INSULINS EXAM 2

A client has been newly diagnosed with type 2 diabetes. What statement would be appropriate for the nurse to include in the teaching? A. "Regular exercise makes your body better able to use the insulin it produces." B. "Until you need insulin injections, you do not have to check your blood sugar." C. "Clients with type 2 diabetes always progress to insulin injections if they do not follow dietary guidelines" D. "If you drink alcohol, it may be necessary for you to increase your oral antidiabetic medication."

A

A client with type 1 diabetes has been prescribed 12 units of regular insulin and 34 units of NPH insulin in the morning. How should the nurse explain why two different types of insulin are required to control the client's blood glucose? A. "The different onsets and peaks of the two types provide better overall glucose control." B. "NPH prevents regular insulin from being broken down in the body, allowing the use of a lower dose." C. "The combination negates the risk of adverse effects that would likely accompany a single, larger dose." D. "NPH stimulate the pancreas to produce more insulin, while regular insulin provides your body's short-term needs.

A

A client's current condition requires rapid reduction of blood sugar levels. Which type of insulin will have the most rapid onset of action? A. Insulin lispro B. Isophane (NPH) C. Isophane (NPH) D. Humulin R

A

A nurse is preparing to administer a rapid-acting insulin. Which medication would the nurse most likely administer? A. Insulin lispro B. Insulin glargine C. Insulin detemir D. Isophane insulin suspension

A

After reviewing information about different insulin preparations, a nursing student demonstrates understanding of the information when the student identifies which medication as an example of longacting insulin? A. Insulin glargine B. Insulin lispro C. Insulin aspart D. Isophane insulin suspension

A

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? A. Subcutaneous injection B. Insulin pen C. Jet injector D. Implantable infusion pump

A

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? A. HbA1C B. Stat urine for glucose C. Fasting blood glucose in the AM D. Insulin level

A

The nurse is providing education to a client who has been prescribed therapy with an antidiabetic medication. During teaching, the nurse will caution the client against heavy intake of which herb? A. Garlic B. Anise C. Basil D. Oregano

A

The nurse monitoring a client receiving insulin glulisine notices the client 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? A. Orange or other fruit juice B. Glucose tablets C. Insulin glargine (Lantus) D. Hard candy E. Insulin detemir (Levemir)

ABD

A man is brought to the emergency department. He is nonresponsive, and his blood glucose level is 32 mg/dL. What would the nurse expect to be ordered? A. Insulin lispro B. Glucagon C. Diazoxide D. Regular insulin

B

A nurse is assigned to administer glargine to a patient at a health care facility. What precaution should the nurse take when administering glargine? A. Administer glargine via IV route B. Avoid mixing glargine with other insulin C. Shake the vial vigorously before withdrawing insulin D. Administer insulin that has been refrigerated

B

A client is 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? A. Isophane insulin (NPH) B. Lispro C. Regular D. Insulin glargine

C

During a teaching session on the care of the client with diabetes, the nurse should make which statement to explain the differences in insulin? A. "Insulin is prescribed based on the insurer's criteria for reimbursement." B. "Insulin is prescribed based on the client's age." C. "Insulin's have different onsets and durations of action." D. "Insulin type is matched with the appropriate oral hypoglycemic agent."

C

The client is scheduled to get a breakfast tray at 07:00. At what time should the client receive a prescribed dose of insulin lispro? A. 6:00AM B. 6:20AM C. 6:45AM D. 7:00AM

C

The health care provider has ordered a change of prescription from rapid-acting insulin to an intermediate-acting type. Which adverse effect must the nurse closely monitor for in the client? A. Bradycardia B. Lipodystrophy C. Hypoglycemia D. Hypotension

C

The nurse caring for a client who is taking insulin. The nurse suspects the client is experiencing hypoglycemia when the client displays what signs? A. Increased pulse rate and fruity smelling breath B. Decreased respiratory rate and hot, dry skin C. Weakness, sweating, and decreased mentation D. Increased thirst, and increased urine output

C

The nurse is educating a newly diagnosed diabetic who must learn how to give himself insulin injections. The nurse tells the client that insulin is absorbed fastest from which area of injection? A. Deltoid B. Thigh C. Abdomen D. Hip

C

When administering insulin, what would be the most appropriate? A. Shake the vial vigorously to ensure through mixing before drawing up the dose. B. Firmly spread the skin of the area of the intended site of injection C. Insert the needle at a 45-degree angle for injection D. Massage the injection site firmly after removing the needle and syringe

C

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? A. Administer glucagon by the parenteral route. B. Administer the insulin via insulin pump C. Administer oral antidiabetics to the patient D. Give oral fluids or candy

D

The nurse in the emergency department receives a conscious client following a motor vehicle accident who has no known history of diabetes but whose blood glucose level is 325 mg/dL. What rationale does the nurse provide explaining this elevated blood glucose level? A. The client's accident was caused by undiagnosed hyperglycemia. B. The client may have sustained pancreatic trauma. C. The client most likely ate a meal just before the accident D. The client's stress reaction likely caused an increase in blood sugar

D

The nurse is preparing to administer 20 units of NPH insulin to a client. Before administering the medication, the nurse should implement which intervention? A. Massage the chosen injection site B. Assess the client's understanding of diabetes. C. Assess the client's urine for the presence of glucose D. Have a colleague confirm the dosage

D

What would alert the nurse to suspect that a client is developing ketoacidosis? A. Fluid retention B. Blurred vision C. Hunger D. Fruity breath odor

D

Which would be least appropriate when administering insulin by subcutaneous injection? A. Using a 25-guage ½ inch needle B. Inserting the needle at a 45-degree angle C. Injecting the insulin slowly D. Massaging the site after removing the needle

D