Chapter 38: Agents to Control Blood Glucose Levels #1

A client newly diagnosed with type 2 diabetes has attended educational sessions to provide insight into the diagnosis. Which of the client's statements should prompt the nurse to provide further teaching? "I'm disappointed, but I take some solace in the fact that I won't ever have to have insulin injections." "People always tried to encourage me to lose weight, and I suppose they might have been right." "From what I've learned, I know that the basic problem is that my pancreas can't keep up with my insulin needs." "I don't like getting this diagnosis, but I know that treatment now can prevent future health consequences."

"I'm disappointed, but I take some solace in the fact that I won't ever have to have insulin injections."

The nurse has just completed discharge instructions to a client who will be using a pen device to deliver his insulin dose. What statement by the client indicates a need for further instruction? "I need to turn the dial on the pen and listen for the locking ring before administering my insulin." "If I forget to take my insulin pen, I will be able to use the one that my wife uses." "I determine my dosage by the number of clicks that I hear." "This will make it easier for me to give my own insulin because of my poor eyesight."

"If I forget to take my insulin pen, I will be able to use the one that my wife uses."

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 The ingestion of carbohydrates Allergy to sulfonamides Increase in alkaline phosphatase

Allergy to sulfonamides

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.

A nurse is caring for a 48-year-old woman who has been hospitalized after injecting the wrong type of insulin. Which sign of hypoglycemia will the nurse be careful to observe for? Blurred vision Fruity breath Flushing of the face Dry skin

Blurred vision

A nurse is caring for a patient who has developed a hypoglycemic reaction. Which intervention should the nurse perform if swallowing and gag reflexes are present in the patient? Administer oral antidiabetics to the patient. Give oral fluids or candy. Administer glucagon by the parenteral route. Administer the insulin via insulin pump.

Give oral fluids or candy.

Which would be appropriate to include in teaching a client with type 2 diabetes? Clients with type 2 diabetes always progress to insulin injections if they do not follow dietary guidelines. Until you need to start insulin injections, you do not have to check your blood sugar. If you drink alcohol, it may be necessary to increase your oral antidiabetic medication. It is possible with weight loss and exercise to discontinue the use of antidiabetic medication.

It is possible with weight loss and exercise to discontinue the use of antidiabetic medication.

A client diagnosed with diabetic ketoacidosis has been admitted to the intensive care unit. The client is prescribed an intravenous insulin drip, so the nurse knows that what type of insulin will be administered? Regular. Isophane insulin (NPH). Insulin glargine. Lispro.

Regular.

After teaching a group of students about the various methods for the delivery of insulin, the instructor determines that the teaching was successful when the students identify which method as most commonly used for administration? Subcutaneous injection Implantable infusion pump Insulin pen Jet injector

Subcutaneous injection

A nurse is preparing to administer a rapid-acting insulin. Which medication would the nurse likely administer? insulin detemir insulin lispro insulin glargine isophane insulin suspension

insulin lispro