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Hondros Nur 176 exam 1|69 Q’s and A’s
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Hondros Nur 176 exam 1|69 Q’s and A’s
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Hondros Nur 176 exam 1|69 Q’s andA’s
Interventions to prevent diabetes - -Maintain healthy weight, diet and
exercise
-Signs of type 1 diabetes - -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 - -No symptoms at first , later develop the 3 polys,
obesity, Nigricans (black line on back of neck) skin tags
-S/S of hypoglycemia - -Fatigue, weakness, irritability, reduce cognition,
tremors, seizures, diaphoresis( sweating)
-S/S of hyperglycemia - -3 polys, fruity breath
-S/S of diabetic ketoacidosis and treatment - -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 - -Check
blood sugar
-Prevention of long term complications of diabetes - -Takes meds, daily feet
care, yearly renal test, eye exams every 6 months, LDL less than 150
-Dietary teaching for a diabetic patient - -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... - -Sugar is low before
exercising
-Discharge teaching for diabetic pt. - -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 - -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 - -LDL-leas than 100 HDL- more than 40 Triglycerides- more
than 150
, -What are low and high levels of HDL indicative of - -High- insulin
resistance, low- insulin sensitivity
-What insulins can not be mixed? - -Levemir and Lantus ( detemir and
glargine )
-How to mix insulin - -Short acting to long acting, regular to NPH, Clear to
cloudy
-Should a nurse hold a patients insulin before consulting a dr? - -No
-No insulin, beta cells are destroyed is a result of ? - -Diabetes type 1
-Beta cells exhaustion , insulin resistance is a result of ? - -Diabetes type 2
-Rapid acting insulin - -Lispro(Humalog) aspart(Novolog) glulisine(Apidra)
-Onset, peak and duration of Novolog and Apidra - -Onset-15-30, Peak-1-
3hr, duration-3-5hr
-onset, peak and duration of humalog - -Onset-15-30, Peak-1-2hr, duration-
3-4hr
-Short acting insulin( regular) - -Humulin R, Novolin R, ReliOn R, Onset-30-
60 , Peak-2-4hr, duration-6-8hr
-Intermediate insulin (NPH) - -Humulin N, Novolin N, ReliOn N, Onset-1-4hr
Peak-4-12hr, duration-12-16hr
-Long acting insulin - -Lantus and levemir Onset-1-2hr, Peak- none,
duration-24hr
-Which insulin is the only one that can be given through IV ? - -Regular
-What is glucagon used for? - -Makes glucose. Received if BS is low
-If a pt. Is lethargic, what form of glucose should be administered? - -
Glucagon gel in cheek
-What is Lipohypotrophy and the prevention ? - -Lump under subcut tissue
due to repeated injections at the same site. Rotate sites
-S/s of brain tumor - -Vision changes, confusion and headache
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