Untitled document - 2023-12-26T231045.337

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University of South Alabama *

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2474

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Nursing

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Nov 24, 2024

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QMA insulin practice questions & Answers Which insulin is long acting insulin? - ANS Insulin glargine (Lantus) Which insulin is rapid acting insulin? - ANS Humalog (lispro), Novolog (aspart) Which insulin is cloudy? - ANS Intermediate (NPH) Where is glucagon secreted from? - ANS pancreas (alpha cells) What syringe should a QMA use for injecting insulin? - ANS U100 What does amylase break down? - ANS Carbohydrates (starches) What is the onset time for Novolin R? - ANS 1/2 hour-1 hour What do the Islets of Langerhans do? - ANS secrete insulin and glucagon What length of needle is correct to use for insulin injection? - ANS 1/4- 5/8 What is true regarding injection via insulin pen? - ANS Each needle needs primed with 2 units, insert pen at 90 degrees angle in the skin, must keep needle in resident for 10 seconds after insulin administration. What kind of insulin starts to act in 2-4 hours after injecting, and has a peak lasting 4-10 hours? - ANS Humulin N, Novolin N Can Qma's administer Trulicity and Victoza? - ANS No. Your diabetic patient complains of a headache, is extra moody, and keeps dropping things. What should the QMA suspect? - ANS Hypoglycemia During care of your diabetic patient you notice she is warm and flushed, but is not sweating. You smell sweetness to her breathe. What should you suspect? - ANS Hyperglycemia

Pain, numbness, and tingling of the hands and feet are common symptoms of what? - ANS Peripheral Your diabetic patient with COPD has started taking dexamethasone for an exacerbation. What should the QMA expect to see and/or be aware of? - ANS increase in blood glucose levels What is true regarding injection via vial and syringe? - ANS the needle should be inserted into the skin at a 45-90 degree angle, air must be injected into the vial equal to the amount ordered prior to withdrawing insulin, must keep in resident 5 seconds after insulin administration. You enter you diabetic patients room and are unable to arouse him. He is breathing normally and has a rapid heart rate. He is pale, cool, and his skin is moist. What should you do? - ANS Call the nurse for help The time that a medication is working the hardest and is the most effective is called? - ANS Peak When inspecting the vial of Humalog for a resident, the following should stop the QMA for administering it - ANS cloudy appearance, 60 days since it was opened If your resident is observed or verbalized s/s of hyperglycemia/hypoglycemia the QMA should? - ANS Take blood glucose level, notify nurse of level, and follow nurses instructions If your resident is unable to swallow, combative, or unconscious the QMA should? - ANS Notify the nurse of s/s If the resident is alert /awake and blood glucose level is below or above a specific level the QMA should? - ANS Follow facilities policy/procedures related to insulin administration, notify nurse of s/s and blood glucose level, follow nurses instructions Mrs. Smith has a blood glucose level of 40 is awake and alert the QMA should? - ANS Immediately administer glucagon

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