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QUESTION A step when using an insulin pen is to hold the pen with the needle pointing up and tap lightly. This action does what? Answer: C. So that bubbles will rise to the top and thus not be given to the resident QUESTION After cleaning the injection site with an alcohol wipe, inserting the needle and pressing the injection button all the way down, you should wait how long before removing the needle? Answer: C. 10 seconds QUESTION When administering insulin the Qma must remember to follow the โโ- rights and โโ number of checks? Answer: D. 6 rights and 3 checks QUESTION Sliding scale insulin therapy bases the amount of insulin a diabetic must have administered at a specific time based on what? Answer: C. The blood glucose level
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A step when using an insulin pen is to hold the pen with the needle pointing up and tap lightly. This action does what? Answer: C. So that bubbles will rise to the top and thus not be given to the resident
After cleaning the injection site with an alcohol wipe, inserting the needle and pressing the injection button all the way down, you should wait how long before removing the needle? Answer: C. 10 seconds
When administering insulin the Qma must remember to follow the โโ- rights and โโ number of checks? Answer: D. 6 rights and 3 checks
Sliding scale insulin therapy bases the amount of insulin a diabetic must have administered at a specific time based on what? Answer: C. The blood glucose level
What is included in a sliding scale order? Answer: The time that blood glucose should be checked. Type of insulin to be given. A scale for the amount of insulin to be given D all the above
Care of the diabetic when Ill includes all of the following Except Answer: D monitoring food intake
A Qma must complete the skills and pass the competency exam to be certified to administer insulin Answer: True
A qma must do all the following Except Answer: C renew the Cna certificate last
Insulin is important in the metabolism of fat and the utilisation of protein.
How many hours of practical training do you need for insulin class Answer: Atleast 2 to 3 more than 4
The Qma must pass the competency (practical ) test with a Answer: 100%
A Qma must pass the written test with atleast an Answer: 88%
Prior to administration insulin at a license health facility the Qma must Answer: Be supervised by an RN in administering the insulin and sign off the Qmas competency.
Qmas who have successfully completed the insulin class will be listed on the Indiana Nurse Aide registry as what? Answer: Qma - insulin administration certification sub-type
The endocrine is composed of? Answer: Many different glands and hormones which help control bodily functions
Where is the pancreas located? Answer: In the upper abdomen, behind the stomach
What cells are throughout the pancreas that secrete insulin and glucagon Answer: The islet of langerhans
What does the pancreas do? Answer: Produce enzymes that break down food in the intestines and produce hormones that regulate blood sugar levels
3 main enzymes that are produced by the pancreas Answer: Lipase (breaks down fats) Protease ( breaks down protein) Amylase (breaks down carbohydrates)
What is the normal range for fasting blood glucose or before meals blood glucose Answer: 70 - 110
What prevents fat from being broken down into excessive amounts of substance called keystones Answer: Insulin
What are keystones? Answer: Chemicals your liver makes when you don't have enough insulin in your body to turn sugar into energy
What is the process of ketoacidosis? Answer: When keystones buildup in the blood it makes the blood acidic
What is insulin important for protein utilization in the body?
Answer: With out glucose in the cells the body will break down proteins in the body you need
What is diabetes mellitus? Answer: A disease in which the body does not produce or respond properly to insulin
polydipsia Answer: excessive thirst
polyuria Answer: excessive urination
polyphagia Answer: excessive hunger
When does the endocrine system release (adrenaline) or the fight or flight hormone
Answer: To stimulate insulin secretions in the pancreas Decreases the amount of glucose released by the liver Delay the digestion of carbohydrates in the diet
Physical activity in a diabetic resident will Answer: B. Increase insulin sensitivity
Oral hypoglycaemic medication works to Answer: Stimulate insulin secretion in the pancreas, decrease the amount of glucose released by the liver, delay the digestion of carbohydrates D. All of the above
It is important for diabetics to eat at scheduled times throughout the day? Answer: True
Insulin is administered by injection because it is destroyed in the urinary tract. Answer: B. False
When should rapid acting insulin be given? Answer: C. Just before or after eating
What is long acting insulin? Answer: B. Insulin given in the morning or bedtime that lasts throughout the whole day.
When should short acting insulin be given? Answer: D. Insulin given 45 minutes prior to eating
Which one is Not a measurement of glucose? Answer: D. Fasting blood lactate
If a resident refuses a meal, an alternative meal Must be offered. Answer: a. True
After use, the syringe and needles must be Answer: Thrown away in a puncture resistant container and not capped. E. B &C
How long is an opened vial of insulin is considered good for Answer: C. 28 days
Insulin pens should be stored Answer: B. At room temperature
Why is it necessary to rotate injection sites in a diabetic resident? Answer: A. Prevents irritation and tissue damage
What should a Qma do immediately after removing the pen cap on an insulin pen? Answer: B. Check the reservoir to make sure insulin is clear in color
Dial a dose of โโ- units of prime the pen Answer: B. 2
Between periods of food intake insulin in the blood remains Answer: Low
What is destroyed in the digestive tract? Answer: Insulin administered by injection
glipizide Answer: Glucotrol
metformin Answer: Glucophage
Why can insulin not be taken in pill form? Answer: The stomach acid will break it down or destroy it making it ineffective
What is glucose testing? Answer: Determines the amount of glucose circulating in the blood
What can you have when doing 12 hour fasting blood glucose testing Answer: Nothing except water
What are you looking for with the hemoglobin testing? Answer: The consistency of blood over a period of time with normal levels being (3.8-6.4%)
beta cells Answer: A type of cell in the pancreas that produces and releases insulin
The bigger the gauge Answer: The smaller the needle
The smaller the gauge number Answer: The bigger the needle
Insulin Lispro (Humalog) Answer: rapid acting insulin
Regular insulin Answer: Humulin R, Novolin R
Intermediate acting insulin Answer: NPH (Humulin N, Novolin N)
What insulin can you NOT mix Answer: Lantus you can not mix
Humulin N and Novolin N peak time Answer: 4 - 10 hours
Humulin R and Novolin R peak time Answer: 2 - 4 hours
Lispro (Humalog) peck time Aspart (Novolin) peak time Answer: 1 - 2 hours
Intermediate acting insulin Answer: NPH (Humulin N, Novolin N)
Intermediate acting insulin NPH peak time Answer: 4 - 10 hours
How is insulin measured? Answer: In units with a special needle
peripheral neuropathy Answer: a painful condition of the nerves of the hands and feet due to damage to the peripheral nerves; also known as peripheral neuritis
What to do when vomiting occurs blood glucose levels drop Answer: Provide sips of fruit juice, Gatorade or popsicles
Renewing certificates Answer: Every 2 years along with cna license