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 100000900703063 from CourseHero.com on 02-26-2026 05:55:37 GMT -06:00
Blue is advise
https://www.coursehero.com/file/57170610/Med-Surg-Exam-3-Test-Reviewdocx/
, NUR 170 Exam 3 Study Material
8. Types of insulin and Appropriate Administration, Storage, Peak and Duration, Mix and NPO
a. Mix: Nancy Raegan, RN
i. Air into NPH, air into Regular. Pull med from Regular, pull med from NPH.
b. NPH insulin for NPO patients
c. Rotate sites for insulin administration
d. Storage
i. Refrigerate vertically
ii. Glargine good for 28-30 days once opened, does not require refrigeration
iii. Keep out of direct sunlight
Generic When to
Type Brand Name Onset Peak Duration
Name Eat
10-15 Eat 5-15
Rapid Insulin Aspart Novolog
minutes 0.5-3 minutes
3-5 hours
15-30 hours after
Rapid Insulin Lispro Humalog
minutes injection
Short Give 20-30
Humulin R
(Regular) 30-60 minutes
2-5 hours 5-8 hours
Short minutes before
Novolin R
(Regular) meal
Long Glargine Lantus 2-4 hours None 24 hours
Given at
5.7-24
Long Detemir Levemir 1 hour 6-8 hours bedtime
hours
Intermediate NPH 1-4 hours No Peak
Humulin
Intermediate 2-12 Given
70/30 30 minutes
hours 24 hours after
Intermediate Novolin 70/30
meals
Humalog
Intermediate 15 minutes 1-2 hours
75/25
9. Somogyi Phenomenon
a. Snack before bed
b. Evaluate insulin dose and exercise to prevent hypoglycemia
c. Morning hyperglycemia from counterregulatory nighttime hypoglycemia
10. When can diabetic patient stop taking insulin
a. Never
11. Type 1 diabetics take insulin as prescribed
12. Glipizide
a. Sulfonylurea
b. Stimulates the release of insulin
Yellow is important points
This study source was downloaded by 100000900703063 from CourseHero.com on 02-26-2026 05:55:37 GMT -06:00
Blue is advise
https://www.coursehero.com/file/57170610/Med-Surg-Exam-3-Test-Reviewdocx/
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 100000900703063 from CourseHero.com on 02-26-2026 05:55:37 GMT -06:00
Blue is advise
https://www.coursehero.com/file/57170610/Med-Surg-Exam-3-Test-Reviewdocx/
, NUR 170 Exam 3 Study Material
8. Types of insulin and Appropriate Administration, Storage, Peak and Duration, Mix and NPO
a. Mix: Nancy Raegan, RN
i. Air into NPH, air into Regular. Pull med from Regular, pull med from NPH.
b. NPH insulin for NPO patients
c. Rotate sites for insulin administration
d. Storage
i. Refrigerate vertically
ii. Glargine good for 28-30 days once opened, does not require refrigeration
iii. Keep out of direct sunlight
Generic When to
Type Brand Name Onset Peak Duration
Name Eat
10-15 Eat 5-15
Rapid Insulin Aspart Novolog
minutes 0.5-3 minutes
3-5 hours
15-30 hours after
Rapid Insulin Lispro Humalog
minutes injection
Short Give 20-30
Humulin R
(Regular) 30-60 minutes
2-5 hours 5-8 hours
Short minutes before
Novolin R
(Regular) meal
Long Glargine Lantus 2-4 hours None 24 hours
Given at
5.7-24
Long Detemir Levemir 1 hour 6-8 hours bedtime
hours
Intermediate NPH 1-4 hours No Peak
Humulin
Intermediate 2-12 Given
70/30 30 minutes
hours 24 hours after
Intermediate Novolin 70/30
meals
Humalog
Intermediate 15 minutes 1-2 hours
75/25
9. Somogyi Phenomenon
a. Snack before bed
b. Evaluate insulin dose and exercise to prevent hypoglycemia
c. Morning hyperglycemia from counterregulatory nighttime hypoglycemia
10. When can diabetic patient stop taking insulin
a. Never
11. Type 1 diabetics take insulin as prescribed
12. Glipizide
a. Sulfonylurea
b. Stimulates the release of insulin
Yellow is important points
This study source was downloaded by 100000900703063 from CourseHero.com on 02-26-2026 05:55:37 GMT -06:00
Blue is advise
https://www.coursehero.com/file/57170610/Med-Surg-Exam-3-Test-Reviewdocx/
