Diabetic Drugs

Which patient with diabetes should the nurse assess first? A. A patient who reports palpitations and tachycardia B. A patient who UO is 400 mL within one shift C. A patient with a blood glucose of 61 mg/dL who is complaining of a dry mouth D. A patient reporting abdominal pain who rates the pain as 4 on a scale of 1 to 10

A. A patient who reports palpitations and tachycardia

What physological response would the nurse expect in a patient after administration of insulin? A. Increased glucose uptake B. Decreased glucose uptake C. Decreased glucose storage D. Increased amino acid release

A. Increased glucose uptake

Four patient have been prescribed a non-insulin drug. Following administration of the drug, each patient has developed new symptoms. Which assessment data would indicate that the patient has a priority need for nursing intervention? A. Itching and rash B. No appetite and fatigue C. Diarrhea and abdominal pain D. Nonproductive cough and chills

A. Itching and rash

What oral anti-diabetic drug should be withheld for 48 hours before and after tests that require IV contrast dye? A. Metformin B. Repaglinide C. Rosiglitazone D. Pramlintide acetate

A. Metformin

Which insulin can be administered IV? A. Regular insulin B. Insulin glargine C. Isophane insulin suspension NPH D. Insulin detemir

A. Regular insulin

What class of medications is contraindicated for a patient with type 1 diabetes? A. Sulfonylureas B. SGLT-2 inhibitors C. Amylin analogues D. Long-acting insulins

A. Sulfonylureas

A patient presents to the emergency department reporting heart palpitations. The patient is flushed, smells of alcohol, and is taking glipizide. What might the nurse suspect based on this clinical presentation? A. The alcohol is reacting the with glipizide B. The patient is having a hypotensive crisis C. The patient is having a hypertensive crisis D. The alcohol caused high blood glucose levels

A. The alcohol is reacting with the glipizide

A type 2 diabetic patient who has been taking pioglitazone for 5 years has recently been diagnosed with heart failure. Which intervention can the nurse expect the HCP to implement? A. The current medication will be changed B. The current medication will be increased C. The current medication will be decreased D. Rosiglitazone will be prescribed in place of pioglitazone

A. The current medication will be changed

The nurse should instruct a diabetic patient to immediately report which symptoms? Select all that apply. A. Thirst B. Vomiting C. Constipation D. Increased UO E. Sweet, fruity breath odor

A. Thirst D. Increased UO E. Sweet, fruity breath odor

What onset of action would a nurse expect when administering glyburide? A. Within 1 hour B. After 3 hours C. Between 4-6 hours D. Between 8-10 hours

A. Within 1 hour

A nurse is treating an unconscious adult who is covered in sweat. The person has a history of diabetes. A blood glucose of 20 mg/dL is obtained. What should the nurse administer first? A. Glargine B. Glucagon C. Orange juice D. Regular insulin

B. Glucagon

Which type of insulin has an onset of 15 minutes? A. Insulin zinc B. Insulin lispro C. Insulin detemir D. Insulin isophane

B. Insulin lispro

Which oral non-insulin drug is contraindicated in patients with renal impairment? A. Acarbose B. Metformin C. Pioglitazone D. Rosigliazone maleate

B. Metformin

A patient with type 2 diabetes who has been admitted to the hospital for infection has been taking regular insulin for 10 years. Which statement made by the patient indicates a need for additional teaching? A. My insulin needs will be increased B. My insulin needs will be decreased C. I will need to make sure I stay hydrated D. I will need to make sure I do not skip any meals

B. My insulin needs will be decreased

Upon assessment, the nurse finds that a patient who has type 2 diabetes is alert, awake, pale, and complaining of weakness and nervousness. Which action should the nurse take first? A. Administer dextrose 50% B. Obtain a blood glucose level C. Call the HCP D. Administer table sugar under the tongue

B. Obtain a blood glucose level

A nurse is administering insulin glargine to a patient. What is the onset of action of this medication? A. 10 minutes B. 15-45 minutes C. 1-5 hours D. 6 hours

C. 1-5 hours

A nurse administering NPH insulin would expect peak effect to occur in what time frame? A. 1-2 hours B. 2-4 hours C. 6-12 hours D. 10-12 hours

C. 6-12 hours

What instructions should the nurse provide to a patient about an insulin pump prior to discharge? Select all that apply. A. Change the infusion set every 7 days B. Start the pump prior to eating a meal C. Change the infusion set every 1-3 days D. Use the same site for the catheter each time E. Move the catheter at least 1 inch away from the previous site

C. Change the infusion set every 1-3 days E. Move the catheter at least 1 inch away from the previous site

A patient with type 2 diabetes has a blood glucose of 50 mg/dL and the patient's scheduled dose of insulin is due. What is the appropriate nursing intervention. A. Recheck blood glucose B. No intervention is needed C. Hold scheduled dose and give orange juice D. Administer scheduled dose and give orange juice

C. Hold scheduled dose and give orange juice

The nurse asks a patient to state the symptoms of hypoglycemia to assess understanding. Which symptom stated by the patient indicates a need for additional teaching? A. Sweating B. Excessive hunger C. Increased energy D. Racing heartbeat

C. Increased energy

A patient taking insulin has developed hypertension and has been prescribed a thiazide diuretic. Which statement made by the patient indicates a need for additional teaching about the interactions between the two medications? A. My blood pressure should go down B. My insulin dose will need to be increased C. My insulin dose will need to be decreased D. My diet will not need to change if I take thiazide and insulin

C. My insulin dose will need to be decreased

A home health nurse is visiting a patient with type 2 diabetes to prefill insulin syringes. Where should the nurse store the prefilled insulin syringes? A. Freezer B. Window sill C. Refrigerator D. Kitchen counter

C. Refrigerator

A newly diagnosed type 2 diabetic patient asks the nurse, "Why do I need to rotate my injection sites?" Which nursing response is correct? A. There is no need to rotate injection sites B. You should apply an ice pack if you do not rotate sites C. Rotating injection sites in the abdomen promotes insulin absorption D. Rotating injection sites between the abdomen and thigh promotes insulin absorption

C. Rotating injection sites in the abdomen promotes insulin absorption

A patient diagnosed with type 2 diabetes states, "I do not eat breakfast, but I will make sure to take my repaglinide." What is a correct response by the nurse? A. The best meal to skip is breakfast B. This medicine does not regulate your blood glucose C. Skipping meals can cause your blood glucose to drop D. Taking this medication without food maintains your blood glucose

C. Skipping meals can cause your blood glucose to drop

At what time of day would a nurse expect to administer a dose of exenatide SQ? A. Before the patient goes to bed B. Immediately after the patient wakes up C. 60 minutes or less after the patient's meal D. 60 minutes or less before the patient's meal

D. 60 minutes or less before the patient's meal

The nurse is providing patient education on how acarbose helps treat diabetes. Which statement is most appropriate? A. Decreases the release of insulin from the pancreas B. Stimulates the release of insulin from the pancreas C. Reduces insulin resistance and decreases glucose production D. Prevents starches from immediately breaking down to simple sugars

D. Prevents starches from immediately breaking down to simple sugars

Which non-insulin drug should not be administered to a patient who is breastfeeding? A. Sitagliptin B. Repaglinide C. Pioglitazone D. Sulfonylureas

D. Sulfonylureas

A nurse is considering patient education on repaglinide. Which statement is correct? A. Take this medication 1 hour after eating B. Take this medication with or without food C. Take this medication on an empty stomach D. Take this medication 30 minutes or less before eating

D. Take this medication 30 minutes or less before eating

The nurse is preparing a combination of insulins for a SQ injection. Which insulin should the nurse draw up first? A. Insulin glargine B. The fast-acting insulin C. The long-acting insulin D. The short-acting insulin

D. The short-acting insulin

What nursing intervention is best practice prior to the administration of insulin? A. Obtaining vital signs B. Weighing of the patient C. Verification of the patient's age D. Verification of the dosage by two nurses

D. Verification of the dosage by two nurses