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Emergency Exam8

Emergency Exam8

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Published by Nader Smadi

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Categories:Types, School Work
Published by: Nader Smadi on Feb 09, 2009
Copyright:Attribution Non-commercial

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01/27/2013

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1.
 
Patients whose blood glucose levels become too high will begin to usewhich of the following substances for energy?
 
A:
Fat
 
B:
Acid
 
C:
Sugar 
 
D:
Acetone
 2.
 
Which of the following statements about the treatment of diabetes isFALSE?
 
A:
Patients with diabetes are treated in different ways.
 
B:
Patients with diabetes are all generally treated the same way.
 
C:
The first step in caring for a patient with a diabetic emergency isto verify that the airway is open.
 
D:
Treating a diabetic emergency often includes the timelyadministration of oral glucose.
 3.
 
Which combination of factors can cause a patient with diabetes toexperience a rapid onset of altered mental status?
 
A:
Eating a meal and taking insulin
 
B:
Eating a meal and not taking insulin
 
C:
Skipping a meal and taking insulin
 
D:
Skipping a meal and not taking insulin
 4.
 
Of the following questions, the MOST pertinent one to ask a diabeticpatient during your assessment is:
 
A:
Have you consumed any alcohol today?
 
B:
Do you take pills that lower your blood sugar?
 
C:
Are you on any medications for hypertension?
 
D:
Do you have a family history of diabetes?
 5.
 
In contrast to insulin shock, diabetic coma will usually:
 
A:
present with a rapid onset of symptoms.
 
B:
respond within 6 - 12 hours following treatment.
 
 
 
C:
present with confusion and seizures.
 
D:
require treatment with oral glucose.
 6.
 
The form of diabetes that develops as a person ages is called:
 
A:
type I diabetes.
 
B:
type II diabetes.
 
C:
type III diabetes.
 
D:
adult sugar disorder.
 7.
 
Which of the following statements is true regarding seizures?
 
A:
Patients should be given oral glucose during the seizure.
 
B:
Infections and hypoglycemia are uncommon causes of seizures.
 
C:
Idiopathic seizures are those that are the result of arrhythmias.
 
D:
Trauma should be considered as the result of a seizure.
 8.
 
A known diabetic patient presents with a blood sugar of 240 mg/dLand severe dehydration. The dehydration is a result of:
 
A:
infection that often accompanies hyperglycemia.
 
B:
excretion of glucose and water from the kidneys.
 
C:
a deficiency of insulin that produces internal water loss.
 
D:
failure of the body to produce energy due to a lack of glucose.
 9.
 
The major problem associated with insulin-dependant diabetesmellitus is:
 
A:
failure of the body to produce glucose.
 
B:
impairment of glucose utilization.
 
C:
impairment of insulin utilization.
 
D:
permanent failure of the liver.
 10.
 
Although no tissue escapes the effect of diabetes, it primarily affectsthe patient's:
 
 
 
A:
fluid levels.
 
B:
metabolism.
 
C:
blood count.
 
D:
endurance levels.
 11.
 
The term "polydipsia" can be defined as frequent:
 
A:
seizure activity.
 
B:
bouts of depression.
 
C:
large-volume urination.
 
D:
drinking to satisfy continuos thirst.
 12.
 
When glucose does not reach the cells for metabolism, the cells turnto another source of energy, primarily fat. Fat metabolism results in:
 
A:
the production of strong alkaline particles.
 
B:
an increase in the body's production of sugar.
 
C:
the formation of ketones and fatty acids.
 
D:
an increase in the production of energy.
 13.
 
You are summoned to the local jail to care for a patient who is "drunk."When you arrive, the police officer advises you that the patient waspicked up for being intoxicated in public, and shortly after arriving atthe jail, the patient's level of consciousness diminished rapidly. Uponassessment, the patient is found to be comatose with cool, clammyskin. His heart rate is weak and thready, and his respirations are rapidand shallow. You should suspect and manage this patient for:
 
A:
acute alcohol intoxication.
 
B:
diabetic ketoacidosis.
 
C:
acutely high blood sugar.
 
D:
insulin shock.
 14.
 
A woman calls EMS because her 12-year-old son, who had beenexperiencing excessive urination, thirst, and hunger for the past 36hours, is now semiconscious with a rapid, weak, and thready pulse.Which of the following do you suspect?
 
A:
Diabetic shock
 

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