chapter 41 drug therapy for diabetes mellitus
what is teh expected action of sitagliptin on type 2?
it slows the rate of inactivation of the incretin hormones
a older adult client has been prescribed metformin for the treatment of type 2 for several years. which change in the client lab values may demonstrate a need to discontinue the med?
an increase in serum lactate
during a teaching session on the care of the client with diabetes, the nurse should make which statement to explain the difference in insulin?
"insulins have different onsets and duration of actions"
the nurse knows that the lunch trays are usually distributed at approximately 12:15. the nurse should plan to administer the clients prescribed 4 units of regular insulin at what time
11:45
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?
allergy to sulfonamides
a client newly diagnosed with type 2 has attented educational sessions to provide insight into the diagnosis. which of the client statements should promt the nurse to provide further teaching
I'm disappointed, but I take some solace in the fact that I wont ever have to have insulin injections
a client will be using an insulin pump to deliver a consistent amount of insulin to meet the clients needs. where should the nurse insert the pump for the maximum amount of absorption
abdomen
a hospital client diganosed with type 1 is prescribed regular insulin on a sliding scale. based on the clients blood glucose reading. the nurse administerd 8 units of insulin at 7:45. the nurse should consequently check the clients blood glucose level at what time to monitor peak effecitveness of the med?
between 9:45 and 10:45
an 8 month old infant admitted with a new diagnnosis of diabetes is to receive 1 unit of regular insulin. how will that 1 unit be administered
dilution strength of U-10
a client newly diagnosed with diabetes reports "constant,insatiable thirst" when providing teaching to the clinet, how should the nurse explain the symptoms?
excess glucose pulled more water through your kidneys and the increased urination caused thirt
the nurse is providing education to the parents of a child who has been newly diagnosed with type 1. what distinguishing characteristic of the disorder does the nurse include in the teaching
exogenous insulin is required for life
the nurse is providing education to a client who has been prescribed thearpy with an antidiabetic medication. during teaching, the nurse will caution the clinet against heavy intake of which herb?
garlic
the nurse is preparing to administer 20 units of NPH insulin to a client. before administering the med, the nurse should implement which interventions?
have a colleague confirm the dosage
a client has been prescribe acarbose. what is the advantage of acarbose over alternative drugs
it delays the digestion of complex carbohydrates
a client diagnosed with type 2 is prescribed pramlintide. how will this drug assist in controlling the client blood sugar?
it slows gastric emptying
a client who regularly takes metformin has developed a severe infection. hwo will the infection change the established diabetic regimen?
metformin is contraindicated in the presence of infections
the nurse is preparing to administer insulin intravenously to a client with a blood glucose level of over 600mg/dL (33.33 mmol?l). what type of insulin will the nurse MOST likely give
regular insulin
the nurse is educating a client regarding the use of pramlintide acetate for the treatment of diabetes type 1. what statement made by the client indicates that further education is required
since I amon this new med, I dont have to take my insulin any longer
a 4 year old child with type 1 becomes angry and then lethargic. what should the nurse educate the parents regarding the behavioral changes
the child may be experiencing a hypoglycemic response
a client has not had anything to eat or drink within the past 12 hours and has a fasting blood glucose level of 125 mg/dL. what does the nurse interpret these findings to indicate?
the client has an impaired fasting blood glucose level
which condition must be met in order for glyburide treatment to be effective?
the client must have functioning pancreatic beta cells
the parent of a child with diabetes asks the nurse why a quick-acting sugar given by mouth is better in the regulation of insulin than the use of intravenous glucose for a low blood sugar. which statement by the nurse represents the MOST appropriate response to the questions?
the ingestion of food allows the digestive tract to stimulate vagal activity and the release of incretins
a client eats a large meal of pasta. when does the nurse inform the client the insulin levels will rise?
the insulin levels will rise to a peak in a matter of minutes then decrease to baseline in 2 to 3 hours