Chapter 23: Pre-Class Quiz

At what blood glucose level is a diabetic patient considered hyperglycemic?

120 mg/dL

Symptoms of hyperglycemia typically will not develop until blood glucose levels reach ________.

200 mg/dL

At what blood glucose level is a diabetic patient considered hypoglycemic?

70 mg/dL

Blood glucose rises after eating and slowly lowers as our body processes the food. For most diabetic patients, a normal blood glucose would be ________.

90 mg/dL

You and the police are dispatched to a private residence to check on the welfare of an individual who didn't show up for work or call in sick. Upon your arrival, you meet the resident's sister, who lets you in the house. You find a 38-year-old female patient lying on the bathroom floor. She is unresponsive to all stimuli. You notice a Medic Alert bracelet that states she is a diabetic. There is a glucometer on the counter. Which of the following is your next step?

Ask the sister to use the patient's glucometer to check the patient's blood sugar level.

You are treating a diabetic patient who has eaten extensively, but has not taken his insulin today. Which of the following are possible signs or symptoms of hyperglycemia?

Flushed, hot, dry skin and a "fruity" odor of the breath

You are at a family birthday celebration when your cousin, a known diabetic, starts feeling lightheaded and isn't acting like himself. Not having any oral glucose with you, which of the following would be an acceptable substitute?

Honey

What organ, or part of an organ, is responsible for monitoring the levels of glucose in the blood?

Islets of Langerhans

Which hormone-producing organ is responsible for making insulin and glucagon?

Pancreas

You are called to a private residence for an unconscious patient. Upon arrival, you find a middle-aged male patient lying on the living room floor. He is unresponsive to all stimuli. He has a breathing rate of 12, pulse rate of 112, and pale, sweaty skin. While checking his radial pulse, you notice a Medic Alert bracelet that indicates he is a diabetic. Which of the following should you do to treat this patient?

Place the patient in the recovery position, administer oxygen, and monitor his airway status.

How is the brain different from other cells if glucose drops?

The brain doesn't have fat cells to burn.

What role does the liver play in controlling blood glucose levels?

The liver produces glucose.

Type 2 diabetes occurs most often in ________.

adults

You have responded to a local business for an unconscious patient. Coworkers stated they were taking a coffee break when the patient suddenly started having difficulty speaking, dropped her coffee cup, and passed out. Your treatment should include all of the following EXCEPT ________.

attach an automated external defibrillator

You are assessing a patient who is not oriented to person, place, and time. The most important treatment you can provide this patient is ________.

avoiding delay in transporting to the hospital

Excess glucose being excreted by the kidneys can lead to ________.

dehydration

Signs of hypoglycemia may include ________.

elevated heart rate

As glucose levels drop, the sympathetic nervous system responds by releasing ________.

epinephrine

You are assessing a female patient with a history of diabetes. She is confused, agitated, and verbally abusive. Given the patient's history and behavior you suspect the patient has ________.

failed to take in sufficient calories

All of the following statements are TRUE about hypoglycemia EXCEPT ________.

hypoglycemia is experienced only by patients with type 2 diabetes

What hormone is produced in the pancreas?

insulin

While treating a patient with possible low blood sugar, you must remember that oral glucose is contraindicated if the patient ________.

is unconscious

You are treating a patient whose significant other states she has a blood sugar of 50. This could result in all of the following EXCEPT ________.

normal question responses

While doing a clinical rotation, your group is discussing normal body function. A vital part of normal body function is the utilization of glucose, which ________.

provides energy for brain cells and other cells in the body

A patient who is experiencing a new onset of type 1 diabetes may have symptoms that include ________.

weight loss