Pharmacology II Prep U Chapter 38: Agents to Control Blood Glucose Levels

A client receives regular insulin at 8:00 AM. The nurse would be alert for signs and symptoms of hypoglycemia at which time?

Between 10:00 AM and 12:00 PM

A man is brought to the emergency department. He is nonresponsive, and his blood glucose level is 32 mg/dL. Which would the nurse expect to be ordered?

Glucagon

The health care provider has ordered a change of prescription from rapid-acting insulin to an intermediate-acting type. Which adverse effect must the nurse closely monitor for in the client?

Hypoglycemia

Which factor would prohibit the administration of glipizide?

allergy to sulfonamides

A client's current condition requires rapid reduction of blood sugar levels. Which type of insulin will have the most rapid onset of action?

insulin lispro

A nurse at a health care facility is assigned to administer insulin to the patient. Which intervention should the nurse perform before administering each insulin dose?

Inspect the previous injection site for inflammation.

A client prescribed metformin is scheduled to undergo diagnostic testing with the administration of parenteral radiographic contrast media containing iodine. What fact should direct the nurse's plan of care for this client? The client will be prescribed an extra dose of metformin due to address the contrast material's effect on the body. Metformin should be discontinued at least 48 hours before and after diagnostic tests that use contrast medias. The client needs to be encouraged to drink 1 to 2 L of water to flush the contrast media out the kidneys. The metformin will be temporarily substituted for with insulin, to address the risk of potential kidney failure.

Metformin should be discontinued at least 48 hours before and after diagnostic tests that use contrast medias.

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 glargine

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 glargine insulin lispro insulin aspart isophane insulin suspension

insulin glargine

A nurse is preparing to administer a rapid-acting insulin. Which medication would the nurse most likely administer?

insulin lispro

When considering the management of diabetic ketoacidosis (DKA), what type of insulin can be administered intravenously?

regular

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

regular

What type of insulin will most likely be administered intravenously to a client with a blood glucose level over 600 mg/dL (33.33 mmol/L)?

regular insulin

A nurse is assigned to administer glargine to a patient at a health care facility. What precaution should the nurse take when administering glargine? Administer glargine via IV route. Avoid mixing glargine with other insulin. Shake the vial vigorously before withdrawing insulin. Administer insulin that has been refrigerated.

Avoid mixing glargine with other insulin.

Which would a nurse identify as an example of a sulfonylurea?

Glyburide

A client prescribed metformin is scheduled to undergo diagnostic testing with the administration of parenteral radiographic contrast media containing iodine. What fact should direct the nurse's plan of care for this client?

Metformin should be discontinued at least 48 hours before and after diagnostic tests that use contrast medias.

A client is admitted to the intensive care unit with diabetic ketoacidosis. The nurse knows that the client will be placed on an intravenous insulin drip. The only type of insulin that can be administered intravenously is:

Regular

What type of insulin will most likely be administered intravenously to a client with a blood glucose level over 600 mg/dL (33.33 mmol/L)? NPH insulin lente insulin ultralente insulin regular insulin

regular insulin