DIABETES PREVENTION AND MANAGEMENT FOR HEALTHCARE PROFESSIONALS Self-Assessment Answers and Rationales 1. The correct answer is A.
6. The correct answer is C. Rationale: This test can be performed at any time of day when severe diabetic symptoms develop. Diabetes is diagnosed when the blood glucose is >200 mg/dL. 7. The correct answer is A. Rationale: Inhaled insulin is contraindicated in patients with chronic lung disease and is not recommended in patients who smoke or who recently stopped smoking. 8. The correct answer is B. Rationale: Administer tetanus, diphtheria, pertussis (TDAP) to all adults with a booster every 10 years. All adult pregnant women should have an extra dose of this vaccine. 9. The correct answer is A. Rationale: Damage to the nerves of the cardiovascular system adversely affects the body’s ability to adjust blood pressure and heart rate. This can lead to orthostatic hypotension, dizziness, Rationale: Diabetic nephropathy does not produce symptoms in its early stages. Therefore, testing urine for the presence of albumin is very important so that kidney damage can be detected as soon as possible. Early kidney damage may be reversed lightheadedness, or fainting. 10.The correct answer is B.
Rationale: Prevalence of diagnosed diabetes was highest among American Indians/Alaska Natives (14.7%), people of Hispanic origin (12.5%), and non-Hispanic blacks (11.7%), followed by non-Hispanic Asians (9.2%) and non-Hispanic whites (7.5%). 2. The correct answer is C. Rationale: The endocrine function of the pancreas focuses on hormone secretion. The endocrine cells of the pancreas are islet cells, or islets of Langerhans. These islet cells exist as clusters of cells that are scattered among the acinar cells. They consist of alpha, beta, and delta cells. 3. The correct answer is A. Rationale: Pregnant women not previously found to have diabetes should be tested for gestational diabetes mellitus at 24-28 weeks of gestation. 4. The correct answer is D. Rationale: Smoking is a significant risk factor for the development of type 2 diabetes and makes the disease harder to control after its development. Smokers are 30% to 40% more likely to develop type 2 diabetes than nonsmokers. People who smoke are more likely than nonsmokers to have
trouble managing the disease. 5. The correct answer is D.
Rationale: Infections and illnesses can cause the body to produce higher levels of adrenaline or cortisol, both of which are antagonistic to insulin. Common conditions that trigger DKA are pneumonia and urinary tract infections.
Course Code: ANCCUS05DM
Book Code: ANCCUS2423
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