Flexi Quiz 10 study guide

Which statement made by a student nurse indicates the need for further teaching about pituitary insufficiency?

"Testosterone supplements may be prescribed for woman with gonadotropin deficiency."

When a diabetic patient asks about maintaining adequate blood glucose levels, which of the following statements by the nurse relates most directly to the necessity of maintaining blood glucose levels no lower than about 74 mg/dL?

"The central nervous system cannot store glucose and needs a continuous supply of glucose for fuel."

What is the nurse's best response about developing diabetes to the patient whose father has type 1 diabetes mellitus?

"You have a greater susceptibility for development of the disease because of your family history."

A client is administed insulin lispro at 8 am. The nurse would be alert for signs and symptoms of hypoglycemia at about which time?

9am

A nurse is preparing to administer insulin glargine to a client. What precaution should the nurse take when administering this drug?

Avoid mixing glargine with other insulin.

A nurse is caring for a client with diabetes mellitus who is receiving an oral antidiabetic drug. Which ongoing assessments should the nurse prioritize when caring for this client?

Fenofibrate sulfamethoxazole/trimethoprim Metoprolol

A nurse is teaching a client about the insulin product which has been prescribed. The nurse determines the session is successful when the client correctly chooses which insulin they will be using that acts by lowering the blood glucose by increasing the activity of the beta cells in the pancreas? Select all that apply.

Glyburide Glipizide

A nurse is preparing to administer insulin to the client. Which interventions should the nurse perform before administering each insulin dose?

Inspect the previous injection site for inflammation.

After teaching an in-service presentation to a group of nurses about diabetes and insulin, the presenter determines that the session was successful when the group correctly chooses which insulins as rapid-acting? Select all that apply.

Insulin aspart Insulin glulisine

The nurse is preparing a presentation for a local community group about diabetes. Which facts should the nurse include when explaining type 1 diabetes? Select all that apply.

Insulin supplementation required for survival Occurs before age 20

The nurse associates which assessment finding in the diabetic patient with decreasing renal function?

Protein in the urine during a random urinalysis.

The nurse is preparing to administer insulin glargine to a client. Which actions will the nurse prioritize when preparing the insulin? Select all that apply.

Remove all air bubbles from the syringe barrel. Check the health care provider's orders for the type and dosage of insulin. Check the expiration date on the vial.

A patient presents to the emergency room complaining of vomiting with severe back and leg pain. The patient's home medications include daily oral corticosteroids. Vital signs reveal a low blood pressure and there are peaked T waves on the electrocardiogram. What is the nurse's priority intervention?

Start and intravenous line

A nurse is preparing a teaching session for a client who is prescribed miglitol. The nurse would instruct the client to administer this drug at which time?

Three times a day with the first bite of a meal.

Which of the following would be included in the assessment of a patient with diabetes mellitus who is experiencing a hypoglycemic reaction? (Select all that apply.)

Tremors nervousness profuse perspiration

A nurse has administered glyburide to a client. The nurse predicts the client may experience a hypoglycemic event if which additional drug is also prescribed for this client? Select all that apply.

Warfarin Ranitidine Amitriptyline

Which important teaching point should the nurse include in the plan of care for a patient diagnosed with Cushing's disease?

Wash hands frequently

A client with hyperinsulinism has been prescribed diazoxide. After administration, which adverse reaction should the nurse priortize?

tachycardia

A nurse is teaching a client about acarbose. The nurse determines the teaching is successful when the client correctly states which instruction to follow when administering the drug at home?

Administer the drug with the first bite of the meal.

After administering insulin detemir to a client with diabetes, the nurse suspects that the client is developing hypoglycemia based on which assessment findings? Select all that apply.

Confusion Headache Diaphoresis

The nurse instructs a patient with type 1 diabetes mellitus to avoid which of the following drugs while taking insulin?

Furosemide (Lasix)

A nurse had determined a client has developed a hypoglycemic reaction. Which interventions should the nurse perform if the client can adequately demonstrate swallowing and gag reflexes?

Give oral fluids or candy.

The nurse is assessing a client who was administered metformin and notes hyperventilation, nausea, and somnolence. The nurse determines which nursing diagnosis should be prioritized for this client?

Ineffective Breathing Pattern

A nurse is preparing to administer a long-acting insulin to a client. Which insulin might the nurse administer? Select all that apply.

Insulin determir Insulin glargine

The nurse has administered glipizide and warfarin to a client. Which finding on assessment should the nurse prioritize?

Increased hypoglycemic effect.

A nurse is conduction a teaching session for a client newly diagnosed with type 2 diabetes on the importance of monitoring the blood glucose. The nurse determines additional teaching is necessary after the client makes which statement?

"I should prick the tip of my finger to get the blood."

The nurse monitoring a client receiving insulin glulisine notices the client has become confused, diaphoretic, and nauseated; and has a blood glucose of 60 mg/dL. Which emergent treatment would the nurse most likely give? Select all that apply.

Hard candy Glucose tablets Orange or other fruit juice

The nurse is caring for a patient who has undergone a thyroidectomy. Which patient complaint is highest priority requiring further evaluation?

Hoarsness

The nurse is assessing a client for risk factors associated with type 2 diabetes. Which findings would the nurse prioritize? Select all that apply.

Impaired glucose tolerance Obesity History of gestational diabetes

A diabetic patient is brought into the emergency department unresponsive. The arterial pH is 7.28. Besides the blood pH, which clinical manifestation is seen in uncontrolled diabetes mellitus and ketoacidosis?

Increased respiratory rate

The nurse is conducting ongoing assessment of a client receiving insulin determir. The nurse would question the effectiveness of the insulin based on which assessment findings? Select all that apply.

Increased urination abdominal pain increased thirst

A client is receiving glyburide. The nurse assesses the client for a decrease in the drug's effect if which additional drugs are initiated? Select all that apply.

Levothyroxine Phenytoin Amlodipine Atenolol

A nursing instructor is teaching a group of nursing students about type 2 diabetes. The instructor determines the session is successful when the students correctly choose which as a risk factor for individuals developing type 2 diabetes?

Obesity

The nurse is preparing to teach a client with diabetes about the new antidiabetic medication the health care provider has prescribed. Which drug will the client be receiving if the nurse explains it produces its glucose-lowering effect by decreasing insulin resistance and increasing insulin sensitivity? Select all that apply.

Pioglitazone Rosiglitazone

A client has been receiving metformin for several months arrives for a routine follow-up appointment reporting vague symptoms. Which assessment findings should the nurse prioritize? Select all that apply.

muscular pain abdominal pain tachypnea malaise

After teaching a group of nursing students about antidiabetic drugs, the instructor determines that the teaching was successful when the students correctly choose which drugs as producing the glucose-lowering effects by delaying the digestion and absorption of carbohydrates in the intestine? Select all that apply.

Acarbose Miglitol

Radioactive iodine is indicated for the treatment of hyperthyroidism. The nurse should include which teaching in this patient's plan of care?

An additional dose may be needed.

Following a parathyroidectomy, which electrolyte should the nurse most closely monitor?

Calcium

A nurse is preparing to administer exenatide to a client with type 2 diabetes. The nurse will question this order if which condition is noted in the client's medical record?

Diabetic ketoacidosis

The nurse recognizes which patient as having the greatest risk for undiagnosed diabetes mellitus?

Middle-aged Native American woman

The nurse is caring for a patient diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). What is the nurse's best action?

Monitor the changes in level of consciousness.

A nurse had administered glimepiride to a client with diabetes. Which finidings on the ongoing assessment should the nurse prioritize? Select all that apply.

Nausea Heartburn Hypoglycemia

A nurse is assessing a client receiving insulin glargine 20 units at bedtime. The nurse determines the insulin requirement may increase when preparing to administer which new drug? Select all that apply.

Niacin Estradiol Methylprednisolone