ANS 2 PTS 1 21 ANS 4 PTS 1 22 ANS 3 PTS 1 23 ANS 1 PTS 1 24 ANS 2 PTS 1 25 ANS

Ans 2 pts 1 21 ans 4 pts 1 22 ans 3 pts 1 23 ans 1

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20. ANS: 2 PTS: 1 21. ANS: 4 PTS: 1 22. ANS: 3 PTS: 1 23. ANS: 1 PTS: 1 24. ANS: 2 PTS: 1 25. ANS: 1 PTS: 1 26. ANS: 3 PTS: 1 27. ANS: 4 PTS: 1 28. ANS: 1 PTS: 1 29. ANS: 4 PTS: 1 30. ANS: 2 PTS: 1 31. ANS: 4 RATIONALE: BG must be checked more often in T1 especially when adding more exercise, which can lower the BG levels. The other answers would cause hypoglycemia either during or after exercise. PTS: 1 32. ANS: 3 RATIONALE: Although her BG is normal, it will more than likely drop during exercise so she should eat a CHO source before exercising. A and D would likely increase her likelihood of hypoglycemia. B would not be helpful in this situation.
PTS: 1 33. ANS: 2 RATIONALE: HHS is the most likely diagnosis based on diagnosis, age, and signs and symptoms. DKA may occur in T2 diabetes, but initially HHS would be suspect. PTS: 1 34. ANS: 2 RATIONALE: Normal pH of 7.35. C and B are indicative of DKA. Hgb may be low, normal or high in HHNKS. PTS: 1 35. ANS: 3 RATIONALE: Approximately 15 grams of fast-acting CHO is the treatment of choice. Diet soda would not treat hypoglycemia. The other choices would overtreat and cause rebound hyperglycemia. PTS: 1

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