Marist College

NUR 101

1For Lesson 19 Exercise 3

Go to your workbook and follow the instructions to be able to complete the patient care experience in order to answer the following question:

1)The physician has ordered a HgbA1C. This test is best used to:

1. 1. assess overall glucose control.
   2. assess compliance with insulin or oral hypoglycemic therapies for the past 30 day.
   3. assess the presence of early vascular complications.
   4. assess for insulin resistance in older adults. </span>

Go to your workbook and follow the instructions to be able to complete the patient care experience in order to answer the following question:

2. What is the normal range for the HgbA1C?

A. 0%-1.5%

B. 2%-4%

C. 4% - 6%

D. 7%- 9%

Go to your workbook and follow the instructions to be able to complete the patient care experience in order to answer the following question:

3. Review Harry George’s HbgA1C results. What are his results? What does this indicate about his condition?

4.Lack of glycemic control increases Harry George’s risk for developing long-term complications such as:

1. 5. Nephropathy
   6. Neuropathy
   7. Retinopathy
   8. Cardiovascular disease (including myocardial infarction)

6. Peripheral vascular disease.
7. Lung Cancer

Fill in the blank with the appropriate answer and be sure to LABEL your response.

5. The onset for RAPID ACTING INSULIN is     and the peak for RAPID ACTING INSULIN is       . The onset for REGULAR INSULIN is                                                                      and the peak for REGULAR INSULIN is                    . The peak for LONG ACTING INSULIN is                            .

6.At what point after administering Harry George's regular insulin will he be at the greatest risk for hypoglycemia?

1. 1. Within 30 minutes of administration

1. 10. 1 to 2 hours after administration
   11. 2 to 3 hours after administration

1. 50. 4 to 6 hours after administration

Go to your workbook and follow the instructions to be able to complete the patient care experience in order to answer the following question:

7.Harry George's fasting morning glucose is 206 mg/dL. This manifestation may be explained by:

1. 1000. the dawn to dusk effect
   14. the Symogi effect
   15. the Dawn phenomena
   16. the insulin rebound effect