Nursing 120 Quiz 2 Tutoring- West Coast University
Week 3
• Diverticulitis diet
o Inflammation and infection of bowel mucous. First NPO, than on clear liquid
diet, low fiber,
o Avoid etoh, seed ingestion, nuts, popcorn, seeds,
o Avoid use of enemas, drink 2-3L fluids of water
• Diverticulosis diet
o Presence of small diverticula in the colon without inflammation
▪ Increase fiber intake, start on clear liquid first (ex. Lemon juice, gelatin,
grape juice, chicken/beef broth, cranberry and apple juice)
▪ Decrease fat intake and red meat intake
▪ Increase activity
▪ And try to manage weight
o Make sure pt is on low acid food, (no tomatoes) give them cereal and oatmeal
• Metformin pt teaching
o Glucophage
▪ Decrease amount of glucose produced by liver
• Side effect is GI upset (gas, n/v/ anorexia)
▪ Pt teaching: pt takes meds with food (to avoid GI upset), take
vitamins B12 and folic acid supplements
▪ Safe during pregnancy and good during gestational dm
▪ Not okay to crush or chew
▪ Causes weight loss
• Protonic
o Given at hospitals to avoid ulcers due to stress at the hospitals
o Given IV push
• IBS (irritable bowel syndrome/disorder)
o Ulcerative (localized inflammation of colon and the rectum)
o Crohns (segments of the GI tract)\
• Ostomy bags
o Pink and red means its okay
o Blue/purple/pale becoming infected or necrotic
▪ Call physician ASAP
o Nurses job to clean it up
o No specific location it is placed
• Type 1 and type 2 diabetes
o Type 1: normal 70-110mg/dl
o Fasting is above 120mg/dl
o 60mg/dl is hypoglycemia
o normal urine specific gravity 1.01-1.025
▪ Normal urine output 30ml per hour
o know the different types of diabetes: 5
o glucagon with increase glucose levels
, Nursing 120 Quiz 2 Tutoring- West Coast University
o insulin decrease glucose levels
o sliding scale (take BS and than it will tell you how much insulin to give)
o HBA1C:
▪ Tells you if the pt is following the regimen, Anything above 6.5
is concerning. Taken every 3 months
o Signs and symptoms of DM
▪ Polyuria
▪ Polydipsia
▪ Polyphagia
o IF you have an elderly pt, who keeps trying to use the restroom what do you do?
▪ Check their blood sugar
▪ If glucose level is high notify the provider
o Complications for DM
▪ Kidney (nephropathy)
▪ Heart
▪ Eyes (retinopathy)
▪ Neuropathy (see podiatrist if they have a wound)
• Prolong wound healing
o Insulin
▪ Rapid acting: Humalog (Lispro) Apidra (glulisline), Novalog (aspart)
give AC kick in 10-30 minutes
▪ Short acting: regular insulin (only one that can be given IV). AC kicks in
30-60 minutes
▪ Intermittent acting: NPH (given between meals and at midnight
subcutaneous)
▪ Long acting: Lantus (glargine) and Levemir (detemir) Given same time
each day.
▪ Verify insulin with another RN
▪ Give insulin in a fatty area and make sure you rotate spots to avoid tissue
damage
▪ Don’t hold the plunger
o DKA
▪ Ketones present in the urine
▪ When your body uses doesn’t have enough glucose
▪ Have fruity acetone breathe, BS higher than 250mg/dl, and have deep
labored breathing (kussmal)
o HHS:
▪ Type 2 complications
▪ Without ketones
▪ BS usually above 400mg/dl
▪ High risk for myoclonic seizures, reversible paralysis
o Dawn phenomenon (good)
▪ Hyperglycemic in the morning
Week 3
• Diverticulitis diet
o Inflammation and infection of bowel mucous. First NPO, than on clear liquid
diet, low fiber,
o Avoid etoh, seed ingestion, nuts, popcorn, seeds,
o Avoid use of enemas, drink 2-3L fluids of water
• Diverticulosis diet
o Presence of small diverticula in the colon without inflammation
▪ Increase fiber intake, start on clear liquid first (ex. Lemon juice, gelatin,
grape juice, chicken/beef broth, cranberry and apple juice)
▪ Decrease fat intake and red meat intake
▪ Increase activity
▪ And try to manage weight
o Make sure pt is on low acid food, (no tomatoes) give them cereal and oatmeal
• Metformin pt teaching
o Glucophage
▪ Decrease amount of glucose produced by liver
• Side effect is GI upset (gas, n/v/ anorexia)
▪ Pt teaching: pt takes meds with food (to avoid GI upset), take
vitamins B12 and folic acid supplements
▪ Safe during pregnancy and good during gestational dm
▪ Not okay to crush or chew
▪ Causes weight loss
• Protonic
o Given at hospitals to avoid ulcers due to stress at the hospitals
o Given IV push
• IBS (irritable bowel syndrome/disorder)
o Ulcerative (localized inflammation of colon and the rectum)
o Crohns (segments of the GI tract)\
• Ostomy bags
o Pink and red means its okay
o Blue/purple/pale becoming infected or necrotic
▪ Call physician ASAP
o Nurses job to clean it up
o No specific location it is placed
• Type 1 and type 2 diabetes
o Type 1: normal 70-110mg/dl
o Fasting is above 120mg/dl
o 60mg/dl is hypoglycemia
o normal urine specific gravity 1.01-1.025
▪ Normal urine output 30ml per hour
o know the different types of diabetes: 5
o glucagon with increase glucose levels
, Nursing 120 Quiz 2 Tutoring- West Coast University
o insulin decrease glucose levels
o sliding scale (take BS and than it will tell you how much insulin to give)
o HBA1C:
▪ Tells you if the pt is following the regimen, Anything above 6.5
is concerning. Taken every 3 months
o Signs and symptoms of DM
▪ Polyuria
▪ Polydipsia
▪ Polyphagia
o IF you have an elderly pt, who keeps trying to use the restroom what do you do?
▪ Check their blood sugar
▪ If glucose level is high notify the provider
o Complications for DM
▪ Kidney (nephropathy)
▪ Heart
▪ Eyes (retinopathy)
▪ Neuropathy (see podiatrist if they have a wound)
• Prolong wound healing
o Insulin
▪ Rapid acting: Humalog (Lispro) Apidra (glulisline), Novalog (aspart)
give AC kick in 10-30 minutes
▪ Short acting: regular insulin (only one that can be given IV). AC kicks in
30-60 minutes
▪ Intermittent acting: NPH (given between meals and at midnight
subcutaneous)
▪ Long acting: Lantus (glargine) and Levemir (detemir) Given same time
each day.
▪ Verify insulin with another RN
▪ Give insulin in a fatty area and make sure you rotate spots to avoid tissue
damage
▪ Don’t hold the plunger
o DKA
▪ Ketones present in the urine
▪ When your body uses doesn’t have enough glucose
▪ Have fruity acetone breathe, BS higher than 250mg/dl, and have deep
labored breathing (kussmal)
o HHS:
▪ Type 2 complications
▪ Without ketones
▪ BS usually above 400mg/dl
▪ High risk for myoclonic seizures, reversible paralysis
o Dawn phenomenon (good)
▪ Hyperglycemic in the morning
