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NURS 152 Final Exam With Questions And Accurate Answers 100% Pass Guaranteed
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NURS 152 Final Exam With Questions And Accurate Answers100% Pass Guaranteed
Type I Diabetes- ANSWER -Autoimmune disease
-Beta cells destroyed by own body, NO INSULIN is produced.
-Most often before age 15
-CANNOT use oral meds, ONLY INSULIN
Type 2 Diabetes- ANSWER Too little Insulin produced, or too little sensitivity to Insulin
Genetic/heritage/lifestyle
Maybe reversed with diet, exercise, weight loss
May need to take Insulin shots
Most common in adults 40 and over
Fast-acting Insulin- ANSWER Lispro (Humalog)
Aspart (Novolog)
Short acting insulin - ANSWER Regular (Humulin R, Novolin R)
Intermediate acting Insulin - ANSWER NPH
Can cause problems with hypoglycemia,
If getting in the am, be sure to eat lunch, do not exercise (between lunch and dinner)
Long acting Insulin - ANSWER glargine (Lantus)
No peak
,Rapid acting Insulin onset - ANSWER 5-15 min
POSES THE HIGHEST RISK FOR HYPOGLYCEMIA
Short acting Insulin onset - ANSWER 30 minutes
ONLY Insulin given IV
NTP- REGULAR goes RIGHT into the vein memory trick
Intermediate acting Insulin onset ANSWER 1-2 hours
Long acting Insulin onset ANSWER 30-60 minutes
Metformin (for type 2) S/E ANSWER GI upset
N/V
Weakness
Metallic taste in mouth
Glipizide
Glyburide (for type 2) ANSWER Stimulates pancreas to make more insulin
Hypoglycemia ANSWER Low blood glucose 70 mg/dL OR LESS 40 mg/dL OR LESS =
Severe hypoglycemia
Hypoglycemia Causes - ANSWER Excessive insulin or oral hypoglycemic agent
Inadequate food intake
Physical activity
Peaking of insulin
,Any time, but often before meals
Hypoglycemia S/S - ANSWER (MILD) Diaphoresis, tremors, tachycardia, palpitations,
hunger
(MODERATE) Impaired ability to concentrate, headache, irritability, impaired speech,
loss of coordination, impaired vision, fatigue
(SEVERE) Impaired orientation, seizures, difficulty arousing from sleep, loss of
consciousness
Hypoglycemia Treatment - ANSWER immediate ingestion of 15-20g of quick acting
carbohydrates; rest 15 minutes and repeat if symptoms persist.
carry candy with you.
Hyperglycemia - ANSWER High blood glucose
Fasting glucose of 126 mg/dL OR HIGHER
Causes of Hyperglycemia - ANSWER Skipping meals
not using enough insulin or meds
Inactive lifestyle
Hyperglycemia S/S - ANSWER Increased thirst
Increased hunger
Frequent urination
headache
blurred vision
n/v
numbness/tingling
Hyperglycemia Treatment - ANSWER Monitor BG
, continuous IV insulin
exercise
diet
complications of diabetes - ANSWER -blindness,
- poor wound healing,
- amputations of the extremities
-Retinopathy
-Nephropathy
-Neuropathy
-PVD, CAD, CVD, TIA
Management of complications of Diabetes - ANSWER Manage all
hypertension
weight
BG levels
Inspect feet for cuts/sores
proper shoes
medications
A client is receiving short acting regular insulin and long acting insulin to control her
diabetes. Which lab shows the clients overall control of diabetes? - ANSWER
Hemoglobin A1C
A nurse is performing an emergency assessment of a client who appears to be in severe
hypoglycemia. Which of the following symptoms are indicative of hypoglycemia? -
ANSWER -Diaphoresis
-Tachycardia
-Anxiety
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