NR 325 Adult Health II Questions with Complete Solutions (Latest 2025) What are some subjective questions to ask a patient with diabetes? (6) - Correct Answers ✅1. Any excess/increased thirst?
- Any excess/increased urination?
- Any excessive hunger?
- Any intolerance to heat/cold?
- Any excess sweating?
- Any recent weight gain or loss?
What are some diagnostic values to evaluate for a diabetic patient? - Correct Answers ✅Potassium, Glucose, Sodium, hA1c, thyroid studies, serum osmolality What are some physical exam findings to assess in a diabetic patient? - Correct Answers ✅body temperature, height and weight, alertness and emotional state, skin changes, hair changes, blood pressure and heart rate, extremity edema, thyroid What is hypoglycemia? S/sx - Correct Answers ✅A blood
glucose below 70 plus the following s/sx:
"Cold and clammy? Need some candy!" HANGRY, irritable, shaky, mental confusion, diaphoresis, palpitations, headache, lack of coordination, blurred vision, seizure, coma, tachycardia 1 / 3
NR 325 Adult Health II Questions with Complete Solutions (Latest 2025) What is the treatment for hypoglycemia in a conscious patient who can swallow safely? - Correct Answers ✅Give 15-20 g of readily absorbable carbohydrate (4-6 ox of juice/drink, glucose tablet, 6-10 hard candies, 1tbsp honey).-10g of glucose will increase blood glucose by 40mg/dL over 30 minutes -Recheck blood glucose 15 minutes following intervention, retreat if symptoms persist or glucose is still below 70 What is the treatment for hypoglycemia in an unconscious patient? - Correct Answers ✅-Place the patient in a lateral position to prevent aspiration -Administer glucagon subQ or IM or IV D50 and notify the provider -Repeat in 10 minutes if they are still unconscious, continue to treat until glucose is above 70 What is hyperglycemia? What are some of the causes? S/sx? - Correct Answers ✅Excess blood glucose, fasting glucose >110 -Stress, illness, intake, steroids, lack of antidiabetic medications -Polyuria, polyuria, polyphagia 2 / 3
NR 325 Adult Health II Questions with Complete Solutions (Latest 2025) What is the treatment for hyperglycemia? - Correct Answers ✅administer insulin, encourage sugar free drinks to prevent dehydration, reduce carb intake, test urine for ketones, consult provider if manifestations persist What is the Somogyi effect? - Correct Answers ✅high dose of insulin causes hypoglycemia during the night (around 2-4 AM), leading to rebound glucose release (release of glucagon) and hyperglycemia
--How to prevent: Eat a 15g carb snack before bed and/or
reduce insulin dosage What is the Dawn phenomenon? - Correct Answers ✅hyperglycemia upon awakening due to the hormones cortisol and growth hormone
--Treatment: increase insulin dosage/adjust administration
time How can you tell if morning hyperglycemia is caused by Dawn phenomenon or Somogyi effect? - Correct Answers ✅Take blood sugar between 2-4 am and monitor for symptoms of hypoglycemia What is a fasting blood glucose? - Correct Answers ✅- Preferred diagnostic test
- Patient fasts for at least 8 hours
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