Ch 42 Antidiabetic Drugs

A client receives insulin lispro at 8 a.m. The nurse would be alert for signs and symptoms of hypoglycemia at about which time?

9 am

A client is receiving glyburide. The nurse assesses the client for a decrease in the drug's effect if which of the following drugs are initiated? Select all that apply.

A) Atenolol (Tenormin) - beta blocker B) Amlodipine (Norvasc) - calcium chan blocker C) Phenytoin (Dilantin) - hydantoin E) Levothyroxine (Synthroid) - thyroid agent

When preparing to administer insulin glargine to a client, which of the following would be appropriate for the nurse to do? Select all that apply.

A) Check the expiration date on the vial. C) Check the physician's orders for the type and dosage of insulin. D) Remove all air bubbles from the syringe barrel.

Which symptoms would alert the nurse to a possible hyperglycemic reaction?

A) abd. pain C) thirst D) nausea

2. The nurse is assessing a client for risk factors associated with type 2 diabetes. Which of the following would the nurse identify? Select all that apply.

B) Impaired glucose tolerance D) Obesity E) History of gestational diabetes

A nurse is preparing a presentation for a local community group about diabetes. Which of the following would the nurse include when describing type 1 diabetes? Select all that apply.

B) Occurs before 20 C) Insulin supplementation required for survival

After administering insulin detemir to a client with diabetes, the nurse suspects that the client is developing hypoglycemia based on assessment of which of the following? Select all that apply

C) Headache D) Confusion E) Diaphoresis

After administering glimepiride, the nurse would assess the client for which of the following? Select all that apply.

C) Hypoglycemia D) Heartburn E) Nausea

A nurse is preparing to administer a long-acting insulin to a client. Which of the following might the nurse administer? Select all that apply.

C) Insulin glargine (Lantus) D) Insulin detemir (Levemir)

After teaching a group of nursing students about antidiabetic drugs, the instructor determines that the teaching was successful when the students identify which of the following as producing the glucose-lowering effects by delaying the digestion and absorption of carbohydrates in the intestine? Select all that apply.

D) Miglitol (Glyset) E) Acarbose (Precose)

26. A nurse is caring for a client with type 2 diabetes receiving a meglitinide. The nurse reviews the client's medical record based on the understanding that which condition would contraindicate the use of this drug?

DKA

Which of the following would the nurse most likely choose to treat a hypoglycemic reaction?

OJ

Which of the following meds may be used for both type 1 and type 2?

R

A client is prescribed miglitol. The nurse would instruct the client to administer this drug at which time?

TID with first bite of meal

A nurse is caring for a client who has developed a hypoglycemic reaction. Which of the following interventions should the nurse perform if swallowing and gag reflexes are present in the client?

give oral fluids or candy

A client has been prescribed acarbose. Which of the following interventions should the nurse perform to promote an optimal response to the medication?

admin drug with first bite of meal

Which would be the correct method of admin glargine?

at bedtime

A nurse is assigned to administer insulin glargine to a client at a health care facility. What precaution should the nurse take when administering this drug?

avoid mixing with other insulins

A client is being discharged after being diagnosed with diabetes. The client is being taught how to monitor his blood glucose. After teaching the client, which statement indicates to the nurse that additional teaching is needed?

i should prick the tip of my finger to get the blood

20. A client is receiving glipizide at a health care facility. The client is also prescribed an anticoagulant. The nurse would be alert for which of the following related to the interaction of these two drugs?

increased hypoglycemic effect

28. A client who is receiving metformin develops lactic acidosis. When planning the care for this client, which nursing diagnosis would the nurse most likely identify?

ineffective breathing pattern

23. A nurse at a health care facility is assigned to administer insulin to the client. Which of the following interventions should the nurse perform before administering each insulin dose?

inspect previous injection site for inflammation

25. A nurse is caring for a client diagnosed with type 2 diabetes. When teaching the client about this condition, the nurse would identify which of the following as a risk factor?

obesity

A nurse is caring for a client with diabetes mellitus who is receiving an oral antidiabetic drug. Which of following ongoing assessments should the nurse perform when caring for this client?

observe client for hypoglycemic episodes

Where is insulin produced?

pancreas

A client with diabetes received a glycosylated hemoglobin test result of 9%. This indicates

poor blood glucose control

The mental health center is writing new admission protocols. Which population should be routinely tested for elevated blood sugars?

schizophrenic clients on second-gen antipsychotics

18. A client at a health care facility has been prescribed diazoxide for hypoglycemia due to hyperinsulinism. After administration, the nurse would assess the client for which adverse reaction?

tachycardia

A nurse is preparing to administer a drug that helps lower blood glucose by increasing the production of insulin by beta cells in the pancreas. Which of the following might this be? Select all that apply.

A) Glyburide (DiaBeta) D) Glipizide (Glucotrol)

As part of the ongoing assessment of a client receiving insulin detemir, the nurse would suspect that the insulin is not effective based on assessment of which of the following? Select all that apply.

A) Increased thirst B) Increased urination E) Abd pain

After teaching an in-service presentation to a group of nurses about diabetes and insulin, the presenter determines that the presentation was successful when the group identifies which of the following as a rapid-acting insulin? Select all that apply

A) Insulin aspart (NovoLog) E) Insulin glulisine (Apidra)

A client is receiving metformin (Glucophage). The nurse suspects that the client is developing lactic acidosis based on assessment of which of the following? Select all that apply.

A) Malaise C) Tachypnea D) Abdominal pain E) Muscular pain

5. A nurse is caring for a client receiving insulin glargine (Lantus) 20 units at bedtime. Initiation of which of the following drugs may increase the client's insulin requirement? Select all that apply.

A) Methylprednisolone (Medrol) - corticosteroid D) Estradiol (Estrace) - estrogen E) Niacin (Niaspan)

The nurse monitoring a client receiving insulin glulisine (Apidra) notices the client has become confused, diaphoretic, and nauseated. The nurse checks the client's blood glucose and it is 60 mg/dL. Which of the following would the nurse most likely give? Select all that apply.

A) Orange or other fruit juice B) Glucose tablets D) Hard candy

A nurse should monitor a client taking glyburide (DiaBeta) for increased hypoglycemic effect if which of the following drugs are initiated? Select all that apply.

A) Ranitidine (Zantac) - H2 antag B) Warfarin (Coumadin) - anticoag E) Amitriptyline (Elavil) - tricylic

Which of the following produce their glucose-lowering effect by decreasing insulin resistance and increasing insulin sensitivity? Select all that apply.

A) Rosiglitazone (Avandia) C) Pioglitazone (Actos)

A nurse is caring for a client receiving insulin detemir 10 units at bedtime. Which of the following drugs, if started, would most likely require a decrease in the dosage of insulin?

A) Sulfamethoxazole/trimethoprim (Septra) - sulfa B) Metoprolol (Lopressor) - beta blocker C) Fenofibrate (Tricor) - f9brates