NUR 176 FINAL Review Hondros Latest(2024/2025)
Updated Questions and Answers with complete
solutions.
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 that caused Meningitis? - So that it can be treated
properly
What test is usually done to determine the type of organism in Meningitis? - Lumbar
puncture
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
Updated Questions and Answers with complete
solutions.
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 that caused Meningitis? - So that it can be treated
properly
What test is usually done to determine the type of organism in Meningitis? - Lumbar
puncture
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
