HONDROS NUR 176 EXAM 1 COMPLETE WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) ALREADY GRADED A+
1. Interventions to prevent diabetes: Maintain healthy weight, diet and exercise
2. Signs of type 1 diabetes: 3 polys, blurred vision, cold feet, numbness, shiny thin skin and w/ no hair, age 30
under, sudden onset, underweight,
3. Signs of type 2 diabetes: No symptoms at first, later develop the 3 polys, obesity, N on back igricans (black line
of neck) skin tags
4. S/S of hypoglycemia: Fatigue, weakness, irritability, reduce cognition, tremors, seizurees, diaphoresis (
sweating)
5. S/S of hyperglycemia: 3 polys, fruity breath
6. S/S of diabetic ketoacidosis and treatment: High BS, high HR, restlessness, weight loss, fruity breath,
Kussmaul(fast deep RR) -- treatments; IV regular insulin
7. First intervention if a pt. Presents with s/s of hypo/hyperglycemia: Check blood sugar
,8. Prevention of long-term complications of diabetes: Takes meds, daily feet care, yearly renal test, eye
exams every 6 months, LDL less than 150
9. Dietary teaching for a diabetic patient: Meals at the same time every day, decrease saturated fats, increase
exercise, refer pt. To MyPlate learning tool,
10. Diabetic Pt. should never increase carbs unless...: Sugar is low before exercising
11. Discharge teaching for diabetic pt.: Know hypo/hyperglycemia s/s, know that stress and illness increase BS ,
see a diabetic educator, know what the ettect of Exercise can have on Bs
12. Diabetic foot care: Clean w/ soap and warm water, clean socks every day, cut toe nails strai feet dry,
no powder or lotion b/t toes, wear shoes, inspect feet daily, no Gardners
13. Lipid analysis: LDL-less than 100 HDL- more than 40 Triglycerides- more than 150
14. What are low and high levels of HDL indicative of: High- insulin resistance, low- insulin
sensitivity
15. What insulins cannot be mixed? Levemir and Lantus (detemir and glargine)
16. How to mix insulin: Short acting to long acting, regular to NPH, Clear to cloudy
17. Should a nurse hold a patient’s insulin before consulting a dr? No
18. No insulin, beta cells are destroyed is a result of? Diabetes type 1
, 19. Beta cells exhaustion, insulin resistance is a result of? Diabetes type 2
20. Rapid acting insulin: Lispro (Humalog) aspart (Novolog) glulisine (Apidra)
21. Onset, peak and duration of Novolog and Apidra: Onset-15-30,Peak-1-3hr, duration-3-5hr
22. onset, peak and duration of Humalog: Onset-15-30, Peak-1-2hr, duration-3-4hr Short acting
insulin (regular): Humulin R, Novolin R, Relion R, Onset-30-60, Peak-2-4hr, dura- tion-6-8hr
23. Intermediate insulin (NPH): Humulin N, Novolin N, Relion N, Onset-1-4hr Peak-4-12hr, dura- tion-
12-16hr
24. Long- a c t i n g insulin: Lantus and Levemir Onset-1-2hr, Peak- none, duration-24hr
25. Which insulin is the only one that can be given through IV? Regular
26. What is glucagon used for? Makes glucose. Received if BS is low
27. If a pt. Is lethargic, what form of glucose should be administered? Glucagon gel in cheek
28. What is Lipohypotrophy and the prevention? Lump under subcut tissue due to repeated injections at
the same site. Rotate sites
29. S/s of brain tumor: Vision changes, confusion and headache
30. S/S of traumatic brain injury: Blurred vision, personality changes, altered level of slurred consciousness,
speech, confusion, headache, uncoordinated, weakness / numbness of legs and arms
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) ALREADY GRADED A+
1. Interventions to prevent diabetes: Maintain healthy weight, diet and exercise
2. Signs of type 1 diabetes: 3 polys, blurred vision, cold feet, numbness, shiny thin skin and w/ no hair, age 30
under, sudden onset, underweight,
3. Signs of type 2 diabetes: No symptoms at first, later develop the 3 polys, obesity, N on back igricans (black line
of neck) skin tags
4. S/S of hypoglycemia: Fatigue, weakness, irritability, reduce cognition, tremors, seizurees, diaphoresis (
sweating)
5. S/S of hyperglycemia: 3 polys, fruity breath
6. S/S of diabetic ketoacidosis and treatment: High BS, high HR, restlessness, weight loss, fruity breath,
Kussmaul(fast deep RR) -- treatments; IV regular insulin
7. First intervention if a pt. Presents with s/s of hypo/hyperglycemia: Check blood sugar
,8. Prevention of long-term complications of diabetes: Takes meds, daily feet care, yearly renal test, eye
exams every 6 months, LDL less than 150
9. Dietary teaching for a diabetic patient: Meals at the same time every day, decrease saturated fats, increase
exercise, refer pt. To MyPlate learning tool,
10. Diabetic Pt. should never increase carbs unless...: Sugar is low before exercising
11. Discharge teaching for diabetic pt.: Know hypo/hyperglycemia s/s, know that stress and illness increase BS ,
see a diabetic educator, know what the ettect of Exercise can have on Bs
12. Diabetic foot care: Clean w/ soap and warm water, clean socks every day, cut toe nails strai feet dry,
no powder or lotion b/t toes, wear shoes, inspect feet daily, no Gardners
13. Lipid analysis: LDL-less than 100 HDL- more than 40 Triglycerides- more than 150
14. What are low and high levels of HDL indicative of: High- insulin resistance, low- insulin
sensitivity
15. What insulins cannot be mixed? Levemir and Lantus (detemir and glargine)
16. How to mix insulin: Short acting to long acting, regular to NPH, Clear to cloudy
17. Should a nurse hold a patient’s insulin before consulting a dr? No
18. No insulin, beta cells are destroyed is a result of? Diabetes type 1
, 19. Beta cells exhaustion, insulin resistance is a result of? Diabetes type 2
20. Rapid acting insulin: Lispro (Humalog) aspart (Novolog) glulisine (Apidra)
21. Onset, peak and duration of Novolog and Apidra: Onset-15-30,Peak-1-3hr, duration-3-5hr
22. onset, peak and duration of Humalog: Onset-15-30, Peak-1-2hr, duration-3-4hr Short acting
insulin (regular): Humulin R, Novolin R, Relion R, Onset-30-60, Peak-2-4hr, dura- tion-6-8hr
23. Intermediate insulin (NPH): Humulin N, Novolin N, Relion N, Onset-1-4hr Peak-4-12hr, dura- tion-
12-16hr
24. Long- a c t i n g insulin: Lantus and Levemir Onset-1-2hr, Peak- none, duration-24hr
25. Which insulin is the only one that can be given through IV? Regular
26. What is glucagon used for? Makes glucose. Received if BS is low
27. If a pt. Is lethargic, what form of glucose should be administered? Glucagon gel in cheek
28. What is Lipohypotrophy and the prevention? Lump under subcut tissue due to repeated injections at
the same site. Rotate sites
29. S/s of brain tumor: Vision changes, confusion and headache
30. S/S of traumatic brain injury: Blurred vision, personality changes, altered level of slurred consciousness,
speech, confusion, headache, uncoordinated, weakness / numbness of legs and arms
