Hondros Nur 176 exam 1 (posttest thoughts.
review more information on type 1. triglycerides
and knowledge of insulin types, glucose levels,
cholesterol, and general labs would help out
substantially. This quiz was great for exam)
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
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,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
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,
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, 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
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
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