REPUBLIC OF THE PHILIPPINES

J.H. CERILLES STATE COLLEGE

PAGADIAN CITY CAMPUS
WEST CAPITOL ROAD, BALANGASAN DISTRICT,
PAGADIAN CITY

NCM 116 (QUIZ 7)

NAME: SCORE

C.I. DONNA MAE J. REDELOSA-DUMAOG, MN, MAN DATE MARCH 18, 2023

PART I. NO ERASURES ALLOWED.

LONG TERM COMPLICATIONS OF DIABETES RESULTING FROM DAMAGE IN THE KIDNEY’S CELLS.

A HORMONE SECRETED BY THE BETA CELLS OF ISLETS OF LANGERHANS THAT IS NECESSARY FOR THE
METABOLISM OF CARBOHYDRATES, PROTEINS AND FATS.
A MEASURE OF GLUCOSE CONTROL THAT A RESULT OF GLUCOSE MOLECULE ATTACHING TO
HEMOGLOBIN FOR THE LIFE OF RBC.
HIGHLY ACIDIC SUBSTANCES ARE FORMED WHEN THE LIVER BREAKS DOWN FREE FATTY ACIDS IN THE
ABSENCE OF INSULIN.
HORMONE THAT SIGNALS CELLS TO CONVERT GLYCOGEN BACK INTO SUGAR.
MORNING HYPERGLYCEMIA WITH PROGRESSIVE RISE IN BLOOD GLUCOSE FROM BEDTIME TO MORNING.

NEUROPATHIC CONDITIONS THAT REFERS TO DECREASE OR ABSENCE OF SWEATING OF THE EXTREMITIES

WITH A COMPENSATORY INCREASE IN UPPER BODY SWEATING
FOUL SMELLING STOOLS WITH HIGH FAT CONTENT
REMOVAL OF THE GALLBLADDER

STONES IN THE BILE DUCT

HYPERSECRETION OF GASTRIC ACID THAT PRODUCES PEPYIC ULCERS AS A RESULT OF THE NON BETA CELL
TUMOR OF THE PANCREATIC ISLETS
WHIPPLE PROCEDURE OR RESECTION

OVERPRODUCTION OF INSULIN BY THE PANCREATIC ISLETS.

5 CLASSIFICATIONS OF 1. 4.
DIABETES AND RELATED 2. 5.
GLUCOSE INTOLERANCES 3.
3 TYPES OF MORNING 1. 3.
HYPERGLYCEMIA 2.
6 ORAL HYPOGLYCEMIC 1. 4.
AGENTS 2. 5.
3. 6
4 MAIN AREAS FOR INSULIN 1. 3.
INJECTION SITES 2. 4.
STEPS FOR SELF INJECTING
INSULIN

6 LONG TERM COMLICATIONS 1. 4.

FOR DM 2. 5.
3. 6
PATHOPHYSIOLOGY FOR DM
PATHOPHYSIOLOGY FOR CHOLANGITIS

PART I. NO ERASURES ALLOWED. ENCIRCLE THE LETTER OF THE CORRECT ANSWER.

1. A PATIENT IS ADMITTED TO THE MEDICAL UNIT WITH 3. FOR THE PATIENT WITH HYPERTHYROIDISM, WHAT
POSSIBLE GRAVES’ DISEASE (HYPERTHYROIDISM). WHICH INTERVENTION SHOULD YOU DELEGATE TO THE
ASSESSMENT FINDING SUPPORTS THIS DIAGNOSIS? EXPERIENCED CERTIFIED NURSING ASSISTANT?
A. PERIORBITAL EDEMA A. INSTRUCT THE PATIENT TO REPORT
B. BRADYCARDIA PALPITATIONS, DYSPNEA, VERTIGO, PR
C. EXOPHTHALMOS CHEST PAIN.
D. HOARSE VOICE B. CHECK THE APICAL PULSE, BLOOD
2. WHICH CHANGE IN VITAL SIGNS WOULD YOU PRESSURE, AND TEMPERATURE EVERY 4
INSTRUCT A NURSING ASSISTANT TO REPORT HOURS.
IMMEDIATELY FOR A PATIENT WITH C. DRAW BLOOD FOR THYROID-STIMULATING
HYPERTHYROIDISM? HORMONE, T3, AND T4 LEVELS.
A. INCREASED AND RAPID HEART RATE D. EXPLAIN THE SIDE EFFECTS OF
B. DECREASE SYSTOLIC BLOOD PRESSURE PROPYLTHIOURACIL (PTU) TO THE
C. INCREASED RESPIRATORY RATE PATIENT.
D. DECREASED ORAL TEMPERATURE 4. AS THE SHIFT BEGINS, YOU ARE ASSIGNED THESE
PATIENTS. WHICH PATIENT SHOULD YOU ASSESS FIRST?
 A. A 38-YEAR-OLD PATIENT WITH GRAVES’
DISEASE AND A HEART RATE OF
94/MINUTE
B. A 63-YEAR-OLD PATIENT WITH TYPE 2
DIABETES AND FINGERSTICK GLUCOSE OF
137 MG/DL
C. A 58-YEAR-OLD PATIENT WITH
HYPOTHYROIDISM AND HEART RATE OF
48/MINUTE
D. A 49-YEAR-OLD PATIENT WITH CUSHING’S
DISEASE AND +1 DEPENDENT EDEMA
5. A PATIENT IS HOSPITALIZED WITH ADRENOCORTICAL
INSUFFICIENCY. WHICH NURSING ACTIVITY SHOULD
YOU DELEGATE TO THE NURSING ASSISTANT?
A. REMIND PATIENT TO CHANGE POSITIONS
SLOWLY.
B. CHECK THE PATIENT FOR MUSCLE
WEAKNESS
C. TEACH THE PATIENT HOW TO COLLECT 24-
HOUR URINE
D. PLAN NURSING INTERVENTIONS TO
PROMOTE FLUID BALANCE
6. YOU ASSESS A PATIENT WITH CUSHING’S DISEASE. FOR
WHICH FINDING WILL YOU NOTIFY THE PHYSICIAN
IMMEDIATELY?
A. PURPLE STRIAE PRESENT ON ABDOMEN
AND THIGHS
B. WEIGHT GAIN OF 1 POUND SINCE THE
PREVIOUS DAY
C. +1 DEPENDENT EDEMA IN ANKLES AND
CALVES
D. CRACKLES BILATERALLY IN LOWER LOBES
OF LUNGS
7. THE PATIENT WITH PHEOCHROMOCYTOMA HAD
SURGERY TO REMOVE HIS ADRENAL GLANDS. WHICH
NURSING INTERVENTION SHOULD YOU DELEGATE TO
THE NURSING ASSISTANT?
A. ADD STRATEGIES TO PROVIDE A CALM
AND RESTFUL ENVIRONMENT POST-
OPERATIVELY TO THE CARE PLAN.
B. WARM THE PATIENT TO AVOID SMOKING
AND DRINKING CAFFEINATED BEVERAGES
C. MONITOR THE PATIENT’S SKIN AND
MUCOUS MEMBRANES FOR SIGNS OF
ADEQUATE HYDRATION.
D. MONITOR LYING AND STANDING BLOOD
PRESSURE EVERY 4 HOURS WITH CUFF
PLACED ON SAME ARM
8. FOR THE PATIENT WITH PHEOCHROMOCYTOMA,
WHAT PHYSICAL ASSESSMENT TECHNIQUE SHOULD YOU
INSTRUCT THE LPN/LVN TO AVOID?
________________________________________________________
9. THE PATIENT WITH ADRENAL INSUFFICIENCY IS TO BE
DISCHARGED TAKING PREDNISONE 10 MG ORALLY EACH
DAY. WHAT WILL YOU BE SURE TO TEACH THE PATIENT?
A. REPORT EXCESSIVE WEIGH GAIN OR
SWELLING TO THE PHYSICIAN.
B. RAPID CHANGES OF POSITION MAY CAUSE
HYPOTENSION.
C. A DIET WITH FOODS HIGH IN POTASSIUM
MAY BE BENEFICIAL.
D. SIGNS OF HYPOGLYCEMIA MAY OCCUR
WHILE TAKING THIS DRUG.
10.YOU ARE CARING FOR A PATIENT WHO IS POST-
HYPOPHYSECTOMY FOR HYPERPITUITARISM. WHICH
POST-OPERATIVE FINDING REQUIRES IMMEDIATE
INTERVENTION?
A. PRESENCE OF GLUCOSE IN NASAL
DRAINAGE
B. NASAL PACKING PRESENT IN NARES
C. URINE OUTPUT OF 40 – 50 ML PER HOUR
D. PATIENT COMPLAINTS OF THIRST
11.WHICH PATIENT’S NURSING CARE WOULD BE MOST
APPROPRIATE FOR THE CHARGE NURSE TO ASSIGN TO
THE LPN, UNDER THE SUPERVISION OF THE RN TEAM
LEADER?
A. A 51-YEAR-OLD PATIENT WITH BILATERAL
ADRENALECTOMY JUST RETURNED FROM
THE POST-ANESTHESIA CARE UNIT
B. AN 83-YEAR-OLD PATIENT WITH TYPE 2
DIABETES AND CHRONIC OBSTRUCTIVE
PULMONARY DISEASE
C. A 38-YEAR-OLD PATIENT WITH
MYOCARDIAL INFARCTION WHO IS
PREPARING FOR DISCHARGE
D. A 72-YEAR-OLD PATIENT ADMITTED FROM
LONG-TERM CARE WITH MENTAL STATUS
CHANGES
12.YOU ARE PROVIDING CARE FOR A PATIENT WHO
UNDERWENT THYROIDECTOMY 2 DAYS AGO. WHICH
LABORATORY VALUE REQUIRES CLOSE MONITORING?
A. CALCIUM
B. SODIUM
C. POTASSIUM
D. WHITE BLOOD CELLS
13.YOU ARE PREPARING TO REVIEW A TEACHING PLAN
FOR A PATIENT WITH TYPE 2 DIABETES. WHAT WILL YOU
CHECK TO DETERMINE THE PATIENT’S LEVEL OF
COMPLIANCE WITH HIS DIABETIC REGIMEN?
A. PATIENT’S FASTING GLUCOSE LEVEL
B. PATIENT’S ORAL GLUCOSE TOLERANCE
TEST RESULTS
C. PATIENT’S GLYCOSYLATED HEMOGLOBIN
ASSAY
D. PATIENT’S FINGERSTICK GLUCOSE CHECK
FOR 24 HOURS
14.THE PATIENT HAS NEWLY DIAGNOSED TYPE 2
DIABETES. WHICH TASK SHOULD YOU DELEGATE TO THE
NURSING ASSISTANT?
A. ARRANGE CONSULT WITH THE DIETICIAN
FOR PATIENT.
B. VERIFY PATIENT’S INSULIN INJECTION
TECHNIQUE.
C. TEACH PATIENT TO USE GLUCOMETER FOR
MONITORING GLUCOSE AT HOME.
D. REMIND PATIENT TO CHECK GLUCOSE
LEVEL PRIOR TO EACH MEAL.
15.A NURSING DIAGNOSIS FOR THE NEWLY DIAGNOSED
DIABETIC PATIENT IS RISK FOR INJURY RELATED TO
SENSORY ALTERATIONS. WHICH KEY POINTS SHOULD
YOU INCLUDE IN THE TEACHING PLAN FOR THIS
PATIENT? (CHOOSE ALL THAT APPLY).
A. CLEAN AND INSPECT YOUR FEET EVERY
DAY.
B. BE SURE THAT YOUR SHOES FIT PROPERLY.
C. NYLON SOCKS ARE BEST TO PREVENT
FRICTION BETWEEN TOES AND SHOES.
D. REPORT ANY NON-HEALING SKIN BREAKS
TO YOUR DOCTOR.
16.THE DIABETIC PATIENT HAS ALL OF THESE
ASSESSMENT BINDINGS. WHICH WILL YOU INSTRUCT
THE LPN/LVN TO REPORT IMMEDIATELY?
A. FINGERSTICK GLUCOSE OF 185 MG/DL
B. NUMBNESS AND TINGLING IN BOTH FEET
C. PROFUSE PERSPIRATION
D. BUNION ON LEFT GREAT TOE
17.THE PLAN OF CARE FOR THE DIABETIC PATIENT
INCLUDES ALL OF THE FOLLOWING INTERVENTIONS.
WHICH INTERVENTION COULD YOU DELEGATE TO THE
NURSING ASSISTANT?
A. CHECK TO MAKE SURE THAT THE
PATIENT’S BATH WATER IS NOT TOO HOT.
B. DISCUSS COMMUNITY RESOURCES FOR
DIABETIC OUTPATIENT CARE.
C. INSTRUCT THE PATIENT TO PERFORM
DAILY FOOT INSPECTIONS.
D. CHECK THE PATIENT’S TECHNIQUE FOR
DRAWING INSULIN INTO A SYRINGE.
18.YOU ARE PRECEPTING A NURSE WHO HAS RECENTLY
GRADUATED AND PASSES THE NCLEX EXAMINATION.
THE NEW NURSE HAS BEEN ON THE UNIT FOR ONLY 2
DAYS. WHICH PATIENT SHOULD YOU ASSIGN TO THE
NEW NURSE?
A. A 68-YEAR-OLD DIABETIC WHO IS
EXPERIENCING SIGNS OF HYPERGLYCEMIA
INCLUDING RAPID, DEEP BREATHING AND
MENTAL STATUS CHANGES
B. A 58-YEAR-OLD DIABETIC WITH
PERIPHERAL NEUROPATHY AND
CELLULITIS OF THE LEFT ANKLE.
C. A 49-YEAR-OLD DIABETIC WHO HAS JUST
RETURNED FROM POST-ANESTHESIA CARE
UNIT (PACU) AFTER A BELOW-THE-KNEE
AMPUTATION (BKA)
D. A 72-YEAR-OLD DIABETIC WITH DIABETIC
KETOACIDOSIS (DKA) ON AN IV INSULIN
DRIP
19.IN THE EMERGENCY DEPARTMENT, DURING INITIAL
ASSESSMENT OF A NEW ADMISSION WITH DIABETES,
YOU DISCOVER ALL OF THE FOLLOWING. WHICH
INFORMATION SHOULD YOU IMMEDIATELY REPORT TO
THE PHYSICIAN?
A. HAMMERTOE OF THE LEFT SECOND
METATARSOPHALANGEAL JOINT
B. RAPID RESPIRATORY RATE WITH DEEP
INSPIRATIONS
C. NUMBNESS AND TINGLING BILATERALLY
IN THE FEET AND HANDS
D. DECREASED SENSITIVITY AND SWELLING
OF THE ABDOMEN
20.YOU ARE CARING FOR A DIABETIC PATIENT WHO IS
DEVELOPING DKA. WHICH DELEGATED TASK IS MOST
APPROPRIATE?
A. ASK THE UNIT CLERK TO PAGE THE
PHYSICIAN TO COME TO THE UNIT.
B. ASK THE LPN/LVN TO ADMINISTER IV
INSULIN ACCORDING TO THE SLIDING
SCALE.
C. ASK THE NURSING ASSISTANT TO CHECK
THE PATIENT’S LEVEL OF CONSCIOUSNESS.
D. ASK THE NURSING ASSISTANT TO GET THE
PATIENT A CUP OF ORANGE JUICE.
21.A DIABETIC PATIENT PRESENTS WITH HOT AND DRY
SKIN, RAPID AND DEEP RESPIRATIONS, AND A FRUITY
ODOR TO HIS BREATH. AS CHARGE NURSE, YOU OBSERVE
THE NEW GRADUATE RN ACCOMPLISHING ALL THESE
PATIENT TASKS. WHICH ONE REQUIRES THAT YOU
INTERVENE IMMEDIATELY?
A. THE RN CHECKS THE PATIENT’S
FINGERSTICK GLUCOSE.
B. THE RN ENCOURAGES THE PATIENT TO
DRINK ORANGE JUICE.
C. THE RN CHECKS THE PATIENT’S ORDER
FOR SLIDING SCALE INSULIN.
D. THE RN ASSESS THE PATIENT’S VITAL
SIGNS EVERY 15 MINUTES
22.YOU ARE PREPARING A 24-YEAR-OLD PATIENT WITH
DIABETES INSIPIDUS (DI) FOR DISCHARGE FROM THE
HOSPITAL. WHICH STATEMENT INDICATES THAT THE
PATIENT NEEDS ADDITIONAL TEACHING?
A. “I WILL DRINK FLUIDS EQUAL TO THE
AMOUNT OF MY URINE OUTPUT.”
B. “I WILL WEIGH MYSELF EVERY DAY USING
THE SAME SCALE.”
C. “I WILL WEAR MY MEDICAL ALERT
BRACELET AT ALL TIMES.”
D. “I WILL GRADUALLY WEAN MYSELF OFF
THE VASOPRESSIN.”
23. WHEN A CLIENT IS IN DIABETIC KETOACIDOSIS, THE
INSULIN THAT WOULD BE ADMINISTERED IS:
A. HUMAN NPH INSULIN
B. HUMAN REGULAR INSULIN
C. INSULIN LISPRO INJECTION
D. INSULIN GLARGINE INJECTION
24. THE NURSE RECOGNIZES THAT ADDITIONAL
TEACHING IS NECESSARY WHEN THE CLIENT WHO IS
LEARNING ALTERNATIVE SITE TESTING (AST) FOR
GLUCOSE MONITORING SAYS:
A. “I NEED TO RUB MY FOREARM
VIGOROUSLY UNTIL WARM BEFORE
TESTING AT THIS SITE.”
B. “THE FINGERTIP IS PREFERRED FOR
GLUCOSE MONITORING IF
HYPERGLYCEMIA IS SUSPECTED.”
C. “I HAVE TO MAKE SURE THAT MY
CURRENT GLUCOSE MONITOR CAN BE
USED AT AN ALTERNATE SITE.”
D. “ALTERNATE SITE TESTING IS UNSAFE IF I
AM EXPERIENCING A RAPID CHANGE IN
GLUCOSE LEVELS.”
25. WHICH ADAPTATIONS SHOULD THE NURSE CARING
FOR A CLIENT WITH DIABETIC KETOACIDOSIS EXPECT
THE CLIENT TO EXHIBIT? SELECT ALL THAT APPLY:
A. SWEATING
B. LOW PCO2
C. RETINOPATHY
D. ACETONE BREATH
E. ELEVATED SERUM BICARBONATE
26. A CLIENT’S BLOOD GASES REFLECT DIABETIC
ACIDOSIS. THE NURSE SHOULD EXPECT:
A. INCREASED PH
B. DECREASED PO2
C. INCREASED PCO2
D. DECREASED HCO3
27. THE NURSE KNOWS THAT GLUCAGON MAY BE GIVEN
IN THE TREATMENT OF HYPOGLYCEMIA BECAUSE IT:
A. INHIBITS GLUCONEOGENESIS
B. STIMULATES THE RELEASE OF INSULIN
C. INCREASES BLOOD GLUCOSE LEVELS
D. PROVIDES MORE STORAGE OF GLUCOSE.
28.  A CLIENT WITH TYPE 1 DM HAS A FINGERSTICK
GLUCOSE LEVEL OF 258MG/DL AT BEDTIME. AN ORDER
FOR SLIDING SCALE INSULIN EXISTS. THE NURSE
SHOULD:
A. CALL THE PHYSICIAN
B. ENCOURAGE THE INTAKE OF FLUIDS
C. ADMINISTER THE INSULIN AS ORDERED
D. GIVE THE CLIENT ½ C. OF ORANGE JUICE
29. THE PHYSICIAN ORDERS 36 UNITS OF NPH AND 12
UNITS OF REGULAR INSULIN. THE NURSE PLANS TO
ADMINISTER THESE DRUGS IN 1 SYRINGE. IDENTIFY THE
STEPS IN THIS PROCEDURE BY LISTING THEM IN
PRIORITY ORDER.
1. INJECT AIR EQUAL TO NPH DOSE INTO NPH
VIAL
2. INVERT REGULAR INSULIN BOTTLE AND
WITHDRAW REGULAR INSULIN DOSE
3. INJECT AIR EQUAL TO REGULAR DOSE
INTO REGULAR DOSE
4. INVERT NPH VIAL AND WITHDRAW NPH
DOSE.
30. THE INSULIN THAT HAS THE MOST RAPID ONSET OF
ACTION WOULD BE:
A. LENTE
B. LISPRO
C. ULTRALENTE
D. HUMULIN N
31. A CLIENT WITH DM STATES, “I CANNOT EAT BIG
MEALS; I PREFER TO SNACK THROUGHOUT THE DAY.”
THE NURSE SHOULD CAREFULLY EXPLAIN THAT THE:
A. REGULATED FOOD INTAKE IS BASIC TO
CONTROL
B. SALT AND SUGAR RESTRICTION IS THE
MAIN CONCERN
C. SMALL, FREQUENT MEALS ARE BETTER FOR
DIGESTION
 D. LARGE MEALS CAN CONTRIBUTE TO A 36. WHICH OF THE FOLLOWING METHODS OF INSULIN
WEIGHT PROBLEM ADMINISTRATION WOULD BE USED IN THE INITIAL
32. A CLIENT WITH DM HAS AN ABOVE-KNEE TREATMENT OF HYPERGLYCEMIA IN A CLIENT WITH
AMPUTATION BECAUSE OF SEVERE PERIPHERAL DIABETIC KETOACIDOSIS?
VASCULAR DISEASE, TWO DAYS FOLLOWING SURGERY, A. SUBCUTANEOUS
WHEN PREPARING THE CLIENT FOR DINNER, IT IS THE B. INTRAMUSCULAR
NURSE’S PRIMARY RESPONSIBILITY TO: C. IV BOLUS ONLY
A. CHECK THE CLIENT’S SERUM GLUCOSE D. IV BOLUS, FOLLOWED BY CONTINUOUS
LEVEL INFUSION.
B.  ASSIST THE CLIENT OUT OF BED TO THE 37. INSULIN FORCES WHICH OF THE FOLLOWING
CHAIR ELECTROLYTES OUT OF THE PLASMA AND INTO THE
C. PLACE THE CLIENT IN A HIGH-FOWLERS CELLS?
POSITION A. CALCIUM
D. ENSURE THAT THE CLIENT’S RESIDUAL B. MAGNESIUM
LIMB IS ELEVATED. C. PHOSPHORUS
33. WHICH OF THE FOLLOWING NURSING D. POTASSIUM
INTERVENTIONS SHOULD BE TAKEN FOR A CLIENT WHO 38. WHICH OF THE FOLLOWING CAUSES OF HHNS IS
COMPLAINS OF NAUSEA AND VOMITS ONE HOUR AFTER MOST COMMON?
TAKING HIS GLYBURIDE (DIABETA)? A. INSULIN OVERDOSE
A. GIVE GLYBURIDE AGAIN B. REMOVAL OF THE ADRENAL GLAND
B. GIVE SUBCUTANEOUS INSULIN AND C. UNDIAGNOSED, UNTREATED
MONITOR BLOOD GLUCOSE HYPERPITUITARISM
C. MONITOR BLOOD GLUCOSE CLOSELY, AND D. UNDIAGNOSED, UNTREATED DIABETES
LOOK FOR SIGNS OF HYPOGLYCEMIA. MELLITUS
D. MONITOR BLOOD GLUCOSE, AND ASSESS 39. A CLIENT IS IN DKA, SECONDARY TO INFECTION. AS
FOR SIGNS OF HYPERGLYCEMIA. THE CONDITION PROGRESSES, WHICH OF THE
34. WHICH OF THE FOLLOWING CHRONIC FOLLOWING SYMPTOMS MIGHT THE NURSE SEE?
COMPLICATIONS IS ASSOCIATED WITH DIABETES? A. KUSSMAUL’S RESPIRATIONS AND A FRUITY
A. DIZZINESS, DYSPNEA ON EXERTION, AND ODOR ON THE BREATH
CORONARY ARTERY DISEASE. B. SHALLOW RESPIRATIONS AND SEVERE
B. RETINOPATHY, NEUROPATHY, AND ABDOMINAL PAIN
CORONARY ARTERY DISEASE C. DECREASED RESPIRATIONS AND
C. LEG ULCERS, CEREBRAL ISCHEMIC EVENTS, INCREASED URINE OUTPUT.
AND PULMONARY INFARCTS D. CHEYNE-STOKES RESPIRATIONS AND
D. FATIGUE, NAUSEA, VOMITING, MUSCLE FOUL-SMELLING URINE
WEAKNESS, AND CARDIAC ARRHYTHMIA’S 40. CLIENTS WITH TYPE 1 DIABETES MAY REQUIRE WHICH
35. ROTATING INJECTION SITES WHEN ADMINISTERING OF THE FOLLOWING CHANGES TO THEIR DAILY
INSULIN PREVENTS WHICH OF THE FOLLOWING ROUTINE DURING PERIODS OF INFECTION?
COMPLICATIONS? A. NO CHANGES
A. INSULIN EDEMA B. LESS INSULIN
B. INSULIN LIPODYSTROPHY C. MORE INSULIN
C. INSULIN RESISTANCE D. ORAL ANTIDIABETIC AGENTS
D. SYSTEMIC ALLERGIC REACTIONS

“NURSING SCHOOL. ONE SYLLABUS AT A TIME. ONE CLASS AT A TIME. ONE EXAM AT A TIME. ONE CLINICAL AT A
TIME. KEEP GOING…”
***SIMPLE REMINDERS 😊 😊 😊 GOD BLESS 😊 😊