Chapter 38: Agents to Control Blood Glucose Levels #2
Which strategy will NOT increase the therapeutic effect of insulin? Regular insulin should be administered 30 minutes before meals. Blood glucose levels should be monitored several times per day. All insulin should be stored in a refrigerator but never frozen. Insulin should be administered in the subcutaneous tissue.
All insulin should be stored in a refrigerator but never frozen.
The nurse is caring for a client who has been prescribed glyburide. Which factor, if identified in the client history, would cause the nurse to inform the health care provider of a contraindication to use? A diagnosis of hypertension Increase in alkaline phosphatase The ingestion of carbohydrates Allergy to sulfonamides
Allergy to sulfonamides
A client who began treatment for type 2 diabetes 8 months ago is now meeting with a diabetic nurse for a scheduled follow-up. How can the nurse best assess the client's glycemic control since beginning treatment? Dialogue with the client about implemented management strategies. Review and discuss the data contained in the client's written blood glucose log. Arrange to have the client's random blood glucose measured. Assess the most recent hemoglobin A1C levels.
Assess the most recent hemoglobin A1C levels.
A female client visits the health care provider's office after routine labs are drawn. The nurse notes that her A1C is 9. How does the nurse interpret this finding? Client is in good glycemic control. Client's blood glucose demonstrates longstanding hypoglycemia. Client's blood glucose levels are not consistent. Client's average blood glucose is above normal.
Client's average blood glucose is above normal.
Insulin binds with and activates receptors on cell membranes. Once insulin-receptor binding occurs, the membranes become highly permeable to glucose. Which action does this enable? Entry of glucose into the cells Storage of glucagon in the cells Interruption of glucose movement across the membrane Release of glucagon from the cells
Entry of glucose into the cells
The nurse is interviewing a client who was diagnosed with type 2 diabetes four months ago. The client does not record glucometer readings. What laboratory test does the nurse anticipate the health care provider will order for this client? Fasting blood glucose in the AM Insulin level Stat urine for glucose HbA1c
HbA1c
The nurse monitoring a client receiving insulin glulisine notices the client has become confused, diaphoretic, and nauseated. The nurse checks the client's blood glucose and it is 60 mg/dL (3.33 mmol/L). Which can a nurse give to treat a client with a hypoglycemic episode? (Select all that apply.) Insulin glargine (Lantus) Orange or other fruit juice Insulin detemir (Levemir) Hard candy Glucose tablets
Orange or other fruit juice Glucose tablets Hard candy
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
A student asks the nursing instructor what insulin has the quickest therapeutic effect once administered. What would be the best response? Ultralente (Humulin U Ultralente) NPH (Humulin N) PZI (Humulin U) Regular (Humulin R)
Regular (Humulin R)
When considering the management of diabetic ketoacidosis (DKA), what type of insulin can be administered intravenously? regular lispro isophane insulin (NPH) insulin glargine
regular
