Prolonged hyperglycemia from uncontrolled diabetes can lead to one of two acute metabolic crises. They are:
a. diabetic ketoacidosis and hyperglycemic hyperosmolar syndrome.
b. diabetic neuritis and hyperosmolar hypertension.
c. cerebral vascular accident and severe dehydration.
d. diabetic nephrosis and acute dehydration.
Q. 2You have a T1DM patient who is non-compliant and does not regularly inject her prescribed insulin. Your main concern is:
a. assessing the level of glucose in the blood.
b. assessing the patient's dietary intake.
c. reducing the risk of DKA.
d. reducing long-term complications such as retinal damage.
Q. 3During an acute episode of the flu with nausea and vomiting, clients with type 1 DM should:
a. drink only sugar-free fluids.
b. not take their insulin.
c. monitor their urine for ketones.
d. not eat.
Q. 4Which of the following is a macrovascular complication of diabetes?
a. retinophathy
b. nephropathy
c. neuropathy
d. cardiovascular disease
Q. 5Urine testing glucose was used routinely in the past. The greatest limitation for this test is that glucose is not in the urine until the serum glucose is greater than _____ mg/dL.
a. 85
b. 100
c. 250
d. 300
Q. 6A target preprandial serum glucose for a non-pregnant diabetic should be _____.
a. <180 mg> b. 70-130 mg/dL
c. <7
d. 100-140 mg/dL
Q. 7Self-monitoring of blood glucose should be performed _____ in type 1 diabetics.
a. twice a day (every morning and night)
b. only when symptoms of hypoglycemia are experienced
c. at least three times each day
d. only when the client feels badly
Q. 8Which of the following is a valid test to measure the degree of hyperglycemia for the period beginning more than 1 month prior to the test?
a. fructosamine test
b. hemoglobin A1c test
c. urine test
d. ketone test
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