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NUR 325 EXAM 2 STUDY GUIDE
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NUR 325 EXAM 2 STUDY GUIDE
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NUR 325EXAM 2
STUDY GUIDE
Define glucose regulation - Answers-The process of maintaining optimal blood glucose
levels
What are symptoms of hypoglycemia? - Answers-Reduced cognition, tremors,
diaphoresis, weakness, hunger, headache, irritability, seizure
What are symptoms of hyperglycemia? - Answers-Polyuria, polydipsia, dehydration,
fatigue, fruity odor to breath, kussmaul breathing, weight loss, hunger, poor wound
healing
What are risk factors for impaired glucose regulation? - Answers-Age, pregnancy, racial
and ethnic groups (hispanics, asian american, american indian, alaskan natives),
genetics, lifestyle, family history, selected medications
Euglycemia - Answers-70-140
Hypoglycemia - Answers-<70 severe if under 50
Hyperglycemia - Answers->140
What is the role of hemoglobin A1C? - Answers-Measures how well your body regulates
glucose over 1-3 months (goal is under 7)
How would you recognize when an individual has impaired glucose regulation? -
Answers-History (diabetic medications, central obesity, diabetes, hypertension,
cardiovascular disease, cancer), review of symptoms (have you been urinating more
than normal? any unintended weight loss?) anthropometric measurements (BMI, waist-
, to-hip ratio), evidence of peripheral vascular disease (numbness in the extremities,
wound healing, edema, atherosclerosis, checking vision), diagnostic testing
What collaborative interventions would you provide to a client to optimize glucose
regulation? - Answers-Education for self-management, monitoring and managing blood
glucose, nutrition therapy, pharmacologic agents (oral hypoglycemic agents, insulin,
statin agents)
What nursing interventions would you provide to a client to optimize glucose regulation?
- Answers-15/15 rule
When are oral hypoglycemics administered? - Answers-Oral hypoglycemics are only
administered for type 2 diabetes
When is insulin administered? - Answers-When blood glucose levels are too high
Why are sulfonylureas not used for type 1 diabetes? - Answers-Ineffective where there
is an absolute deficiency of insulin production (like type 1 diabetes)
Why should patients with kidney failure, alcoholism, heart failure, or COPD not take
meformin? - Answers-Lactic acidosis
When should regular insulin be administered? Why? - Answers-Regular insulin should
be administered 30-60 min before meals. This is because regular insulin is short acting
What is the onset of lispro insulin (Humalog)? - Answers-15-30 minutes
What is the peak of lispro insulin (Humalog)? - Answers-30 minutes to 2.5 hours
What is the duration of lispro insulin (Humalog)? - Answers-3-6 hours
What is the onset of regular insulin (Humulin R)? - Answers-30 min-1 hour
What is the peak of regular insulin (Humulin R)? - Answers-1-5 hours
What is the duration of regular insulin (Humulin R)? - Answers-6-10 hours
What is the onset of NPH insulin (Humulin N)? - Answers-1-2 hours
What is the peak of NPH insulin (Humulin N)? - Answers-6-14 hours
What is the duration of NPH insulin (Humulin N)? - Answers-16-24 hours
What is the onset of insulin glargine (Lantus)? - Answers-70 minutes
What is the peak of insulin glargine (Lantus)? - Answers-None
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