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NUR 176 EXAM 1 QUESTIONS AND
CORRECT ANSWER S
Question :Interventions to prevent diabetes
CORRECT ANSWER :Maintain healthy weight, diet
and exercise
Question :Signs of type 1 diabetes
CORRECT ANSWER :3 polys, blurred vision, cold feet,
numbness, shiny thin skin w/ no hair, age 30 and under, sudden onset, underweight,
Question :Signs of type 2 diabetes
CORRECT ANSWER :No symptoms at first , later
develop the 3 polys, obesity, Nigricans (black line on back of neck) skin tags
Question :S/S of hypoglycemia
CORRECT ANSWER :Fatigue, weakness, irritability,
reduce cognition, tremors, seizures, diaphoresis( sweating)
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Question :S/S of hyperglycemia
CORRECT ANSWER :3 polys, fruity breath
Question :S/S of diabetic ketoacidosis and treatment
CORRECT ANSWER :High BS, high HR, restlessness,
weight loss, fruity breath, kussmaul(fast deep RR) -- treatments; IV regular insulin
Question :First intervention if a pt. Presents with s/s of
hypo/hyperglycemia
CORRECT ANSWER :Check blood sugar
Question :Prevention of long term complications of
diabetes
CORRECT ANSWER :Takes meds, daily feet care,
yearly renal test, eye exams every 6 months, LDL less than 150
Question :Dietary teaching for a diabetic patient
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CORRECT ANSWER :Meals at the same time every
day, decrease saturated fats, increase exercise , refer pt.To MyPlate learning tool,
Question :Diabetic Pt. should never increase carbs
unless...
CORRECT ANSWER :Sugar is low before exercising
Question :Discharge teaching for diabetic pt.
CORRECT ANSWER :Know hypo/hyperglycemia s/s,
know that stress and illness increase BS , see a diabetic educator, know what the effect of Exercise can have on Bs
Question :Diabetic foot care
CORRECT ANSWER :Clean w/ soap and warm water,
clean socks everyday, cut toe nails straight across, keep feet dry, no powder or lotion b/t toes , wear shoes , inspect feet daily, no gardners
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Question :Lipid analysis
CORRECT ANSWER :LDL-leas than 100 HDL- more
than 40 Triglycerides- more than 150
Question :What are low and high levels of HDL
indicative of
CORRECT ANSWER :High- insulin resistance, low-
insulin sensitivity
Question :What insulins can not be mixed?
CORRECT ANSWER :Levemir and Lantus ( detemir
and glargine )
Question :How to mix insulin
CORRECT ANSWER :Short acting to long acting,
regular to NPH, Clear to cloudy
Question :Should a nurse hold a patients insulin before
consulting a dr?