NUR 325 Exam 3
1. WHAT WOULD YOU RECOMMEND FORYOUR PATIENT THAT HAS
PRE-DIABETES?
Answer Exercise, changes in diet
- Define hypoglycemia
Answer blood glucose <70 mg/dL
- symptoms of hypoglycemia
Answer -hunger
-fatigue -shaking -sweating -pale skin -headache -dizziness -confusion -slurred speech -blurred vision -fainting -seizures -coma
- 15-15 rule
Answer for hypoglycemia, eat/drink 15 grams of fast-acting carbs, wait 15 mins, and test blood glucose again 1 / 3
Answer neurologic symptoms, nauseous, diaphoretic, headache, dizziness
- if a pt is taking insulin and a corticosteroid what interaction can occur?
Answer -
hyperglycemia
- for clients with DM type 2 which test evaluates for effectiveness of treat- ment?
Answer HgA1C
- in clients with DM type 2 what is the goal for glucose regulation?
Answer HgA1C of 7%
- what can you teach patients about preventing long term complications with DM?
Answer yearly eye exams, blood sugar checks, check under the feet
- what dietary habits would you educate on for a patient with DM?
Answer well balanced diet, limit carbohydrates, eat high fiber
- t/f
is DM and genetics related?
Answer True, if a parent had DM, it's a high chance the child has it 2 / 3
- onset for humalog (lispro)
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- what does a HgbA1c of 12% infer?
Answer poor glycemic control
- if a patient w no history of DM comes in with a fasting glucose of 122, what action should
the nurse do?
Answer lifestyle changes to lower blood glucose (diet and exercise)
- what medication do you use for a hypoglycemic emergency in the hospital?
Answer IV glucose
- if your DM type 1 feels clammy, shaky, hungry and weak post breakfast and insulin
administration, what is the priority action by the RN?
Answer check blood glucose levels
- what are positive/affirmative responses of DM type 1?
Answer frequency in thirst and urination
- category for humalog (insulin lispro)
- / 3
Answer rapid-acting