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NUR 176 Hondros Test 1 with 100% Correct Answers

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NUR 176 Hondros Test 1 with 100% Correct Answers What is the action of glucagon? - -Increases blood sugar (blood glucose) What are S/S of hypoglycemia? - -Reduced cognition, tremors, diaphoresis, weakness, hunger, HA, irritability, seizure What are the S/S of hyperglycemia? - -Polyuria, polydipsia, dehydration, fatigue, fruit odor on breath, Kussmaul breathing, weight loss, hunger, poor wound healing What do we teach a newly diagnosed diabetic? - -Cannot eat anything and expect insulin to pick up slack, reduce sat fat, plan meals at home, choose foods from MyPlate, don't increase carbs before exercise, check blood sugar often when ill What do we monitor for in Type I diabetes and post-op? - -Monitor for complications and infection What labs do we check with type I diabetes and post-op? - -CBC, BUN, Creatinine, microalbuminuria What lab don't we monitor with type I diabetes and post-op? - -Dilantin level When a pt with type I diabetes mellitus develops an infection, they should? - -Continue to administer insulin as prescribed What should we teach to a pt with type I diabetes and lipodystrophy? - -Rotate injection sites When the nurse sees S/S of hypo or hyperglycemia in a pt, what do they check first? - -Blood glucose level What are risk factors for DM type II? - -Overweight, high cholesterol, HTN, sedentary lifestyle Who is act risk for DM type I? - -Juveniles, family history of pancreatic cancer How do we mix regular and NPH insulins? - -Air in cloudy(NPH), air in clear(Reg); draw up the regular, draw up the NPH Primary prevention in DM? - -Diet, healthy weight, exercise, NO TESTS DONE HERE! Possible precursors to diabetes? - -Acanthosis nigricans, HTN, elevated fasting blood sugar Prevention of long-term complications with DM? - -Daily foot exam, annual renal function test, maintain LDL under 150 DM type II and pt teaching? - -Do NOT mix Humalog and glaring, pt should update on any change in meds, always wear socks - do not walk barefoot If A1C is abnormal, what do we check? - -Lipid profile Decreased HDL, increased LDL could be? - -Possible insulin resistance What is normal HDL range? - -40 male 50 female What is a normal blood glucose range? - -70-100 What is normal triglyceride range? - -150 If pt blood glucose is high? - -Give injection of insulin If pt blood glucose is low? - -Give oral Pt teaching with diabetic neuropathy? - -Daily foot checks, no lotion between toes, wash feet daily with soap and water, do not cut toe nails too close What does the nurse record after a seizure? - -Duration and time, degree of drowsiness afterward, SE of N/V Can we restrain a pt having a seizure? - -No Can we place something in a pt's mouth to protect their airway? - -No If a pt has a new onset seizure..? - -Give single broad spectrum anticonvulsant medication Phenytoin and pt teaching? - -Avoid alcohol, good oral hygiene, may have driving restrictions, pt needs to take meds even when seizures stop What happens during a Myclonic seizure? - -Mild or rapid, forceful, jerky movement, may occur in a cluster, no loss of consciousness Why is it important to find pathogen

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NUR 176 Hondros Test 1 with 100% Correct
Answers
What is the action of glucagon? - -Increases blood sugar (blood glucose)

What are S/S of hypoglycemia? - -Reduced cognition, tremors, diaphoresis, weakness, hunger, HA,
irritability, seizure

What are the S/S of hyperglycemia? - -Polyuria, polydipsia, dehydration, fatigue, fruit odor on
breath, Kussmaul breathing, weight loss, hunger, poor wound healing

What do we teach a newly diagnosed diabetic? - -Cannot eat anything and expect insulin to pick
up slack, reduce sat fat, plan meals at home, choose foods from MyPlate, don't increase carbs before
exercise, check blood sugar often when ill

What do we monitor for in Type I diabetes and post-op? - -Monitor for complications and
infection

What labs do we check with type I diabetes and post-op? - -CBC, BUN, Creatinine,
microalbuminuria

What lab don't we monitor with type I diabetes and post-op? - -Dilantin level

When a pt with type I diabetes mellitus develops an infection, they should? - -Continue to
administer insulin as prescribed

What should we teach to a pt with type I diabetes and lipodystrophy? - -Rotate injection sites

When the nurse sees S/S of hypo or hyperglycemia in a pt, what do they check first? - -Blood
glucose level

What are risk factors for DM type II? - -Overweight, high cholesterol, HTN, sedentary lifestyle

Who is act risk for DM type I? - -Juveniles, family history of pancreatic cancer

How do we mix regular and NPH insulins? - -Air in cloudy(NPH), air in clear(Reg); draw up the
regular, draw up the NPH

Primary prevention in DM? - -Diet, healthy weight, exercise, NO TESTS DONE HERE!

Possible precursors to diabetes? - -Acanthosis nigricans, HTN, elevated fasting blood sugar

Prevention of long-term complications with DM? - -Daily foot exam, annual renal function test,
maintain LDL under 150

DM type II and pt teaching? - -Do NOT mix Humalog and glaring, pt should update on any change
in meds, always wear socks - do not walk barefoot

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