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NSG 170: Test (Metabolism) Questions Solved 100% Correct of Latest Update
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NSG 170: Test (Metabolism) Questions Solved100% Correct of Latest Update
How to mix insulin - Answer - Do not mix insulin with any other medications or diluents
unless approved by the prescriber.
- Never mix long-acting insulins (glargine (Lantus) or Detemir (Levemir)) with other types
of insulin.
- Before mixing two insulins, check compatibility.
- Verify insulin dose with second RN and check expiration dates.
- If regular and intermediate-acting insulin required, prepare the regular insulin
first. *Roll cloudy insulin gently to resuspend. Do not shake*
Hyperglycemia - Answer Not fasting: >140 mg/dL
Fasting: >100 mg/dL
>180 mg/dL (severe)
, Hyperglycemia defined as - Answer state of elevated blood glucose level
Hyperglycemia S/S - Answer Polyuria, Polydipsia, polyphagia, dehydration, fatigue, fruit
odor to breath, Kussmaul breathing, weight loss, hunger, poor wound healing, vomiting,
nausea, abdominal pain, warm moist skin
Hypoglycemia - Answer <70 mg/dL
<50 mg/dL (severe)
Hypoglycemia defined as - Answer state of insufficient glucose level
Hypoglycemia S/S - Answer reduced cognition, tremors, diaphoresis, weakness, hunger,
headache, irritability, seizure, cool/clammy skin, blurred vision, tachycardia
Insulin - Answer Hormone produced by the pancreas that helps to decrease blood sugar.
Insulin administration - Answer - Insulin is injected subcutaneously.
- Always give insulin at the recommended time, but always with meals to prevent
hypoglycemia.
- Inject rapid-acting insulins within 15 minutes before a meal, regular insulin within 30
minutes before a meal, and NPH intermediate insulin 30-60 minutes before meals.
- Use the correct syringe: 100-unit insulin syringe or insulin pen
- Sites must be rotated to prevent site irritation and allow for better absorption.
Insulin storage - Answer - Store insulin for current use at room temperature.
- Avoid extremes and sunlight.
- Vials not in use can be kept in refrigerator. Store up to one month at room
temperature and 3 months in refrigerator. *Never give cold insulin.*
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