Dka Teaching Jeopardy Template

Insulin Administration	Nutrition	Signs and Symptoms	Complications / Treatment	Misc
100 Insulin syringe What kind of syringe is used for insulin administration?	100 ADA What type of diet is a diabetic patient most likely to be on?	100 Flu-like symptoms, abdominal pain, vomiting, blurred vision, headache, lethargy, Kussmaul's respirations, fruity breath, dehydration, hyperkalemia, tachycardia, hypotension, shock, coma, death Signs of symptoms of DKA	300 NS fluids, IV insulin drip, electrolyte correction, treatment of infection if present, hourly glucose monitoring, ABGs monitoring, urine testing Initial Treatment for DKA	100 true True or false: with type 1 diabetes, the body does not produce insulin
200 28 days How long until an insulin vial expires after opening?	200 It mainly consists of fresh fruits, vegetables, and whole grains. What does an ADA diet consist of?	200 polyuria, polydipsia, polyphagia, blurred vision, headache, lethargy, abdominal pain, ketonuria, coma Signs and symptoms of hyperglycemia	200 cerebral edema, acidosis, hypoglycemia, acute renal failure, hyperkalemia, dehydration, fluid and electrolyte imbalance, altered perfusion, AMS, dysrhythmias Complications of DKA	200 A) Kussmaul's respirations and a fruity odor on the breath A client is in DKA, secondary to infection. As the condition progresses, which of the following symptoms might the nurse see? A) Kussmaul's respirations and fruity odor on the breath B) shallow respirations and severe abdominal pain C) decreed respirations and increased urine output D) cheyne-stokes respirations and foul smelling urine
300 What should you tell your patient to do regarding their insulin on a sick day?Continue to take medications and monitor blood sugars. Contact HCP if you have any questions. What should you tell your patient to do regarding their insulin on a sick day?	300 After meals, and instruct to have a snack with carbs to prevent hypoglycemia. When should you instruct your patient to exercise?	300 hunger, sweating, tremor, blurred vision, headache, irritability, confusion, seizures, coma Signs and symptoms of hypoglycemia	100 Macrovascular Changes (stroke, MI, peripheral vascular disease), Microvascular changes (retinopathy, nephropathy), Neuropathy, infection, foot problems Long-Term complications of diabetes	300 C) I should go more than three days without washing my feet In educating a client with diabetes, what response would reveal the need for further education? A) I should avoid tight fitting clothing B) I should take good care of my toenails C) I should go more than three days without washing my feet D) I should avoid going barefoot and wear clean socks
400 bedtime What time of day is Lantus generally given?	400 45-60 grams How many grams CHO should a diabetic have per meal?	400 Somogyi effect is an episode of night time hypoglycemia. Patient may complain of night sweats and morning headache. AM glucose levels high. Treatment involves reducing insulin dose and providing a snack at bedtime. What is the Somogyi Effect and what does the patient present with? What is the treatment?	400 A) administer regular insulin IV, lack of insulin is primary reason for DKA A nurse is caring for a client admitted to the ER with DKA. In the acute phase the priority nursing action is to prepare to: A) administer regular insulin IV B) administer 5% dextrose IV C) correct the acidosis D) apply an ECG monitor	400 B) annual eye exams are recommended Nurse is teaching a client with DM about chronic complications associated with the disease. Which info should she include in her teaching? A) buy shoes that are half a size larger B) annual eye exams are recommended C) Excessive exercise increases insulin resistance D) podiatry visits are necessary every 5 years
500 abdomen, upper arm, thigh, hip/buttock abdomen, upper arm, thigh, hip/buttockInsulin is absorbed fastest from the (in order):	500 Limit 230-250 grams How many grams of CHO should a diabetic have total per day?	500 Dawn phenomenon is reduced sensitivity to insulin during 0500 to 0800 related to secretion of GH and cortisol in early morning hours causing hyperglycemia on arising in the morning. Treatment involves careful adjustment of meals and administration of evening dose at HS. What is Dawn phenomenon and what does the patient present with? What is the treatment?	500 To compensate for metabolic acidosis, the respirations become deeper and more rapid. What is the mechanism that results in Kussmaul's Respirations?	500 American Indian, Alaskan Native, African American, Hispanic/Latino, Asian American, Pacific Islander Name at least two ethnic groups that are more at risk for diabetes.

DKA/Diabetic teaching

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