NUR 170
EXAM 3 STUDY GUIDE
Concepts Of Medical–Surgical Nursing
Galen College of Nursing
, NUR 170 Exam 3 Study Material
1. DM Type 1 correct understanding of teaching
a. Don’t exercise if insulin is at peak
b. Check levels before exercise should be 100-250
2. Plan of care for T1DM
a. Take insulin
b. Good for 30 days once opened, can be left out
c. Monitor signs and symptoms (ESSENTIAL TO DO)
i. How to monitor T1DM
1. HbA1C (3 months)
ii. Neuropathy and Retinopathy
1. Retinopathy- Eye exams annually
2. Neuropathy- Check feet daily
iii. What to tell a patient with diabetes if they feel anxious
1. Check blood sugar, may be high or low
2. Monitor signs and symptoms
3. Teaching new nurse about insulin
a. Check levels before administering
b. Insulins that can and can’t be mixed (Nancy Reagan, RN)
c. Administer immediate acting insulin 15 minutes before meal
i. Intermediate: After meals
ii. Short (Regular): 20-30 minutes before meal
iii. Long: Given at bedtime
d. Short acting actively eating (Glargine store open for 28-30 days)
e. Give NPH for NPO
4. What to do first = Your action
a. What is your priority = Your intervention
5. T2DM levels to monitor
a. Blood Glucose Levels: 70-110
b. Creatinine: Male 0.6-1.2 Female 0.5-1.1
6. Diabetic patient that is taking oral diabetic meds that no longer works, must use injection insulin
who has a fear of sticking themselves, how to talk to them
a. Show proper way to administer
b. Show how to rotate
c. Education of insulin administration with demonstration and pictures
7. Sympathy vs Empathy
a. Empathy: It sounds like you’re upset about sticking yourself, do you want to talk about it
(CORRECT WAY TO TALK)
b. Sympathy: Let me know what I can do (INCORRECT WAY TO TALK)
Yellow is important points
This study source was downloaded by 100000902171055 from CourseHero.com on 11-04-2025 17:41:49 GMT -06:00
Blue is advise
https://www.coursehero.com/file/57170610/Med-Surg-Exam-3-Test-Reviewdocx/
EXAM 3 STUDY GUIDE
Concepts Of Medical–Surgical Nursing
Galen College of Nursing
, NUR 170 Exam 3 Study Material
1. DM Type 1 correct understanding of teaching
a. Don’t exercise if insulin is at peak
b. Check levels before exercise should be 100-250
2. Plan of care for T1DM
a. Take insulin
b. Good for 30 days once opened, can be left out
c. Monitor signs and symptoms (ESSENTIAL TO DO)
i. How to monitor T1DM
1. HbA1C (3 months)
ii. Neuropathy and Retinopathy
1. Retinopathy- Eye exams annually
2. Neuropathy- Check feet daily
iii. What to tell a patient with diabetes if they feel anxious
1. Check blood sugar, may be high or low
2. Monitor signs and symptoms
3. Teaching new nurse about insulin
a. Check levels before administering
b. Insulins that can and can’t be mixed (Nancy Reagan, RN)
c. Administer immediate acting insulin 15 minutes before meal
i. Intermediate: After meals
ii. Short (Regular): 20-30 minutes before meal
iii. Long: Given at bedtime
d. Short acting actively eating (Glargine store open for 28-30 days)
e. Give NPH for NPO
4. What to do first = Your action
a. What is your priority = Your intervention
5. T2DM levels to monitor
a. Blood Glucose Levels: 70-110
b. Creatinine: Male 0.6-1.2 Female 0.5-1.1
6. Diabetic patient that is taking oral diabetic meds that no longer works, must use injection insulin
who has a fear of sticking themselves, how to talk to them
a. Show proper way to administer
b. Show how to rotate
c. Education of insulin administration with demonstration and pictures
7. Sympathy vs Empathy
a. Empathy: It sounds like you’re upset about sticking yourself, do you want to talk about it
(CORRECT WAY TO TALK)
b. Sympathy: Let me know what I can do (INCORRECT WAY TO TALK)
Yellow is important points
This study source was downloaded by 100000902171055 from CourseHero.com on 11-04-2025 17:41:49 GMT -06:00
Blue is advise
https://www.coursehero.com/file/57170610/Med-Surg-Exam-3-Test-Reviewdocx/
