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Hondros NUR 176 Exam 1: Questions & Answers
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Hondros NUR 176 Exam 1: Questions & Answers
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Hondros NUR 176 Exam 1: Questions & AnswersInterventions to prevent diabetes ✔ Ans - Maintain healthy weight, diet and exercise
Signs of type 1 diabetes ✔ Ans - 3 polys, blurred vision, cold feet, numbness, shiny thin skin w/ no hair, age 30 and under, sudden onset, underweight,
Signs of type 2 diabetes ✔ Ans - No symptoms at first , later develop the 3 polys, obesity, Nigricans (black line on back of neck) skin tags
S/S of hypoglycemia ✔ Ans - Fatigue, weakness, irritability, reduce cognition, tremors, seizures, diaphoresis( sweating)
S/S of hyperglycemia ✔ Ans - 3 polys, fruity breath
S/S of diabetic ketoacidosis and treatment ✔ Ans - High BS, high HR, restlessness, weight loss, fruity breath, kussmaul(fast deep RR) -- treatments; IV regular insulin
First intervention if a pt. Presents with s/s of hypo/hyperglycemia ✔ Ans - Check blood sugar
Prevention of long term complications of diabetes ✔ Ans - Takes meds, daily feet care, yearly renal test, eye exams every 6 months, LDL less than 150
Dietary teaching for a diabetic patient ✔ Ans - Meals at the same time every day, decrease saturated fats, increase exercise , refer pt. To MyPlate learning tool,
Diabetic Pt. should never increase carbs unless... ✔ Ans - Sugar is low before exercising
Discharge teaching for diabetic pt. ✔ Ans - Know hypo/hyperglycemia s/s, know that stress and illness increase BS , see a diabetic educator, know what the effect of Exercise can have on Bs Diabetic foot care ✔ Ans - Clean w/ soap and warm water, clean socks everyday, cut toe nails straight across, keep feet dry, no powder or lotion b/t toes , wear shoes , inspect feet daily, no gardners
Lipid analysis ✔ Ans - LDL-less than 100 HDL- more than 40 Triglycerides- more than 150
What are low and high levels of HDL indicative of ✔ Ans - High- insulin resistance, low- insulin sensitivity
What insulins can not be mixed? ✔ Ans - Levemir and Lantus ( detemir and
glargine )
How to mix insulin ✔ Ans - Short acting to long acting, regular to NPH, Clear to cloudy
Should a nurse hold a patients insulin before consulting a dr? ✔ Ans - No
No insulin, beta cells are destroyed is a result of ? ✔ Ans - Diabetes type 1
Beta cells exhaustion , insulin resistance is a result of ? ✔ Ans - Diabetes type 2
Rapid acting insulin ✔ Ans - Lispro(Humalog) aspart(Novolog) glulisine(Apidra)
Onset, peak and duration of Novolog and Apidra ✔ Ans - Onset-15-30, Peak-1-3hr, duration-3-5hr
onset, peak and duration of humalog ✔ Ans - Onset-15-30, Peak-1-2hr, duration-3-4hr
Short acting insulin( regular) ✔ Ans - Humulin R, Novolin R, ReliOn R, Onset-30-60 , Peak-2-4hr, duration-6-8hr
Intermediate insulin (NPH) ✔ Ans - Humulin N, Novolin N, ReliOn N, Onset-
1-4hr Peak-4-12hr, duration-12-16hr
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