NUR 170 Med-Surg Exam 3 Test Review | Actual verified
study with complete solutions | A+ Graded | 2026/27
Updated | 100% correct
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
1. 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
2. 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
3. What to do first = Your action
a. What is your priority = Your intervention
4. T2DM levels to monitor
a. Blood Glucose Levels: 70-110
b. Creatinine: Male 0.6-1.2 Female 0.5-1.1
5. 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
Yellow is important points Blue is advise
, a. Show proper way to administer
b. Show how to rotate
c. Education of insulin administration with demonstration and pictures
6. 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)
7. 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.
8. Somogyi Phenomenon
a. Snack before bed
b. Evaluate insulin dose and exercise to prevent hypoglycemia
c. Morning hyperglycemia from counterregulatory nighttime hypoglycemia
9. When can diabetic patient stop taking insulin
a. Never
10. Type 1 diabetics take insulin as prescribed
Yellow is important points Blue is advise
study with complete solutions | A+ Graded | 2026/27
Updated | 100% correct
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
1. 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
2. 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
3. What to do first = Your action
a. What is your priority = Your intervention
4. T2DM levels to monitor
a. Blood Glucose Levels: 70-110
b. Creatinine: Male 0.6-1.2 Female 0.5-1.1
5. 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
Yellow is important points Blue is advise
, a. Show proper way to administer
b. Show how to rotate
c. Education of insulin administration with demonstration and pictures
6. 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)
7. 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.
8. Somogyi Phenomenon
a. Snack before bed
b. Evaluate insulin dose and exercise to prevent hypoglycemia
c. Morning hyperglycemia from counterregulatory nighttime hypoglycemia
9. When can diabetic patient stop taking insulin
a. Never
10. Type 1 diabetics take insulin as prescribed
Yellow is important points Blue is advise
