Hemoglobin is:
  • is a condition in which no insulin is produced by the body.
  • found within the red blood cells and is responsible for carrying oxygen.
  • fat metabolization when glucose is unavailable.
  • cool, clammy skin; weakness; tachycardia; and rapid respirations.
Insulin functions in the body by:
  • insulin is not available in the body.
  • enabling glucose to enter the cells.
  • ensuring the absence of a gag reflex.
  • decreased blood glucose levels.
Diabetes is MOST accurately defined as a(n):
  • hyperglycemia, ketoacidosis, and dehydration.
  • insulin is not available in the body.
  • can only be corrected in the hospital setting.
  • disorder of carbohydrate metabolism.
Proper procedure for administering oral glucose to a patient includes all of the following, EXCEPT:
  • enabling glucose to enter the cells.
  • insulin is not available in the body.
  • disorder of carbohydrate metabolism.
  • ensuring the absence of a gag reflex.
To which of the following diabetic patients should you administer oral glucose?
  • a confused 55-year-old male with tachycardia and pallor
  • The brain requires glucose as much as it requires oxygen.
  • In sickle cell disease, the red blood cells are abnormally shaped and are less able to carry oxygen.
  • Diabetic coma typically develops over a period of hours or days.
Diabetic coma is a life-threatening condition that results from:
  • insulin is not available in the body.
  • hyperglycemia, ketoacidosis, and dehydration.
  • excess glucose in the blood is excreted by the kidneys.
  • disorder of carbohydrate metabolism.
Type 1 diabetes:
  • fat metabolization when glucose is unavailable.
  • they do not always eat correctly and on schedule.
  • insulin is not available in the body.
  • is a condition in which no insulin is produced by the body.
Common signs and symptoms of diabetic coma include all of the following, EXCEPT:
  • 80 and 120 mg/dL.
  • cool, clammy skin; weakness; tachycardia; and rapid respirations.
  • cool, clammy skin.
  • combativeness.
Which of the following statements regarding sickle cell disease is correct?
  • The brain requires glucose as much as it requires oxygen.
  • excess glucose in the blood is excreted by the kidneys.
  • a confused 55-year-old male with tachycardia and pallor
  • In sickle cell disease, the red blood cells are abnormally shaped and are less able to carry oxygen.
You respond to a residence for a patient who is "not acting right." As you approach the door, the patient, a 35-year-old male, begins shouting profanities at you and your partner while holding a baseball bat. The man is confused and diaphoretic, and is wearing a medical identification bracelet. You should:
  • acidosis and dehydration.
  • applying a nonrebreathing mask at 15 L/min.
  • contact medical control and administer oral glucose.
  • retreat at once and call law enforcement.
Which of the following statements regarding glucose is correct?
  • The brain requires glucose as much as it requires oxygen.
  • In sickle cell disease, the red blood cells are abnormally shaped and are less able to carry oxygen.
  • a confused 55-year-old male with tachycardia and pallor
  • Diabetic coma typically develops over a period of hours or days.
Ketone production is the result of:
  • fat metabolization when glucose is unavailable.
  • can only be corrected in the hospital setting.
  • disorder of carbohydrate metabolism.
  • ensuring the absence of a gag reflex.
Hypoglycemic crisis tends to develop more often and more severely in children because:
  • The brain requires glucose as much as it requires oxygen.
  • a confused 55-year-old male with tachycardia and pallor
  • they do not always eat correctly and on schedule.
  • attempting to eliminate acids from the blood.
A 19-year-old male complains of "not feeling right." His insulin and a syringe are on a nearby table. The patient says he thinks he took his insulin and cannot remember whether he ate. He is also unable to tell you the time or what day it is. The glucometer reads "error" after several attempts to assess his blood glucose level. In addition to administering oxygen, you should:
  • provide ventilatory support.
  • her spleen is enlarged because of red blood cell engorgement.
  • contact medical control and administer oral glucose.
  • applying a nonrebreathing mask at 15 L/min.
Which of the following conditions is the diabetic patient at an increased risk of developing?
  • In sickle cell disease, the red blood cells are abnormally shaped and are less able to carry oxygen.
  • Diabetic coma typically develops over a period of hours or days.
  • blindness
  • combativeness.
During your assessment of a 19-year-old male, you are told that he is being treated with factor VIII. This indicates that:
  • open and maintain her airway and assess breathing.
  • he has hemophilia A.
  • takes too much of his or her prescribed insulin.
  • supplemental insulin.
The signs and symptoms of insulin shock are the result of:
  • disorder of carbohydrate metabolism.
  • pulmonary embolism.
  • rate and depth of breathing.
  • decreased blood glucose levels.
In contrast to insulin shock, diabetic coma:
  • enabling glucose to enter the cells.
  • fat metabolization when glucose is unavailable.
  • disorder of carbohydrate metabolism.
  • can only be corrected in the hospital setting.
When obtaining a SAMPLE history from a patient with diabetes, it would be MOST important to determine:
  • he has hemophilia A.
  • if he or she has had any recent illnesses or excessive stress.
  • takes too much of his or her prescribed insulin.
  • open and maintain her airway and assess breathing.
A 29-year-old female presents with confusion and disorientation. Her respirations are rapid and shallow and her pulse is 120 beats/min and thready. She is markedly diaphoretic and has an oxygen saturation of 89%. You should:
  • contact medical control and administer oral glucose.
  • is significantly hyperglycemic.
  • provide ventilatory support.
  • acidosis and dehydration.
Glipizide, a non-insulin-type medication, is another name for:
  • pulmonary embolism.
  • combativeness.
  • Glucotrol.
  • blindness
Assessment of a patient with hypoglycemia will MOST likely reveal:
  • polyphagia.
  • combativeness.
  • pulmonary embolism.
  • cool, clammy skin.
A 28-year-old female patient is found to be responsive to verbal stimuli only. Her roommate states that she was recently diagnosed with type 1 diabetes and has had difficulty controlling her blood sugar level. She further tells you that the patient has been urinating excessively and has progressively worsened over the last 24 to 36 hours. On the basis of this patient's clinical presentation, you should suspect that she:
  • a heart attack.
  • is significantly hyperglycemic.
  • her spleen is enlarged because of red blood cell engorgement.
  • contact medical control and administer oral glucose.
Patients with type 2 diabetes usually control their disease with all of the following, EXCEPT:
  • excess glucose in the blood is excreted by the kidneys.
  • pulmonary embolism.
  • decreased blood glucose levels.
  • supplemental insulin.
Insulin shock will MOST likely develop if a patient:
  • if he or she has had any recent illnesses or excessive stress.
  • open and maintain her airway and assess breathing.
  • he has hemophilia A.
  • takes too much of his or her prescribed insulin.
Diabetic ketoacidosis occurs when:
  • disorder of carbohydrate metabolism.
  • insulin is not available in the body.
  • ensuring the absence of a gag reflex.
  • can only be corrected in the hospital setting.
Excessive eating caused by cellular "hunger" is called:
  • pulmonary embolism.
  • oral glucose.
  • polyphagia.
  • Glucotrol.
Patients with uncontrolled diabetes experience polyuria because:
  • supplemental insulin.
  • hyperglycemia, ketoacidosis, and dehydration.
  • pulmonary embolism.
  • excess glucose in the blood is excreted by the kidneys.
Kussmaul respirations are an indication that the body is:
  • The brain requires glucose as much as it requires oxygen.
  • attempting to eliminate acids from the blood.
  • fat metabolization when glucose is unavailable.
  • hyperglycemia, ketoacidosis, and dehydration.
A man finds his 59-year-old wife unconscious on the couch. He states that she takes medications for type 2 diabetes. He further tells you that his wife has been ill recently and has not eaten for the past 24 hours. Your assessment reveals that the patient is unresponsive. You should:
  • he has hemophilia A.
  • open and maintain her airway and assess breathing.
  • suspect that he has intracranial bleeding, assist his ventilations, and transport rapidly to an appropriate hospital.
  • acidosis and dehydration.
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