Chapter 38: Agents to Control Blood Glucose Levels #3

The nurse is discussing diabetes with a group of individuals who are at risk for the disease. Which statement by a participant indicates an understanding of the role of insulin in the disease? "Insulin causes fat to be broken down to provide energy for the body." "Insulin assists glucose molecules to enter the cells of muscle and fat tissues." "Insulin is used to move carbohydrate particles from the gastrointestinal system to the liver." "Insulin is stimulated by the liver to break down proteins and provide the body with nutrients."

"Insulin assists glucose molecules to enter the cells of muscle and fat tissues."

The client is scheduled to get a breakfast tray at 07:00. At what time should the client receive a prescribed dose of insulin lispro? 06:00 06:45 06:20 07:00

06:45

The nurse is educating a client who will be adding an injection of pramlintide to his insulin regimen. What information is most important for the nurse to share with this client to ensure safe medication administration? Inject pramlintide in the same site where insulin is administered. Pramlintide should only be injected in the hip. Do not give pramlintide in the same site where insulin is administered. Mix pramlintide in the same syringe with insulin.

Do not give pramlintide in the same site where insulin is administered.

Which would a nurse identify as an example of a sulfonylurea? Glyburide Acarbose Miglitol Metformin

Glyburide

When describing the effects of incretins on blood glucose control to a group of students, which would an instructor include? Increases glucagon release Increases insulin release Increases GI emptying Increases protein building

Increases insulin release

What is the expected action of sitagliptin on type 2 diabetes? It inhibits hydrogen, potassium, and ATPase. It slows the rate of inactivation of the incretin hormones. It is a synthetically prepared monosodium salt. It blocks the S phase of the cell cycle.

It slows the rate of inactivation of the incretin hormones.

The school nurse identifies more children with type 2 diabetes each year and recognizes that this trend is mainly attributed to what issue? Lack of after-school programs due to budget constraints Obesity and inadequate exercise Working parents Economics

Obesity and inadequate exercise

When considering the management of diabetic ketoacidosis (DKA), what type of insulin can be administered intravenously? regular lispro insulin glargine isophane insulin (NPH)

Regular

A client with diabetes is undergoing testing for glycosylated hemoglobin. The nurse instructs the client that this test measures average blood glucose over what time period? the past 7 to 10 days the past 3 or 4 months the past 12 to 24 hours the past 1 or 2 months

The past 3 or 4 months

After reviewing information about different insulin preparations, a nursing student demonstrates understanding of the information when the student identifies which medication as an example of a long-acting insulin? insulin lispro insulin aspart insulin glargine isophane insulin suspension

insulin glargine