Hondros Nur 176 Exam 1 Questions And
Answers Well Illustrated.
Interventions to prevent diabetes - correct answer.Maintain healthy weight, diet and
exercise
Signs of type 1 diabetes - correct answer.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 - correct answer.No symptoms at first , later develop the 3
polys, obesity, Nigricans (black line on back of neck) skin tags
S/S of hypoglycemia - correct answer.Fatigue, weakness, irritability, reduce cognition,
tremors, seizures, diaphoresis( sweating)
S/S of hyperglycemia - correct answer.3 polys, fruity breath
S/S of diabetic ketoacidosis and treatment - correct answer.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 - correct
answer.Check blood sugar
Prevention of long term complications of diabetes - correct answer.Takes meds, daily
feet care, yearly renal test, eye exams every 6 months, LDL less than 150
Dietary teaching for a diabetic patient - correct answer.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... - correct answer.Sugar is low before
exercising
, Discharge teaching for diabetic pt. - correct answer.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 - correct answer.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 - correct answer.LDL-leas than 100 HDL- more than 40 Triglycerides-
more than 150
What are low and high levels of HDL indicative of - correct answer.High- insulin
resistance, low- insulin sensitivity
What insulins can not be mixed? - correct answer.Levemir and Lantus ( detemir and
glargine )
How to mix insulin - correct answer.Short acting to long acting, regular to NPH, Clear to
cloudy
Should a nurse hold a patients insulin before consulting a dr? - correct answer.No
No insulin, beta cells are destroyed is a result of ? - correct answer.Diabetes type 1
Beta cells exhaustion , insulin resistance is a result of ? - correct answer.Diabetes type
2
Rapid acting insulin - correct answer.Lispro(Humalog) aspart(Novolog) glulisine(Apidra)
Onset, peak and duration of Novolog and Apidra - correct answer.Onset-15-30, Peak-
1-3hr, duration-3-5hr
onset, peak and duration of humalog - correct answer.Onset-15-30, Peak-1-2hr,
duration-3-4hr
Short acting insulin( regular) - correct answer.Humulin R, Novolin R, ReliOn R, Onset-
30-60 , Peak-2-4hr, duration-6-8hr
Intermediate insulin (NPH) - correct answer.Humulin N, Novolin N, ReliOn N, Onset-1-
4hr Peak-4-12hr, duration-12-16hr
Long acting insulin - correct answer.Lantus and levemir Onset-1-2hr, Peak- none,
duration-24hr
Which insulin is the only one that can be given through IV ? - correct answer.Regular