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NUR 325 EXAM 2 STUDY GUIDE QUESTIONS AND ANSWERS FULLY SOLVED
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NUR 325 EXAM 2 STUDY GUIDEDefine glucose regulation - answer The process of maintaining optimal blood glucose
levels
What are symptoms of hypoglycemia? - answer Reduced cognition, tremors,
diaphoresis, weakness, hunger, headache, irritability, seizure
What are symptoms of hyperglycemia? - answer Polyuria, polydipsia, dehydration,
fatigue, fruity odor to breath, kussmaul breathing, weight loss, hunger, poor wound
healing
What are risk factors for impaired glucose regulation? - answerAge, pregnancy, racial
and ethnic groups (hispanics, asian american, american indian, alaskan natives),
genetics, lifestyle, family history, selected medications
Euglycemia - answer70-140
Hypoglycemia - answer<70 severe if under 50
Hyperglycemia - answer>140
What is the role of hemoglobin A1C? - answerMeasures 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? -
answerHistory (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? - answerEducation 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?
- answer15/15 rule
When are oral hypoglycemics administered? - answerOral hypoglycemics are only
administered for type 2 diabetes
When is insulin administered? - answerWhen blood glucose levels are too high
, Why are sulfonylureas not used for type 1 diabetes? - answerIneffective 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? - answerLactic acidosis
When should regular insulin be administered? Why? - answerRegular 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)? - answer15-30 minutes
What is the peak of lispro insulin (Humalog)? - answer30 minutes to 2.5 hours
What is the duration of lispro insulin (Humalog)? - answer3-6 hours
What is the onset of regular insulin (Humulin R)? - answer30 min-1 hour
What is the peak of regular insulin (Humulin R)? - answer1-5 hours
What is the duration of regular insulin (Humulin R)? - answer6-10 hours
What is the onset of NPH insulin (Humulin N)? - answer1-2 hours
What is the peak of NPH insulin (Humulin N)? - answer6-14 hours
What is the duration of NPH insulin (Humulin N)? - answer16-24 hours
What is the onset of insulin glargine (Lantus)? - answer70 minutes
What is the peak of insulin glargine (Lantus)? - answerNone
What is the duration of insulin glargine (Lantus)? - answer18-24 hours
What insulin is rapid acting? - answerLispro insulin (Humalog)
What insulin is short acting? - answerRegular insulin (Humulin R)
What insulin is intermediate acting? - answerNPH insulin (Humulin N)
What insulin is long acting? - answerInsulin glargine (Lantus)
How should the nurse administer insulin? - answerSubQ
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