Diabetes Meds

Glucagon (GlucaGen)

hyperglycemic agent

Some clients use a ...., which is programmed to deliver a basal rate of insulin along with blouses that you give in relation to mealtimes

insulin pump

NPH insulin

intermediate acting insulin; injectable hypoglycemic

Insulin glargine (Lantus)

long acting insulin; injectable hypoglycemic

A nurse is caring for a client who is about to begin taking pioglitazond to treat type two diabetes mellitus. The nurse should explain to the client about the need to monitor which of the following laboratory values? (Select all that apply.)

- Alanine aminotransferase (ALT) - LDL

A nurse is providing teaching to a client who is about to begin exentide therapy to treat type two diabetes mellitus. Which of the following instruction should the nurse include? (Select all that apply.)

- Inject the drug subcutaneously - Expect the peak effect in 2 hours - Use to drug as a supplement to an oral hypoglycemic

A nurse administers pramlintide at 0800 to a client who had type 1 diabetes mellitus. At which of the following times should the nurse expect the drug to exert its peak action?

0820

NPH insulin onset

1-2 hours

Regular insulin peak

1-5 hrs

Lispro onset

15-30 mins

NPH insulin duration

16-24 hours

Insulin glargine (Lantus) duration

18-24 hours

Lispro duration

3-6 hours

Regular insulin onset

30 mins-1 hr

Lispro peak

30 mins-2.5 hours

Regular insulin duration

6-10 hrs

NPH insulin peak

6-14 hours

Insulin glargine (Lantus) onset

70 mins

A nurse is caring for a client who is taking metformin and is scheduled to undergo angiograpy using iodine containing contrast dye. The nurse should identify that in in direction between metformin and the IV contrast dye increases the clients risk for which of the following conditions?

Acute renal failure

A nurse is teaching a client who has a prescription for pranlintide therapy to treat type 1 diabetes mellitus. Which of the following instructions should the nurse include?

Administer pramlintide before meals

A nurse is teaching a client who has a prescription for glipizide therapy to treat type two diabetes mellitus. Which of the following instructions should the nurse include?

Avoid drinking alcohol.

A nurse is caring for a client who is about to begin insulin glargine therapy. The nurse should identify the need for additional precautions because the client also takes which of the following types of drugs?

Beta blockers

Metformin (Glucophage)

Biguanide; oral hypoglycemic

A nurse is teaching a client about acarbose therapy to treat type two diabetes mellitus. Which of the following instruction should the nurse include?

Eat more iron-rich foods

Sitagliptin (Januvia)

Gliptins; oral hypoglycemic

Which of the following drugs should be a nurse have available for a client who is experiencing insulin toxicity?

Glucagon

Exenatide (Byetta)

Incretin mimetic; supplement for sulfonyluras or metformin

A nurse is caring for a client who is taking metformin to treat type 2 diabetes mellitus and resorts muscle pain. Which of the following adverse reactions should the nurse suspect?

Lactic acidosis

A nurse is teaching a client about self administering regular insulin. The nurse should instruct the client to rotate injection sites to prevent which of the following?

Lipohypertrophy

Repaglinide (Prandin)

Meglitinides; oral hypoglycemic

A nurse is speaking with a client who is taking glipizide to treat Type two diabetes mellitus and has called to report feeling shaky, hungry, and fatigue. Which of the following actions should the nurse instruct the client to take?

Perform a fingerstick blood glucose check

A nurse should recognize that a provider will prescribe a lower dose of sitagliptin for a client who has type two diabetes mellitus and who always has which of the following?

Renal impairment

A nurse is caring for a client who takes repaglinide 15 to 30 min before each meal to treat type two diabetes mellitus. The client asks, "If i skip a meal, what should i do?" Which of the following responses should the nurse make?

Skip the dose

Glipizide (Glucotrol)

Sulfonylureas; oral hypoglycemic

Pioglitazone (Actos)

Thiazolidinediones; oral hypoglycemic

A nurse is caring for a client who is taking desmopressin. The nurse should make which of the following assessments to evaluate the drug's effectiveness?

Urine output

A nurse is caring for a client who is taking pioglitazone to treat type 2 diabetes mellitus. The nurse should monitor for which of the following findings?

Weight gain

Acarbose (Precose)

alpha-glucosidase inhibitor; oral hypoglycemic

Pramlintide (Symlin)

amylin mimetic; adjunct to primary therapy

Insulin glargine (Lantus) peak

none, levels are steady

Lispro insulin (Humalog)

rapid acting insulin; injectable hypoglycemic

Regular insulin (Humulin R, Novolin R)

short acting insulin; injectable hypoglycemic