Nur 176 Exam 1 Questions and Correct

Nur 176 Exam 1 Questions and Correct Answers 2024

You have a patient that comes to the ER blood sugar 602, breathing deeply, ketos in their urine. What would you think the next test be? - Answer -Blood Gases you want to see if they have DKA Your giving insulin. Can you mix Novolin R and Novolin N? - Answer -No, they have to go into separate syringes, one is long and one is short When your drawling up insulin what do you have to do first? - Answer -Put air in the cloudy first You're working in a long term care facility. Report from the night shift nurse that a patient is really thirsty, peeing every hour and really restless. What would you do first? - Answer -Check their blood sugar You have a patient come into the clinic who is 24 years old. She getting ready to go on a cruise, she's a diabetic. She's coming in for a check up and states that she does not have hair growing on her legs anymore. Should you be concerned? - Answer -Yes, means poor circulation Creatinine normal range - Answer -0.6-1.2 BUN normal range - Answer -10-20 Your patient has a subdural hematoma receiving mannitol. How to know is mannitol is working? - Answer -Input and output, you want to make sure what is coming in is coming out 60 year old patient has diabetes type 2, her blood glucose is 290 before breakfast. What symptoms would you expect to see? - Answer -- Polydipsia - Excessive thirst

• Polyuria - Excessive urinating
• Polyphagia - Excessive hunger

Patient newly diagnosed with diabetes. And you want to teach him about foot care. What will you teach him? - Answer -- No lotion in between toes

• Check feet daily
• Wear proper shoes and socks
• Can cut toe nails as long as it is straight across
• Warm water not hot water 1 / 2

Patient has diabetes type 2 and they are complaining of shaking, blurred vision, racing heart. What are you doing to do? - Answer -Check blood sugar 12 year old no history of diabetes. But has a family history of diabetes, you find that their blood sugar is 390, has frequent urination, hot/flushed. What orders would you expect the doctor to give you? - Answer -- GAD test

• Sliding Scale of Insulin
• 1/2 year old that was admitted, newly diagnose with diabetes. What symptoms would you expect to

see? - Answer -- Frequent urinations

• Weight lost - body is burning protein instead of fat
• Thirst

Type 1 diabetic that has signs of negative reaction to insulin. What does that mean? - Answer -The body is not absorbing the insulin What are the signs and symptoms of hypoglycemia? - Answer -- Weakness

• Irritability
• Trimers
• Hunger
• Impaired Vision

Patient had a stroke what kind of things would you educate this person on to decrease their risk factors for another stroke? - Answer -- Monitor B/P

• Diet and Exercise
• Reduce Stress
• No Smoking

Patient has metabolic syndrome. What is metabolic syndrome? - Answer -Cluster of diseases, that put at risk for diabetes like hypertension, heart failure Patient has metabolic syndrome and their HDL is 25, triglyceride 320. What would you expect the doctor to ask you to assess farther? - Answer -- Blood Glucose

• At risk for insulin resistance

Patient has type 2 diabetes, what diagnostic test your you expect? - Answer -- Lipds

• A1C
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