Hondros Nur 176 Exam 1
|100%VERIFIED EXAM QUESTIONS
AND CORRECT ANSWERS ,ALL GRADED
A+|GUARANTEED SUCCESS LATEST
UPDATE 2024-2025
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
Intermediate insulin (NPH) - ANSWER-✔Humulin N, Novolin N, ReliOn N, Onset-1-
4hr Peak-4-12hr, duration-12-16hr
,Long acting insulin - ANSWER-✔Lantus and levemir Onset-1-2hr, Peak- none,
duration-24hr
Which insulin is the only one that can be given through IV ? - ANSWER-✔Regular
What is glucagon used for? - ANSWER-✔Makes glucose. Received if BS is low
If a pt. Is lethargic, what form of glucose should be administered? - ANSWER-
✔Glucagon gel in cheek
What is Lipohypotrophy and the prevention ? - ANSWER-✔Lump under subcut
tissue due to repeated injections at the same site. Rotate sites
S/s of brain tumor - ANSWER-✔Vision changes, confusion and headache
S/S of traumatic brain injury - ANSWER-✔Blurred vision, personality changes,
altered level of consciousness, slurred speech, confusion, headache, uncoordinated,
weakness / numbness of legs and arms
If someone hit their head, which test should be completed? - ANSWER-✔CT scan to
make sure there's no head bleeding
Early signs of IICP - ANSWER-✔Altered levels of consciousness
Nursing interventions for mannitol & lasix - ANSWER-✔Monitor I&O and
electrolytes
Nursing interventions for prednisone - ANSWER-✔Monitor blood glucose and daily
weight
Glasgow coma scale measures .. - ANSWER-✔Eye opening, verbal and motor
response. A score less than 8 is considered in a coma
S/S of Ischemic strokes - ANSWER-✔80% have these, trouble talking, Face droop?
Arm drift, Slurred speech
S/S of hemorrhagic stroke - ANSWER-✔Serve headache, aneurysm rupture from
hypertension , *never administer TPA for these strokes
What is Aphasia - ANSWER-✔Trouble speaking, expressive, receptive and global
Dysphagia precautions - ANSWER-✔No straws , thicken liquids,
Steps before administering TPA - ANSWER-✔Do CT scan to verify Ischemic stroke,
neurological assessment, make sure they aren't on blood thinners, history of blood
disorders
, Side effects of Lovenox (enoxaparin) - ANSWER-✔Bruising at injection site, dark
loose stools , GI bleeding
Is Delirium a disease of the CNS ? - ANSWER-✔No
S/S of early stage dementia - ANSWER-✔Gradual onset of memory loss, difficulty
focusing attention, depression
Main goal for dementia patients - ANSWER-✔Maintain self care abilities and
prevent injuries
Nursing interventions for dementia patients - ANSWER-✔Large clock and calendar,
decreased distractions during meals, decreased stimuli, monitor weight
How many pain assess menus are done for pt with dementia? - ANSWER-✔2
Interventions for an agitated dementia pt. - ANSWER-✔Move pt. To a calm
environment
Reality orientation for dementia pts - ANSWER-✔Be honest, call by preferred name,
eye contact, set a routine , simple tasks and directions, familiar objects
Safety interventions in the Alzheimer's pt. - ANSWER-✔Calm environment,
encourage supervision, allow social and physical activity
Med for multiple sclerosis - ANSWER-✔Copaxone
Generalized tonic-clonic seizures (grand mal) - ANSWER-✔Most common, stiffening
of body for 10-20 sec. then jerking extremities for another 30-40 secs
Absence seizures ( petit mal) - ANSWER-✔Occurs during childhood, stares off with
little to no tonic-clonic movement
Psychomotor (partial seizures) - ANSWER-✔Occurs at any age, pt. Behaves in a
drunk manner, doesn't remember
Jacksonian-focal seizures ( local or partial) - ANSWER-✔Occur in pts. With structural
brain disease, starts in the hands or feet, can turn into tonic-clonic
Myoclonic seizures - ANSWER-✔Sudden jerking of body
Akinetic seizures - ANSWER-✔Not common, falls in flaccid state, unconscious for 1
or 2 minutes
What med will a pt get with new onset seizures? - ANSWER-✔Broad spectrum anti-
seizure med
