Hondros Nur 176 exam 1 COMPLETE QUESTIONS &
SOLUTIONS|| LATEST UPDATE 2024
Interventions to prevent diabetes - ANSWER Maintain healthy weight, diet and exercise
Signs of type 1 diabetes - 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 - ANSWER No symptoms at first , later develop the 3 polys, obesity, Nigricans
(black line on back of neck) skin tags
S/S of hypoglycemia - ANSWER Fatigue, weakness, irritability, reduce cognition, tremors, seizures,
diaphoresis( sweating)
S/S of hyperglycemia - ANSWER 3 polys, fruity breath
S/S of diabetic ketoacidosis and treatment - 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 - ANSWER Check blood sugar
Prevention of long term complications of diabetes - ANSWER Takes meds, daily feet care, yearly renal
test, eye exams every 6 months, LDL less than 150
Dietary teaching for a diabetic patient - 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... - ANSWER Sugar is low before exercising
, Discharge teaching for diabetic pt. - 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 - 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 - ANSWER LDL-less than 100 HDL- more than 40 Triglycerides- more than 150
What are low and high levels of HDL indicative of - ANSWER High- insulin resistance, low- insulin
sensitivity
What insulins can not be mixed? - ANSWER Levemir and Lantus ( detemir and glargine )
How to mix insulin - ANSWER Short acting to long acting, regular to NPH, Clear to cloudy
Should a nurse hold a patients insulin before consulting a dr? - ANSWER No
No insulin, beta cells are destroyed is a result of ? - ANSWER Diabetes type 1
Beta cells exhaustion , insulin resistance is a result of ? - ANSWER Diabetes type 2
Rapid acting insulin - ANSWER Lispro(Humalog) aspart(Novolog) glulisine(Apidra)
Onset, peak and duration of Novolog and Apidra - ANSWER Onset-15-30, Peak-1-3hr, duration-3-5hr
onset, peak and duration of humalog - ANSWER Onset-15-30, Peak-1-2hr, duration-3-4hr
Short acting insulin( regular) - ANSWER Humulin R, Novolin R, ReliOn R, Onset-30-60 , Peak-2-4hr,
duration-6-8hr
