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Hondros Nur 176 Exam 1 Questions And Correct Answers
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Hondros Nur 176 Exam 1 Questions AndCorrect Answers
Interventions to prevent diabetes
Maintain healthy weight, diet and exercise
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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,
Brainpower
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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 w/s/s of hypo/hyperglycemia
Blood sugar check
,Prevention of long term complications of diabetes
Taking meds, doing daily feet care, yearly renal tests, eye exams every 6 months,
LDL<150
Dietary teaching for a diabetic patient
Meals at the same time every day, reduce saturated fats, exercise more, refer pt. To
MyPlate learning tool,
Diabetic Pt. Should never add carbs unless.
Sugar is low prior to 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-less 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
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