NUR 334 Exam 2 Practice Questions and Correct Answers
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Course
NUR 334
Institution
NUR 334
Dawn Phenomenon vs Somogyi Effect are both almost only seen in type 1 DM
Dawn Phenomenon: surge in hormones= surge in glucose, in the morning (early mostly) and it's to wake you up HYPERGLYCEMIC IN MORNING Everyone does this. Good thing
Somogyi Effect (individual prob): hypogamic in night CAUSES ...
NUR 334 Exam 2 Practice Questions and
Correct Answers
Dawn Phenomenon vs Somogyi Effect ✅are both almost only seen in type 1 DM
Dawn Phenomenon: surge in hormones= surge in glucose, in the morning (early mostly)
and it's to wake you up HYPERGLYCEMIC IN MORNING Everyone does this. Good
thing
Somogyi Effect (individual prob): hypogamic in night CAUSES STRESS TO THE BODY
so GH and glucagon gets stimulated to be released. HYPERGLYCEMIC IN MORNING.
Bad thing
After a blood glucose reading, it is determined that the patient should receive 4 units of
Lispro and 8 units of NPH. Which action will the nurse take to administer these
medications?
a.
Draw up each insulin in separate syringes and administer two injections.
b.
Draw up the NPH first and then the Lispro using the same syringe.
c.
Administer the Lispro before the meal and the NPH after the meal.
d.
Draw up the Lispro first and then the NPH using the same syringe. ✅ANS: D
Lispro, an insulin analogue, is the most rapid-acting insulin. Insulin analogues are
compatible with intermediate (NPH) or long-acting insulin. When combining two types of
insulin, the short acting insulin is drawn up before the intermediate acting insulin. There
is no reason to administer a second injection. The long-acting insulin is drawn up last
when mixing. Insulin is to be administered before meals.
When is the best time for the nurse to administer Lispro?
a.
After the patient has started eating
b.
Within 10 to 15 minutes of eating
c.
30 minutes before a meal
d.
45 to 60 minutes before a meal ✅ANS: B
Insulin analogues, such as Lispro and Aspart, are the most rapid-acting insulins. The
onset of these insulins is within 10 minutes of the injection, they peak within 1 to 2
hours, and their duration is 3 to 5 hours. Patients should be eating their meal within 10
to 15 minutes of the injection.
, What laboratory test is the preferred screening test for diabetes in children and
nonpregnant adults?
a.
FPG
b.
ECG
c.
GTT
d.
A1c ✅ANS: A
The fasting plasma glucose (FPG) is the preferred test used to screen for diabetes in
children and nonpregnant adults. Electrocardiograms (ECGs) are used to monitor
electrical activity of the heart. The GTT is not recommended for routine clinical use, but
may be required in the evaluation of patients with impaired fasting glucose or when
diabetes is still suspected, despite a normal FPG, as with the postpartum evaluation of
women with gestational diabetes mellitus. The A1c test is used to monitor diabetes
management over 90 day intervals, the life of a red blood cell.
Which instruction by the nurse is accurate to include when providing teaching to a
patient recently diagnosed with diabetes who has been prescribed insulin?
a.
Beta blockers can mask symptoms of hypoglycemia.
b.
Lipodystrophy increases the absorption of insulin.
c.
Infection will decrease the need for insulin.
d.
Excessive exercise will increase the need for insulin. ✅A
Which instruction is most important for the nurse to teach a patient with diabetes who is
receiving metformin?
a.
Take the medication before meals.
b.
This medication will cause the pancreas to secrete more insulin.
c.
Stop taking the drug 24 to 48 hours prior to radiopaque dye procedures.
d.
There may be an increase in the triglyceride level. ✅C
The nurse is administering sulfonylurea drugs to four different patients diagnosed with
type 2 diabetes. Which patient should not receive the medication as ordered?
a.
A 42-year-old man with hypertension
b.
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