Hondros Nur 176 exam 1 Questions and Answers 100% correct
Interventions to prevent diabetes - answer Maintain healthy weight, diet and exercise
Signs of type 1 diabetes - answer 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 - answer No symptoms at first , later develop the 3 polys, obesity, Nigricans (black line on back of neck) skin tags
S/S of hypoglycemia - answer Fatigue, weakness, irritability, reduce cognition, tremors, seizures, diaphoresis( sweating)
S/S of hyperglycemia - answer 3 polys, fruity breath
S/S of diabetic ketoacidosis and treatment - answer 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 - answer Check blood sugar
Prevention of long term complications of diabetes - answer Takes meds, daily feet care, yearly renal test, eye exams every 6 months, LDL less than 150
Dietary teaching for a diabetic patient - answer 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... - answer Sugar is low before exercising
Discharge teaching for diabetic pt. - answer 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 - answer 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 - answer LDL-less than 100 HDL- more than 40 Triglycerides- more than 150
What are low and high levels of HDL indicative of - answer High- insulin resistance, low- insulin sensitivity What insulins can not be mixed? - answer Levemir and Lantus ( detemir and glargine
)
How to mix insulin - answer Short acting to long acting, regular to NPH, Clear to cloudy
Should a nurse hold a patients insulin before consulting a dr? - answer No
No insulin, beta cells are destroyed is a result of ? - answer Diabetes type 1
Beta cells exhaustion , insulin resistance is a result of ? - answer Diabetes type 2
Rapid acting insulin - answer Lispro(Humalog) aspart(Novolog) glulisine(Apidra)
Onset, peak and duration of Novolog and Apidra - answer Onset-15-30, Peak-1-3hr, duration-3-5hr
onset, peak and duration of humalog - answer Onset-15-30, Peak-1-2hr, duration-3-
4hr
Short acting insulin( regular) - answer Humulin R, Novolin R, ReliOn R, Onset-30-
60 , Peak-2-4hr, duration-6-8hr
Intermediate insulin (NPH) - answer Humulin N, Novolin N, ReliOn N, Onset-1-4hr Peak-4-12hr, duration-12-16hr
Long acting insulin - answer Lantus and levemir Onset-1-2hr, Peak- none, duration-
24hr
Which insulin is the only one that can be given through IV ? - answer Regular
What is glucagon used for? - answer Makes glucose. Received if BS is low
If a pt. Is lethargic, what form of glucose should be administered? - answer Glucagon
gel in cheek
What is Lipohypotrophy and the prevention ? - answer Lump under subcut tissue due to repeated injections at the same site. Rotate sites
S/s of brain tumor - answer Vision changes, confusion and headache
S/S of traumatic brain injury - answer Blurred vision, personality changes, altered level of consciousness, slurred speech, confusion, headache, uncoordinated, weakness
/ numbness of legs and arms
