NUR 170 Exam 3 Questions And Answers.
Updated And Verified.
What do A cells secrete? - Answer✔glucagon
What type of hormone is insulin? - Answer✔Anabolic hormone
What is are the onsets for type 1 and type 2 diabetes? - Answer✔Type 1 onset is earlier, usually
when they are children but can also be adults
Type 2 is later in life, has an adult onset
What is the cause of type 1 diabetes? - Answer✔Autoimmune destruction of beta cells in the
pancreas
How is type 2 diabetes normally controlled? - Answer✔Diet and exercise. usually requires oral
medications along with these lifestyle changes
What are symptoms of type 2 diabetes? - Answer✔polyuria, polydypsia, polyphagia, weight loss,
blurred vision, yeast infections
What does metformin do? - Answer✔Decreases the amount of glucose produced by the liver,
increases the body response to insulin
What are contraindications for metformin use? - Answer✔Kidney impairment
What is the prime drug for mono therapy when treating diabetes? - Answer✔Metformin
What is the plan of action when it comes to metformin and contrast interaction? -
Answer✔Metformin should be temp. D/C prior to the procedure at least 48 hrs and then
shouldn't be restarted until renal function is checked and confirmed to be okay
What do sulfonylureas drugs do? - Answer✔Stimulate insulin release from the beta cells
What are some sulfonylureas drugs used to maintain diabetes? - Answer✔Glipizide, Glyburide,
Glimepiride
What do Thiazolidinedione drugs do? - Answer✔decrease liver glucose production, increase
sensitivity to insulin
what are contraindications of Thiazolidinedione drugs? - Answer✔Heart failure
1|Page
, ©BRAIBARTER 2024/2025 ALL RIGHTS RESERVED.
Special considerations for when someone is taking Thiazolidinedione drugs? - Answer✔can
cause liver disturbances, so pts have to get liver panels checked every 3 months
What do GLP-1 agonist drugs do? - Answer✔they work at the level of the beta cells, are agonists
for a protein that increases secretion of insulin
What are some rapid acting insulins? - Answer✔ASPART, lispro, glulisine
what are some intermediate acting insulins? - Answer✔NPH, 70/30, 50/50, 75/25
When should rapid acting insulins such as lispro be given? - Answer✔should be given within 10
min of meal time
When do rapid acting insulin such as lispro peak, and when is it gone - Answer✔Peaks within 1
hr of administration, gone between 3 and 5 hrs
when do intermediate insulins such as NPH peak and end? - Answer✔Peak within 4-12 hrs after
admin
When do short acting insulins such as regular insulin peak? - Answer✔Peak within 2-4 hrs after
administration
when do long lasting insulin such glargine(Lantus) and insulin detemir(Levemir) peak? -
Answer✔Glargine has no peak, detemir peaks between 6-8 hrs and has a duration of 5-24 hrs
What are the steps for mixing insulins? - Answer✔1.Air into cloudy
2.Air into clear
3.Draw up clear
4.Draw up cloudy
Considerations for insulin injections - Answer✔Preferred injection site is on the abdomen 2
inches away from the umbilicus, make sure to rotate sites, do not massage injection sites
What are normal Sugar levels - Answer✔70-120
Under what sugar level do hypoglycemia symptoms occur? - Answer✔Under 50
How does alcohol effect sugar levels? - Answer✔Prevents the liver from generating glucose, so
sugar drops
What is the dawn phenomenon? - Answer✔Overnight release of growth hormone that causes a
release of glucose between 5am-6am, causes AM hyperglycemia, manage by increasing
overnight insulin dose(intermediate to long acting)
What is Somogyi phenomenon? - Answer✔rebound hyperglycemia response from overnight
hypoglycemia, treatment is aimed at preventing overnight hypoglycemia, advise that the client
eat a snack, decrease insulin dosage
2|Page