nurse caring for the client you understand that glucosuria is an abnormal finding and occurs in patients with diabetes because

 

A.sufficient insulin is not available for glucose absorption 

B. Excess water in the filtrate reabsorb more glucose into urine

C. Excess serum displaces glucose into the filtrate

D. The amount of filtrate glucose exceed the renal tubule transport limit 

 

3. Mr. Javier serum potassium level was 3.0 mol/l. which of the following would best explain the reason for hypokalemia in this patien?

A. Increase filtrate osmotic promote potassium excertion

B. Excess serum sodium displace the potassium into cell

C. Shift potassium from the intravascular to intracelular space 

D. Decrease intravascular volume shifts potassium in to filtrate

 

4. Mr. Javier history of uncontrolled type 2 diabete mellitus increase his risk for which the following microangiopathic vascular disease 

 

A. CVA

B. Myocardial infraction

C. Peripheral vascular disease

D. Diabetic nepharopathy 

 

5. you administered of the Humulin R 10 unit SC as ordered to Mr. Javier at 1000 hrs. As the nurse caring for the client you recognize the peak action of the drug would occur at

 

A. 1430 hrs

B. 1330 hrs

C. 1030 hrs

D. 1100 hrs

 

6. Mr. Javier was orderd metformin(gluophage) to be administerd after insulin infusion. Which of the following best explains the mechanism of action of metaformin in management of diabetes 

A decrease hepatic gluconeogenesis 

b. Stimulate insulin release from pancreatic cell

c. Increase intestinal glucose absorption and metabolism 

d. Blocks intestinal enzyme responsible for glucose metabolism 

 

7. a nurse caring for Mr. Javier recognize that the client diabetes has been uncontrolled and managed at home after which of the following is clinical findings

A. Increased glycognated hemoglobin (hbA1c) 

B presence of fluid and electrolyte imbalance 

C. Decrease sensation and tingling the feet 

D. Increase serum potassium level

 

8. as a nurse caring for Mr. Javier you understand the pathophysiology for hypoglycaemia type 2 diabetes include all the follwing mechanism except 

 

A. Increase glucose production by the liver

B. Destruction the pancreatic beta cells

C. Increase insulin resistance by body cells

D. ImpaIrene insulin secretários from beta cells

 

9. Mr. Javier was found to have a dry mouth and tongue during your assessment. Which of the following provide the pathophysiological rational for the dry mucus membrane in the patient 

 

A. Increase fluid in the intravascular space

B. Increase capilary hydrostatic pressure 

C. Decrease fluid in the intersticial space

D. Decrease osmotic pressure in the filtrate

 

 

 

 

 

 

SCIENCE
HEALTH SCIENCE
NURSING
PATH 122

 

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