NUR 170 Exam 3 Questions Fully Solved Already Passed
What do A cells secrete? - Answers glucagon
What type of hormone is insulin? - Answers Anabolic hormone
What is are the onsets for type 1 and type 2 diabetes? - Answers 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? - Answers Autoimmune destruction of beta cells in the pancreas
How is type 2 diabetes normally controlled? - Answers Diet and exercise. usually requires oral
medications along with these lifestyle changes
What are symptoms of type 2 diabetes? - Answers polyuria, polydypsia, polyphagia, weight loss, blurred
vision, yeast infections
What does metformin do? - Answers Decreases the amount of glucose produced by the liver, increases
the body response to insulin
What are contraindications for metformin use? - Answers Kidney impairment
What is the prime drug for mono therapy when treating diabetes? - Answers Metformin
What is the plan of action when it comes to metformin and contrast interaction? - Answers 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? - Answers Stimulate insulin release from the beta cells
What are some sulfonylureas drugs used to maintain diabetes? - Answers Glipizide, Glyburide,
Glimepiride
What do Thiazolidinedione drugs do? - Answers decrease liver glucose production, increase sensitivity to
insulin
what are contraindications of Thiazolidinedione drugs? - Answers Heart failure
Special considerations for when someone is taking Thiazolidinedione drugs? - Answers can cause liver
disturbances, so pts have to get liver panels checked every 3 months
What do GLP-1 agonist drugs do? - Answers 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? - Answers ASPART, lispro, glulisine
, what are some intermediate acting insulins? - Answers NPH, 70/30, 50/50, 75/25
When should rapid acting insulins such as lispro be given? - Answers should be given within 10 min of
meal time
When do rapid acting insulin such as lispro peak, and when is it gone - Answers Peaks within 1 hr of
administration, gone between 3 and 5 hrs
when do intermediate insulins such as NPH peak and end? - Answers Peak within 4-12 hrs after admin
When do short acting insulins such as regular insulin peak? - Answers Peak within 2-4 hrs after
administration
when do long lasting insulin such glargine(Lantus) and insulin detemir(Levemir) peak? - Answers
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? - Answers 1.Air into cloudy
2.Air into clear
3.Draw up clear
4.Draw up cloudy
Considerations for insulin injections - Answers 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 - Answers 70-120
Under what sugar level do hypoglycemia symptoms occur? - Answers Under 50
How does alcohol effect sugar levels? - Answers Prevents the liver from generating glucose, so sugar
drops
What is the dawn phenomenon? - Answers 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? - Answers rebound hyperglycemia response from overnight
hypoglycemia, treatment is aimed at preventing overnight hypoglycemia, advise that the client eat a
snack, decrease insulin dosage
what is diabetic foot - Answers A common foot injury complication, damaged nerve fibers cause pain
and decreased sensation or numbness, decreased blood supply makes cuts and sores harder to heal,
may lead to amputation
Exercise for diabetics - Answers 150 min a week of high intensity aerobic exercise is recommended, CHO
snacking for prolonged exercise, don't exercise if urine ketones are present
What do A cells secrete? - Answers glucagon
What type of hormone is insulin? - Answers Anabolic hormone
What is are the onsets for type 1 and type 2 diabetes? - Answers 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? - Answers Autoimmune destruction of beta cells in the pancreas
How is type 2 diabetes normally controlled? - Answers Diet and exercise. usually requires oral
medications along with these lifestyle changes
What are symptoms of type 2 diabetes? - Answers polyuria, polydypsia, polyphagia, weight loss, blurred
vision, yeast infections
What does metformin do? - Answers Decreases the amount of glucose produced by the liver, increases
the body response to insulin
What are contraindications for metformin use? - Answers Kidney impairment
What is the prime drug for mono therapy when treating diabetes? - Answers Metformin
What is the plan of action when it comes to metformin and contrast interaction? - Answers 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? - Answers Stimulate insulin release from the beta cells
What are some sulfonylureas drugs used to maintain diabetes? - Answers Glipizide, Glyburide,
Glimepiride
What do Thiazolidinedione drugs do? - Answers decrease liver glucose production, increase sensitivity to
insulin
what are contraindications of Thiazolidinedione drugs? - Answers Heart failure
Special considerations for when someone is taking Thiazolidinedione drugs? - Answers can cause liver
disturbances, so pts have to get liver panels checked every 3 months
What do GLP-1 agonist drugs do? - Answers 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? - Answers ASPART, lispro, glulisine
, what are some intermediate acting insulins? - Answers NPH, 70/30, 50/50, 75/25
When should rapid acting insulins such as lispro be given? - Answers should be given within 10 min of
meal time
When do rapid acting insulin such as lispro peak, and when is it gone - Answers Peaks within 1 hr of
administration, gone between 3 and 5 hrs
when do intermediate insulins such as NPH peak and end? - Answers Peak within 4-12 hrs after admin
When do short acting insulins such as regular insulin peak? - Answers Peak within 2-4 hrs after
administration
when do long lasting insulin such glargine(Lantus) and insulin detemir(Levemir) peak? - Answers
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? - Answers 1.Air into cloudy
2.Air into clear
3.Draw up clear
4.Draw up cloudy
Considerations for insulin injections - Answers 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 - Answers 70-120
Under what sugar level do hypoglycemia symptoms occur? - Answers Under 50
How does alcohol effect sugar levels? - Answers Prevents the liver from generating glucose, so sugar
drops
What is the dawn phenomenon? - Answers 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? - Answers rebound hyperglycemia response from overnight
hypoglycemia, treatment is aimed at preventing overnight hypoglycemia, advise that the client eat a
snack, decrease insulin dosage
what is diabetic foot - Answers A common foot injury complication, damaged nerve fibers cause pain
and decreased sensation or numbness, decreased blood supply makes cuts and sores harder to heal,
may lead to amputation
Exercise for diabetics - Answers 150 min a week of high intensity aerobic exercise is recommended, CHO
snacking for prolonged exercise, don't exercise if urine ketones are present
