Week 7 Quiz questions

A teaching plan for a patient who is taking lispro (Humalog) should include which instruction by the nurse? "The duration of action for this insulin is about 8 to 10 hours, so you'll need a snack." "To achieve tight glycemic control, this is the only type of insulin you'll need." "Inject this insulin with your first bite of food, because it is very fast acting." "This insulin needs to be mixed with regular insulin to enhance the effects."

"Inject this insulin with your first bite of food, because it is very fast acting."

The nurse has done an initial assessment on assigned patients and is preparing to administer prescribed, scheduled insulin. All patients are alert and oriented x4 (A&OX4). It is 0807 and breakfast trays are scheduled to arrive at 0850. It would be most appropriate for the nurse to administer the insulin first to the patient who has 0730 chemstrip of 110 mg/dL and prescribed insulin glulisine (Apidra) 7 units 0730 chemstrip of 90 mg/dL and prescribed regular insulin (Humulin R) 5 units 0730 chemstrip of 100 mg/dL and prescribed insulin aspart (NovoLog) 5 units 0730 chemstrip of 80 mg/dL and prescribed NPH insulin (Novolin N) 34 units

0730 chemstrip of 80 mg/dL and prescribed NPH insulin (Novolin N) 34 units

For patients with type 1 diabetes mellitus, the premeal target is 70-110 mg/dL 80-130 mg/dL 180 mg/dL or lower 200 mg/dL or higher

80-130 mg/dL

A nurse instructs the parent of a child with influenza that which medication or medications may be used safely to reduce fever? Naproxen (Aleve) Acetaminophen (Tylenol) Aspirin (Bayer) Ibuprofen (Advil)

Acetaminophen (Tylenol)

A patient was involved in a motor vehicle crash which resulted in multiple fractures. He is discharged on oxycodone for pain. Which drug should he be encouraged to avoid while on this opioid? Mannitol Furosemide Aspirin Alcohol

Alcohol

A nurse provides discharge instructions for a patient who is taking acetaminophen (Tylenol) after surgery. The nurse should instruct the patient to avoid which product while taking acetaminophen? Alcoholic drinks Dairy products Bananas Leafy green foods

Alcoholic drinks

A drug that relieves pain without causing loss of consciousness is called an Agonist Antibiotic Analgesic Antagonist

Analgesic

A patient admitted to the hospital with a diagnosis of pneumonia asks the nurse, "Why am I receiving codeine? I don't have any pain." The nurse's response is based on the knowledge that codeine also has which effect? Immunostimulant Decongestant Antitussive Expectorant

Antitussive

A patient is scheduled to start taking insulin glargine (Lantus). On the care plan, a nurse should include which of these outcomes related to the therapeutic effects of the medication? Less frequent blood glucose monitoring Blood glucose control for 24 hours Peak effect achieved in 2 to 4 hours Mealtime coverage of blood glucose

Blood glucose control for 24 hours

Second generation sulfonylureas work by By slowing gastric emptying By delaying carbohydrate digestion and absorption By promoting insulin secretion by the pancreas Replacing insulin the pancreas does not produce

By promoting insulin secretion by the pancreas

A patient who took NPH insulin at 0800 reports feeling weak and tremulous at 1700. Which action should the nurse take? Give the patient's PRN dose of insulin. Take the patient's blood pressure. Advise the patient to lie down with the legs elevated. Check the patient's capillary blood sugar.

Check the patient's capillary blood sugar.

Which side effect of morphine (Duramorph) does not subside over time? Nausea and vomiting Respiratory depression Sedation Constipation

Constipation

What are the major adverse effects of biguanides? Hypoglycemic episodes GI symptoms Hypersensitivity reactions Injection site reactions

GI symptoms

A patient is admitted to the ED after a traumatic injury and is in severe pain from compound fractures. Which accompanying condition would be of greatest concern when administering an opioid? Asthma Hypertension Diabetes Head injury

Head injury

When administering insulin, the nurse must keep in mind that the most immediate and serious adverse effect of insulin therapy is Nausea and vomiting Postural hypotension Reflex tachycardia Hypoglycemia

Hypoglycemia

A nurse teaches a patient who takes daily low-dose aspirin for protection against myocardial infarction and stroke to avoid also taking which medication? Diphenhydramine (Benadryl) Ibuprofen (Motrin) Loratadine (Claritin) Zolpidem (Ambien)

Ibuprofen (Motrin)

A nurse administers naloxone (Narcan) to a postoperative patient experiencing respiratory sedation. What undesirable effect would the nurse anticipate after giving this medication? Nausea and vomiting Tics and tremors Increased pain Drowsiness

Increased pain

A patient newly diagnosed with type 1 diabetes asks a nurse, "How does insulin normally work in my body?" The nurse explains that normal insulin has which action in the body? It stimulates the pancreas to reabsorb glucose. It stimulates the liver to convert glycogen to glucose. It promotes the synthesis of amino acids into glucose. It promotes the passage of glucose into cells for energy.

It promotes the passage of glucose into cells for energy.

Why are second-generation sulfonylureas preferred over first-generation sulfonylureas? They can be taken with alcohol. They are more expensive. They are less potent. Significant drug-drug interactions are less common.

Significant drug-drug interactions are less common.

A patient who has been taking an opiate analgesic for chronic pain due to terminal cancer needs higher doses to produce the same pain relief as when originally prescribed. This may be an example of what? Addiction Physical dependence Withdrawal syndrome Tolerance

Tolerance