Pharmacology 41-60

A patient asks the nurse why a vitamin with folic acid is needed during pregnancy. Which response by the nurse is most appropriate? A. "Folic acid prevents a birth defect called spina bifida." B. "You should talk to your healthcare provider." C. "Vitamins with folic acid prevent sprue during pregnancy." D. "Without folic acid, the fetus may develop cerebral palsy."

A. "Folic acid prevents a birth defect called spina bifida."

A patient with angina pectoris is prescribed sublingual nitroglycerin. Which statement made by the patient indicates understanding of the medication teaching? A. "I may experience a headache as a side effect." B. "The chest pain should be relieved within 20 minutes." C. "I should swallow the tablet and drink a glass of water." D. "I should take this medication in the morning before breakfast."

A. "I may experience a headache as a side effect."

The nurse teaches a patient how to administer intranasal cyanocobalamin [Nascobal]. The nurse should intervene if the patient makes which statement? A. "I should spray once in each nostril every day." B. "Coffee should be avoided for 1 hour." C. "I should not use the nasal spray if I have a cold." D. "I can also take this medication by self-injection."

A. "I should spray once in each nostril every day."

The nurse teaches a patient about benazepril [Lotensin]. Which statement by the patient requires an intervention by the nurse? A. "I use NoSalt instead of salt to season foods." B. "I eat sweet potatoes once or twice a week." C. "I drink 4 ounces of prune juice each morning." D. "I like asparagus because it's high in vitamin K."

A. "I use NoSalt instead of salt to season foods."

A child is prescribed iron replacement therapy. The nurse is teaching a parent about prevention of accidental iron poisoning in children. The nurse should intervene if the parent makes which statement? A. "There is not an antidote for an iron overdose." B. "Iron should be kept in childproof containers." C. "Early signs of iron poisoning include nausea and vomiting." D. "Iron is most often the cause of poisoning death in children."

A. "There is not an antidote for an iron overdose."

A patient is receiving an intravenous infusion of heparin to treat a pulmonary embolism. What laboratory value will the nurse monitor to evaluate treatment with this medication? A. Activated partial thromboplastin time (aPTT) B. Prothrombin time (PT) C. Platelet count D. Hemoglobin and hematocrit

A. Activated partial thromboplastin time (aPTT)

A patient with which condition would most likely be prescribed a glucocorticoid in low doses for replacement therapy? A. Addison's disease B. Rheumatoid arthritis C. Systemic lupus erythematosus D. Cushing's syndrome

A. Addison's disease

A patient has a serum potassium level of 3.1 mEq/L. It is appropriate for the nurse to take which action? A. Administer the ordered sustained-release potassium tablets [K-Dur]. B. Immediately stop the infusion of the maintenance IV, which has 30 mEq of potassium in it. C. Prepare to administer the ordered intravenous dose of furosemide [Lasix]. D. Administer the prescribed dose of sodium polystyrene sulfonate [Kayexalate]. -

A. Administer the ordered sustained-release potassium tablets [K-Dur].

The nurse cares for a patient who receives darbepoetin alfa [Aranesp]. Before administration of this medication, it is most important for the nurse to assess what? A. Blood pressure B. Lymphocyte count C. Excessive bruising D. Temperature

A. Blood pressure

Cholestyramine has been prescribed for a patient. Which instruction should the nurse include in patient teaching? A. Cholestyramine can impair absorption of fat-soluble vitamins. B. Stop taking the drug if you develop constipation. C. Take cholestyramine with other drugs you are prescribed to enhance absorption. D. Do not take the medication if the formula is cloudy after mixing with water.

A. Cholestyramine can impair absorption of fat-soluble vitamins.

A patient with stage 2 hypertension has been prescribed a thiazide diuretic and an angiotensin-converting enzyme inhibitor. It is most appropriate for the nurse to do what? A. Contact the healthcare provider. B. Administer both drugs to the patient. C. Administer the thiazide diuretic at bedtime. D. Hold the medications if the blood pressure is normal.

A. Contact the healthcare provider.

The nurse administers filgrastim [Neupogen] daily to a patient after completion of chemotherapy. After 4 weeks, the patient's neutrophil count is 11,500/mm3. The nurse should take which action? A. Hold the filgrastim and notify the prescriber. B. Assess the patient's temperature. C.Check the patient for signs of an infection. D. Administer the scheduled dose of filgrastim.

A. Hold the filgrastim and notify the prescriber. Assess the patient's temperature.

The nurse cares for a patient receiving digoxin [Lanoxin]. What indicates to the nurse that treatment with this medication is effective? A. Improved cardiac output B. Reduced exercise tolerance C. Increased body weight D. Decreased cardiac contractility

A. Improved cardiac output

The healthcare provider prescribes sustained-release verapamil [Calan SR] to an 82-year-old patient who takes digoxin [Lanoxin] daily. Which action is most appropriate for the nurse to take? A. Monitor the patient's cardiac rhythm continuously. B. Assess the patient for tachycardia and hypertension. C. Maintain the patient on bed rest for 8 to 10 hours. D. Reduce dietary fiber to prevent loose, watery diarrhea.

A. Monitor the patient's cardiac rhythm continuously.

When providing discharge teaching for a patient who has been prescribed furosemide [Lasix], it is most important for the nurse to include which dietary items to prevent adverse effects of furosemide [Lasix] therapy? A. Oranges, spinach, and potatoes B. Baked fish, chicken, and cauliflower C. Tomato juice, skim milk, and cottage cheese D. Oatmeal, cabbage, and bran flakes

A. Oranges, spinach, and potatoes

The nurse cares for a patient with a digoxin level of 1.9 ng/mL. Which action would be most appropriate for the nurse to take initially? A. Start continuous heart monitoring. B. Check the patient's serum creatinine. C. Administer digoxin as prescribed. D. Give Fab antibody fragments [Digibind].

A. Start continuous heart monitoring.

A patient is prescribed NPH insulin. Which statement should the nurse include in the discharge instructions? A. The insulin will have a cloudy appearance in the vial. B. The onset of action is rapid. C. The patient should not mix Lantus with short-acting insulin. D. The patient will have no risk of allergic reactions with this insulin.

A. The insulin will have a cloudy appearance in the vial.

A patient has hypertension, type 2 diabetes, and chronic kidney disease. Which blood pressure goal would be most beneficial for this patient? A. Blood pressure less than 140/90 mm Hg B. Diastolic blood pressure less than 100 mm Hg C. Blood pressure less than 130/80 mm Hg D. Systolic blood pressure less than 160 mm Hg

C. Blood pressure less than 130/80 mm Hg

A nurse instructs a patient about signs and symptoms of digoxin toxicity. The nurse determines that teaching is successful if the patient makes which statement? A. "If my heart is racing, the dose may be too high." B. "I should report any muscle weakness or nausea." C. "My doctor should be notified if diarrhea occurs." D. "The dose will be reduced if I develop memory loss."

B. "I should report any muscle weakness or nausea."

The nurse instructs a patient about taking levothyroxine [Synthroid]. Which statement by the patient indicates the teaching has been effective? A. "To prevent an upset stomach, I will take the drug with food." B. "If I have chest pain or insomnia, I should call my doctor." C. "This medication can be taken with an antacid." D. "The drug should be taken before I go to bed at night."

B. "If I have chest pain or insomnia, I should call my doctor."

The nurse instructs a patient in the administration of Lugol's solution. The nurse determines that teaching has been effective if the patient makes which statement? A. "I'll need to take this solution for the rest of my life." B. "The medication should be diluted in fruit juice." C. "To prevent stains on my teeth, I'll use a straw." D. "The solution should be placed under my tongue."

B. "The medication should be diluted in fruit juice."

A patient with Cushing's syndrome is prescribed an antibiotic, ketoconazole [Nizoral] 600 mg/day, before an adrenalectomy. The patient asks the nurse why an antibiotic is needed. Which response by the nurse is best? A. "The medication will prevent an abdominal infection after surgery." B. "The medication will block the adrenal gland from producing steroids." C. "You have a urinary tract infection that must be treated before surgery." D. "It is essential to prevent skin infection in patients undergoing surgery."

B. "The medication will block the adrenal gland from producing steroids."

The nurse instructs a patient about taking nifedipine [Procardia XL]. Which statement made by the patient indicates an understanding of medication teaching? A. "I'll stop taking my beta blocker." B. "The pill should be swallowed whole." C. "The drug will cause constipation." D. "This drug treats heart rhythm problems."

B. "The pill should be swallowed whole."

A patient diagnosed with ST-elevation myocardial infarction has been scheduled for an angioplasty. Which medication does the nurse anticipate administering before this procedure? A. Dobutamine [Dobutrex] B. Abciximab [ReoPro] C. Alteplase [Activase] D. Warfarin [Coumadin]

B. Abciximab [ReoPro]

A patient with hemophilia reports mild joint pain. Which over-the-counter medication should the nurse recommend to this patient? A. Ibuprofen [Motrin] B. Acetaminophen [Tylenol] C. Enteric-coated aspirin D. Ginkgo biloba

B. Acetaminophen [Tylenol]

A patient diagnosed with heart failure has stage 1 hypertension. Which medication, if ordered by the healthcare provider, should the nurse question? A. Angiotensin-converting enzyme inhibitor B. Calcium channel blocker C. Thiazide diuretic D. Beta blocker

B. Calcium channel blocker

A patient is prescribed ferrous sulfate and complains of stomach upset after taking the medication. Which action by the nurse is most appropriate? A. Instruct the patient to take the medication with food or milk. B. Contact the prescriber to reduce the dosage. C. Have the patient take the medication with an antacid. D. Switch the medication to a liquid form and mix with juice.

B. Contact the prescriber to reduce the dosage.

A patient with a urinary creatinine clearance of 55 mL/min is prescribed desmopressin [DDAVP]. It is most important for the nurse to assess the patient for what? A. Irritability, muscle weakness, and back pain B. Drowsiness, listlessness, and headache C. Fever, tachycardia, and hypotension D. Decreased skin turgor, weight loss, and dry skin

B. Drowsiness, listlessness, and headache

A patient with severe hypertension is prescribed minoxidil. Which medications will the nurse expect to be administered to reduce adverse responses to minoxidil? A. Adenosine [Adenocard] and ticlopidine [Ticlid] B. Furosemide [Lasix] and propranolol [Inderal] C. Digoxin [Lanoxin] and captopril [Capoten] D. Donepezil [Aricept] and clonidine [Catapres]

B. Furosemide [Lasix] and propranolol [Inderal]

A patient with heart failure who takes furosemide [Lasix] is diagnosed with bacterial pneumonia. Which medication, if ordered by the physician, should the nurse question? A. Ciprofloxacin [Cipro] B. Gentamicin [Garamycin] C. Amoxicillin [Amoxcil] D. Erythromycin [E-Mycin]

B. Gentamicin [Garamycin]

A patient receives a dose of epoetin alfa [Epogen] 3 times a week. What laboratory value will the nurse monitor to determine the therapeutic benefit of this medication? A. White blood cell count B. Hemoglobin C. Serum potassium D. Platelet count

B. Hemoglobin

A patient's cardiac output is 8 L/min. Which hemodynamic effect would the nurse expect? A. Decreased contractility B. Increased stroke volume C. Decreased preload D. Increased arterial pressure

B. Increased stroke volume

A patient who is vomiting has the following arterial blood gases: pH 7.49, PaCO2 42.5 mm Hg, and HCO3 28.2 mEq/L. What treatment does the nurse anticipate will be prescribed to correct this imbalance? A. Sodium bicarbonate intravenous infusion B. Infusion of sodium chloride with potassium chloride C. Rebreathing of expired air through a paper bag D. Hypertonic solution of 3% sodium chloride

B. Infusion of sodium chloride with potassium chloride

A patient who is hospitalized for an infection takes eplerenone [Inspra] for heart failure. Which medication, if ordered by the physician, should the nurse question? A. Ciprofloxacin [Cipro] B. Itraconazole [Sporanox] C. Tetracycline [Sumycin] D. Ampicillin [Principen]

B. Itraconazole [Sporanox]

A patient is prescribed metformin. Which statement about metformin does the nurse identify as true? A. Metformin increases absorption of vitamin B12. B. Metformin can delay the development of type 2 diabetes in high-risk individuals. C. Metformin causes patients to gain weight. D. Metformin use predisposes patients to alkalosis.

B. Metformin can delay the development of type 2 diabetes in high-risk individuals

The nurse cares for a patient with primary hypoaldosteronism who took excessive doses of fludrocortisone [Florinef]. It is most important for the nurse to assess the patient for what? A. Increased urine output and bradycardia B. Muscle weakness and an irregular heartbeat C. Hypotension and poor skin turgor D. Weight loss and hyperactive reflexes

B. Muscle weakness and an irregular heartbeat

A patient is prescribed a medication that causes venous dilation. It is most important for the nurse to teach the patient about what? A. B-natriuretic peptide B. Postural hypotension C. Increased urination D. Intermittent claudication

B. Postural hypotension

A patient is prescribed hydralazine. What is most important for the nurse to teach the patient? A. Precautions for postural hypotension B. Prevention of reflex tachycardia C. High initial dose for slow acetylators D. Recognition of hypertrichosis

B. Prevention of reflex tachycardia

A patient with a serum magnesium level of 0.5 mEq/L receives an intravenous infusion of 10% magnesium at 1.5 mL/min. The nurse should assess the patient for which adverse effects? A. Skeletal muscle paralysis, bloating, and ileus B. Respiratory paralysis, hypotension, and lethargy C. Muscle twitching, disorientation, and seizures D. Peaked T wave, tingling of the lips, and anxiety

B. Respiratory paralysis, hypotension, and lethargy

The nurse will teach a patient who is prescribed niacin [Niacor] to prevent flushing of the face by doing what? A. Drinking a full glass of water after taking the medication B. Taking 325 mg of aspirin 30 minutes before each dose C. Ingesting a meal before taking the medication D. Increasing dietary fiber before and after each dose

B. Taking 325 mg of aspirin 30 minutes before each dose

A patient takes levothyroxine [Synthroid] 0.75 mcg every day. It is most appropriate for the nurse to monitor which laboratory test to determine whether a dose adjustment is needed? A. Thyrotropin-releasing hormone (TRH) B. Thyroid-stimulating hormone (TSH) C. Serum free T4 test D. Serum iodine level

B. Thyroid-stimulating hormone (TSH)

A patient is prescribed lovastatin [Mevacor]. The nurse will teach the patient to take the medication at which time? A. With any meal B. With the evening meal C. 1 hour before breakfast D. 2 hours after a meal

B. With the evening meal

A patient who is taking spironolactone [Aldactone] is prescribed losartan [Cozaar]. The nurse should take which action? A. Assess for symptoms of hyperkalemia. B. Observe for a hypertensive crisis. C . Administer the medications as scheduled. D. Evaluate for first-dose hypotension.

C . Administer the medications as scheduled.

The caregiver of a patient with hemophilia is learning how to administer clotting factor VIII at home. Which statement, made by the caregiver, indicates understanding of the instructions? A. "I will inject the solution into the fatty tissue of the abdomen." B. "An aspirin should be taken first to prevent clotting." C. "I will watch for hives, difficulty breathing, and facial swelling." D. "I will give the clotting factors once or twice a month."

C. "I will watch for hives, difficulty breathing, and facial swelling."

The nurse teaches a patient diagnosed with chronic stable angina about the mechanism of action of nitroglycerin. The nurse should include which instruction? A. "Nitroglycerin reduces vasospasms of the heart's arteries, which improves blood supply." B. "Nitroglycerin opens the arteries to allow more oxygen to be delivered to the heart muscle." C. "Nitroglycerin dilates veins, which decreases the amount of oxygen needed by the heart." D. "Nitroglycerin improves blood flow to the heart muscle by increasing blood pressure."

C. "Nitroglycerin dilates veins, which decreases the amount of oxygen needed by the heart."

A patient is prescribed a nitroglycerin transdermal patch. The nurse should include which statement when teaching the patient how to use this medication? A. "Apply the patch to the chest over the heart." B. "Change the patch each week." C. "Remove the patch at bedtime." D. "Put on the patch before exercising."

C. "Remove the patch at bedtime."

Which patient taking oprelvekin [Neumega] would be most at risk for developing a serious consequence if fluid retention should occur? A. A 32-year-old patient with diabetes mellitus B. A 59-year-old patient with first-degree heart block C. A 68-year-old patient with heart failure D. A 72-year-old patient with renal insufficiency

C. A 68-year-old patient with heart failure

During administration of alteplase [Activase], the patient's IV site starts to ooze blood around the catheter. Which action by the nurse is most appropriate? A. Discontinue the infusion of alteplase. B. Assess the patient's vital signs. C. Apply direct pressure over the puncture site. D. Administer aminocaproic acid [Amicar].

C. Apply direct pressure over the puncture site.

A patient has been diagnosed with a STEMI. Which medications does the nurse expect to be prescribed for this patient? A. Beta blocker, angiotensin II receptor blocker, and oxygen B. Aspirin, angiotensin-converting enzyme inhibitor, and diuretics C. Aspirin, beta blocker, oxygen, morphine, and nitroglycerin D. Heparin, nitroprusside, morphine, and calcium channel blocker

C. Aspirin, beta blocker, oxygen, morphine, and nitroglycerin

A patient is prescribed verapamil [Calan]. The nurse should assess the patient for which common adverse effects? A. Atrial fibrillation, photosensitivity, and blurred vision B. Tachycardia, stomatitis, and inflammation of the joints C. Constipation, headache, and edema of the ankles and feet D. Dry mouth, lymphadenopathy, and decreased appetite

C. Constipation, headache, and edema of the ankles and feet

A pediatric patient is prescribed somatropin [Humatrope] for growth hormone deficiency. It is most appropriate for the nurse to take which action? A. Perform a venipuncture to give the medication intravenously. B. Obtain a straw to prevent staining of the tooth enamel. C. Draw up the drug into a syringe and give it subcutaneously. D. Mix the medication in 30 mL of fruit juice.

C. Draw up the drug into a syringe and give it subcutaneously.

A child with type 1 diabetes mellitus is diagnosed with growth hormone deficiency and is started on somatropin [Humatrope]. It is most appropriate for the nurse to monitor the child for which condition? A. Renal insufficiency B. Hypertension C. Hyperglycemia D. Hypothyroidism

C. Hyperglycemia

Which patient does the nurse identify as most likely needing an increased dose of warfarin [Coumadin] to have the same anticoagulant effect? A. Patient taking acetaminophen [Tylenol] for back pain B. Patient taking cimetidine [Tagamet] to prevent gastric ulcers C. Patient taking oral contraceptives to prevent pregnancy D. Patient taking prednisone [Deltasone] for rheumatoid arthritis

C. Patient taking oral contraceptives to prevent pregnancy

What is the antidote for heparin? A. Ferrous sulfate B. Atropine sulfate C. Protamine sulfate D. Magnesium sulfate

C. Protamine sulfate

A patient is prescribed a medication that lowers the arterial blood pressure. The nurse should assess for which response by the body to restore the blood pressure? A. Orthostatic hypotension B. Fluid retention C. Reflex tachycardia D. Increased natriuresis

C. Reflex tachycardia

A patient is prescribed spironolactone [Aldactone] for treatment of hypertension. Which foods should the nurse teach the patient to avoid? A. Baked fish B. Low-fat milk C. Salt substitutes D. Green beans

C. Salt substitutes

A patient is prescribed digoxin [Lanoxin] and furosemide [Lasix]. It is most important for the nurse to assess which value before administering these medications? A. Serum sodium B. Blood urea nitrogen C. Serum potassium D. Plasma B-natriuretic peptide

C. Serum potassium

A patient has a serum potassium level of 6.4 mEq/L and an arterial pH of 7.22. Which medication, if ordered by the physician, should the nurse question? A. Sodium bicarbonate infusion B. Glucose and insulin infusion C. Spironolactone D. [Aldactone] by mouth Calcium gluconate infusion

C. Spironolactone

A female patient who is diabetic sustained an ST-elevation myocardial infarction (STEMI). The nurse provides discharge teaching. Which statement, made by the patient, indicates that further teaching is required? A. "Medications are needed to prevent heart failure." B. "I will take aspirin, atenolol, and captopril indefinitely." C. "My blood pressure should be less than 130/80 mm Hg." D. "Daily estrogen will prevent another heart attack."

D. "Daily estrogen will prevent another heart attack."

The nurse teaches a patient with Addison's disease about hydrocortisone replacement therapy. Which statement, made by the patient, indicates that the teaching was effective? A. "I can expect my blood sugar levels to be high." B. "If I become ill, the dose needs to be reduced." C. "It's important to take the medication at bedtime." D. "I should keep an emergency supply of this drug available at all times."

D. "I should keep an emergency supply of this drug available at all times."

A patient is prescribed sustained-release oral nitroglycerin capsules for chronic stable angina. The nurse should include which instruction? A. "Avoid exercising to help prevent chest pain." B. "Place the capsule under the tongue if chest pain occurs." C. "Take the capsule as needed before exercise or exertion." D. "Sit or lie down if dizziness or lightheadedness occurs."

D. "Sit or lie down if dizziness or lightheadedness occurs."

The nurse teaches a patient with hypothalamic diabetes insipidus about desmopressin [DDAVP]. The nurse determines that the teaching was effective if the patient makes which statement? A. "I should increase my fluid intake to prevent dehydration." B. "The medication should be taken every day for 6 months." C. "I can expect to urinate more often while taking this drug." D. "The medication can be taken by inhaling through my nose."

D. "The medication can be taken by inhaling through my nose."

Which patient is the most appropriate candidate for both lifestyle changes and drug therapy with an antihypertensive medication? A. A 47-year-old patient with blood pressure of 110/78 mm Hg and with type 2 diabetes mellitus B. A 76-year-old patient with blood pressure of 128/88 mm Hg and a history of dyslipidemia C. A 52-year-old patient with blood pressure of 136/89 mm Hg who smokes 1 pack of cigarettes per day D. A 32-year-old patient with blood pressure of 142/94 mm Hg who is sedentary

D. A 32-year-old patient with blood pressure of 142/94 mm Hg who is sedentary

Which patient would the nurse expect to have the highest risk for postural hypotension? A. A patient who is prescribed a drug that acts primarily on the arterioles B. A patient who is prescribed a drug that blocks the renin-angiotensin-aldosterone system C. A patient who is prescribed a drug that triggers the baroreceptor reflex D. A patient who is prescribed a drug that promotes venous vasodilation

D. A patient who is prescribed a drug that promotes venous vasodilation

Which patient would most likely be prescribed sodium nitroprusside [Nitropress]? A. A patient with a recent diagnosis of essential hypertension B. A patient with heart failure who receives weekly home visits C. A patient who is hypotensive after a myocardial infarction D. A patient with a hypertensive crisis in the intensive care unit

D. A patient with a hypertensive crisis in the intensive care unit

After administration of clotting factor IX, a patient develops severe dyspnea and facial swelling. Which action should the nurse take first? A. Determine whether the patient has a fever or hives. B. Obtain an arterial blood gas specimen for evaluation. C. Give an oral dose of diphenhydramine [Benadryl]. D. Administer a subcutaneous dose of epinephrine.

D. Administer a subcutaneous dose of epinephrine.

A patient with hyperthyroidism is taking propylthiouracil (PTU). It is most important for the nurse to assess the patient for which adverse effects? A. Gingival hyperplasia and dysphagia B. Dyspnea and a dry cough C. Blurred vision and nystagmus D. Fever and sore throat

D. Fever and sore throat

The nurse cares for a patient who is prescribed oral bumetanide twice daily. It is most important for the nurse to take which action? A. Monitor the patient for signs and symptoms of hyperkalemia. B. Insert a urinary catheter and assess the hourly urine output. C. Weigh the patient before administering each dose. D. Schedule the medication to be given at 0800 and 1400

D. Schedule the medication to be given at 0800 and 1400

A patient in the emergency department is diagnosed with ST-elevation myocardial infarction (STEMI). The patient has been prescribed 325 mg of aspirin. Which action by the nurse is appropriate? A. Administer the medication to the patient if a headache develops. B. Administer the medication with a full glass of water. C. Instruct the patient to let the tablet dissolve under the tongue. D. Tell the patient to chew the tablet thoroughly.

D. Tell the patient to chew the tablet thoroughly.

A patient is to receive a scheduled dose of diltiazem [Cardizem]. The nurse should hold the medication and contact the prescriber if which of the following is noted? A. The patient's blood pressure is 112/64 mm Hg. B. The patient's cardiac rhythm is atrial fibrillation. C. The patient is complaining of chest pain. D. The patient is in second-degree heart block.

D. The patient is in second-degree heart block.

A patient is prescribed insulin glargine [Lantus]. Which statement should the nurse include in the discharge instructions? A. The insulin will have a cloudy appearance in the vial. B. The insulin should be injected twice daily (before breakfast and dinner). C. The patient should mix Lantus with the intermediate-acting insulin. D. The patient will have less risk of hypoglycemic reactions with this insulin.

D. The patient will have less risk of hypoglycemic reactions with this insulin.