NUR 176
NUR 176 Hesi review exam questions
and answers
type 1 diabetes mellitus
NEEDs insulin
type 2 diabetes
Insulin resistant. Does not produce enough insulin
Rotating the insulin injection site will prevent?
Lipodystrophy
s/s hyperglycemia: 3 Ps
Polyphagia- Extreme thirst
Polydipsia- Excessive urination
Polyuria- Excessive hunger
(also: hot and dry, sugar high)
How is Lantus and regular insulin given?
- Given in 2 separate syringes
- Lantus is normally given at night
Patient put on Actos or Metformin or Glucophage they tell you they have nausea,
what are you going to do?
Call the doctor and ask him for something else
How to teach a patient with diabetes how to prevent long term complications
Daily foot exams
A1C less than 7
Annual renal function studies
Keep LDL below 70
Control Glucose levels (70-110)
Exercise
NUR 176
,NUR 176
What would require further assessment for diabetes?
- If the patient says he's having trouble in bed with his wife (explain before discharging
that impotence is a complication of diabetes)
- Don't walk barefoot
- If given any new prescriptions to let their
diabetic doctor know (some cardiac and diabetic meds do not work together)
What are you going to teach a diabetic with a new wound?
- Make sure that they keep their sugar under control, stick to their diet and taking their
meds regularly
- Protein
How long could it take for a baby to show signs of HIV?
Up to 18 months
A mother w/ HIV just had a baby. What is important to teach mom about feeding?
Use Formula instead of breast milk
Why do you use a combination/Cocktail for HIV medication?
Decrease the body resistance to the medication
What is lab test used to diagnose HIV?
- CD-4 (600-1200)
- Viral blood
What does the diet recommend for a patient w/ HIV?
- High Calorie
- High Protein
- High Potassium
The patient has white patches in the mouth due to HIV what is the patient teaching?
- Use straw
- Increase fluid
What is another test used to diagnose HIV?
NUR 176
, NUR 176
ELISA (enzyme-linked immunosorbent assay)
Patient teaching for a mom whose child has Pediculosis.
- Wash hair frequent w/warm water
- Dry hair on high heat to kill the Nits (bugs) until fully gone
- Vaseline is used to coat the hair
Stroke
- Goal is to maintain a level of functioning
- Can affect the body systems
- 2 types = Ischemic (Occlusion) & Hemorrhagic (Hemorrhage in the brain)
What are the two things we have to be careful dealing with stroke patients?
- No straws
- Thickened liquids unless the dr. says
otherwise
Instruct stroke patients on safety devices and equipment
Teach them how to use their cane or walker or anything that will help them with their
mobility
Stroke patient becomes confused and agitated, what are you going to do? They were
normal and alert in the morning and now you’re coming in in the afternoon at lunch
time and they are agitated.
Assess the patient's orientation,
Alert x4
Person, place, time
Patient comes in to the ER with s/s of a stroke. What is some s/s of a stroke?
One sided weakness
Facial drooping
Arm weakness
What do you anticipate the doctor will order for the pt. with s/s of stroke?
- CT scan or MRI (lets us know if we want to give the pt. TPA or not)
- Neuro assessment with the NIASS
NUR 176
NUR 176 Hesi review exam questions
and answers
type 1 diabetes mellitus
NEEDs insulin
type 2 diabetes
Insulin resistant. Does not produce enough insulin
Rotating the insulin injection site will prevent?
Lipodystrophy
s/s hyperglycemia: 3 Ps
Polyphagia- Extreme thirst
Polydipsia- Excessive urination
Polyuria- Excessive hunger
(also: hot and dry, sugar high)
How is Lantus and regular insulin given?
- Given in 2 separate syringes
- Lantus is normally given at night
Patient put on Actos or Metformin or Glucophage they tell you they have nausea,
what are you going to do?
Call the doctor and ask him for something else
How to teach a patient with diabetes how to prevent long term complications
Daily foot exams
A1C less than 7
Annual renal function studies
Keep LDL below 70
Control Glucose levels (70-110)
Exercise
NUR 176
,NUR 176
What would require further assessment for diabetes?
- If the patient says he's having trouble in bed with his wife (explain before discharging
that impotence is a complication of diabetes)
- Don't walk barefoot
- If given any new prescriptions to let their
diabetic doctor know (some cardiac and diabetic meds do not work together)
What are you going to teach a diabetic with a new wound?
- Make sure that they keep their sugar under control, stick to their diet and taking their
meds regularly
- Protein
How long could it take for a baby to show signs of HIV?
Up to 18 months
A mother w/ HIV just had a baby. What is important to teach mom about feeding?
Use Formula instead of breast milk
Why do you use a combination/Cocktail for HIV medication?
Decrease the body resistance to the medication
What is lab test used to diagnose HIV?
- CD-4 (600-1200)
- Viral blood
What does the diet recommend for a patient w/ HIV?
- High Calorie
- High Protein
- High Potassium
The patient has white patches in the mouth due to HIV what is the patient teaching?
- Use straw
- Increase fluid
What is another test used to diagnose HIV?
NUR 176
, NUR 176
ELISA (enzyme-linked immunosorbent assay)
Patient teaching for a mom whose child has Pediculosis.
- Wash hair frequent w/warm water
- Dry hair on high heat to kill the Nits (bugs) until fully gone
- Vaseline is used to coat the hair
Stroke
- Goal is to maintain a level of functioning
- Can affect the body systems
- 2 types = Ischemic (Occlusion) & Hemorrhagic (Hemorrhage in the brain)
What are the two things we have to be careful dealing with stroke patients?
- No straws
- Thickened liquids unless the dr. says
otherwise
Instruct stroke patients on safety devices and equipment
Teach them how to use their cane or walker or anything that will help them with their
mobility
Stroke patient becomes confused and agitated, what are you going to do? They were
normal and alert in the morning and now you’re coming in in the afternoon at lunch
time and they are agitated.
Assess the patient's orientation,
Alert x4
Person, place, time
Patient comes in to the ER with s/s of a stroke. What is some s/s of a stroke?
One sided weakness
Facial drooping
Arm weakness
What do you anticipate the doctor will order for the pt. with s/s of stroke?
- CT scan or MRI (lets us know if we want to give the pt. TPA or not)
- Neuro assessment with the NIASS
NUR 176
