NR 293 / NR293 Exam 2 V2 (New Update)
Pharmacology for Nursing Practice | Questions and
verified Answers | Grade A | 100% Correct –
Chamberlain
What's is the problem w/ a pt who has diabetes mellitus?
Blood Osmolality
What is incretin?
A hormone released in your gut that stimulates INSULIN secretion after a meal.
Before administering insulin you should.....
1.) Check blood sugar
2.) Roll vials between hands instead of shaking them to mix suspensions
3.) Ensure correct storage of insulin vials
4.) Only use insulin syringes, calibrated in units to measure and give insulin
5.) Ensure correct timing of insulin dose with meals.
**If nurse is giving, it needs a second nurses check.
,NR 293 / NR293 Exam 2 V2 (New Update)
Pharmacology for Nursing Practice | Questions and
verified Answers | Grade A | 100% Correct –
Chamberlain
Why should you roll vial between hands vs shake?
Shaking makes BUBBLES so when you draw insulin up you will draw bubbles up & administer
the wrong amt.
How long can insulin be stored at room temperature?
30 days at room temp. **Remember not on your window seal or car in Phx!
If the pt is unconscious administer _________________ or ________________.
D50W or glucagon IV
*Monitor pts blood glucose levels
Hypoglycemia: If the pt is _____________ administer an oral form of glucose such as:
________________.
Conscious - oral forms include: glucose tablets, gel, corn syrup honey, fruit juice, nondiet soft
drink, crackers/ half a sandwich.
, NR 293 / NR293 Exam 2 V2 (New Update)
Pharmacology for Nursing Practice | Questions and
verified Answers | Grade A | 100% Correct –
Chamberlain
What's the "Rule of 15's (hypoglycemic) ?"
Give 15 grams of carbs, wait 15 minutes, retest blood glucose. If still hypoglycemic give another
15 grams of carbs.
**Why do this? -- This avoids being OVER treated w/ food and spiking a HIGH blood glucose
kit.
Whats the correct method to give 2 types of insulin at once.
1.) Air in the cloudy.
2.) Air in the regular & draw up regular insulin
3.) Draw up intermediate/long (cloudy)
When you wear an insulin pump how much insulin is usually pumped/administered through the
planted cannula each hour? Hyperglycemia- Correction dosing?
0.4-2 units /hr as prescribed for 24 hrs
For Hyperglycemia -Correction dose 1 unit= 50mg decrease in blood sugars.
Pt teaching: What would you tell your pt to when they're home sick?
Pharmacology for Nursing Practice | Questions and
verified Answers | Grade A | 100% Correct –
Chamberlain
What's is the problem w/ a pt who has diabetes mellitus?
Blood Osmolality
What is incretin?
A hormone released in your gut that stimulates INSULIN secretion after a meal.
Before administering insulin you should.....
1.) Check blood sugar
2.) Roll vials between hands instead of shaking them to mix suspensions
3.) Ensure correct storage of insulin vials
4.) Only use insulin syringes, calibrated in units to measure and give insulin
5.) Ensure correct timing of insulin dose with meals.
**If nurse is giving, it needs a second nurses check.
,NR 293 / NR293 Exam 2 V2 (New Update)
Pharmacology for Nursing Practice | Questions and
verified Answers | Grade A | 100% Correct –
Chamberlain
Why should you roll vial between hands vs shake?
Shaking makes BUBBLES so when you draw insulin up you will draw bubbles up & administer
the wrong amt.
How long can insulin be stored at room temperature?
30 days at room temp. **Remember not on your window seal or car in Phx!
If the pt is unconscious administer _________________ or ________________.
D50W or glucagon IV
*Monitor pts blood glucose levels
Hypoglycemia: If the pt is _____________ administer an oral form of glucose such as:
________________.
Conscious - oral forms include: glucose tablets, gel, corn syrup honey, fruit juice, nondiet soft
drink, crackers/ half a sandwich.
, NR 293 / NR293 Exam 2 V2 (New Update)
Pharmacology for Nursing Practice | Questions and
verified Answers | Grade A | 100% Correct –
Chamberlain
What's the "Rule of 15's (hypoglycemic) ?"
Give 15 grams of carbs, wait 15 minutes, retest blood glucose. If still hypoglycemic give another
15 grams of carbs.
**Why do this? -- This avoids being OVER treated w/ food and spiking a HIGH blood glucose
kit.
Whats the correct method to give 2 types of insulin at once.
1.) Air in the cloudy.
2.) Air in the regular & draw up regular insulin
3.) Draw up intermediate/long (cloudy)
When you wear an insulin pump how much insulin is usually pumped/administered through the
planted cannula each hour? Hyperglycemia- Correction dosing?
0.4-2 units /hr as prescribed for 24 hrs
For Hyperglycemia -Correction dose 1 unit= 50mg decrease in blood sugars.
Pt teaching: What would you tell your pt to when they're home sick?
