EXAM 153 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|
ALREADY GRADED A+
1). Interventions to prevent diabetes
Ans: Maintain healthy weight, diet and exercise
2). 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,
3). 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
4). S/s of hypoglycemia
Ans: Fatigue, weakness, irritability, reduce cognition, tremors, seizures, diaphoresis(
sweating)
5). S/s of hyperglycemia
Ans: 3 polys, fruity breath
6). 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
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, 7). First intervention if a pt. presents with s/s of hypo/hyperglycemia
Ans: Check blood sugar
8). 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
9). 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,
10). Diabetic pt. should never increase carbs unless...
Ans: Sugar is low before exercising
11). 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
12). 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
13). Lipid analysis
Ans: LDL-less than 100 HDL- more than 40 Triglycerides- more than 150
14). What are low and high levels of hdl indicative of
Ans: High- insulin resistance, low- insulin sensitivity
15). What insulins can not be mixed?
Ans: Levemir and Lantus ( detemir and glargine )
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, 16). How to mix insulin
Ans: Short acting to long acting, regular to NPH, Clear to cloudy
17). Should a nurse hold a patients insulin before consulting a dr?
Ans: No
18). No insulin, beta cells are destroyed is a result of ?
Ans: Diabetes type 1
19). Beta cells exhaustion , insulin resistance is a result of ?
Ans: Diabetes type 2
20). Rapid acting insulin
Ans: Lispro(Humalog) aspart(Novolog) glulisine(Apidra)
21). Onset, peak and duration of novolog and apidra
Ans: Onset-15-30, Peak-1-3hr, duration-3-5hr
22). Onset, peak and duration of humalog
Ans: Onset-15-30, Peak-1-2hr, duration-3-4hr
23). Short acting insulin( regular)
Ans: Humulin R, Novolin R, ReliOn R, Onset-30-60 , Peak-2-4hr, duration-6-8hr
24). Intermediate insulin (nph)
Ans: Humulin N, Novolin N, ReliOn N, Onset-1-4hr Peak-4-12hr, duration-12-16hr
25). Long acting insulin
Ans: Lantus and levemir Onset-1-2hr, Peak- none, duration-24hr
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