42 Antidiabetic Drugs

A client receives insulin lispro at 8 a.m. The nurse would be alert for signs and symptoms of hypoglycemia at about which time?

9 a.m.

A client is being discharged after being diagnosed with diabetes. The client is being taught how to monitor his blood glucose. After teaching the client, which statement indicates to the nurse that additional teaching is needed?

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

A client has been prescribed acarbose. Which of the following interventions should the nurse perform to promote an optimal response to the medication?

Administer the drug with the first bite of the meal.

A nurse is assigned to administer insulin glargine to a client at a health care facility. What precaution should the nurse take when administering this drug?

Avoid mixing glargine with other insulin.

A nurse is caring for a client who has developed a hypoglycemic reaction. Which of the following interventions should the nurse perform if swallowing and gag reflexes are present in the client?

Give oral fluids or candy.

A nurse is caring for a client with type 2 diabetes receiving a meglitinide. The nurse reviews the client's medical record based on the understanding that which condition would contraindicate the use of this drug?

Diabetic ketoacidosis

A client is receiving glipizide at a health care facility. The client is also prescribed an anticoagulant. The nurse would be alert for which of the following related to the interaction of these two drugs?

Increased hypoglycemic effect

A client who is receiving metformin develops lactic acidosis. When planning the care for this client, which nursing diagnosis would the nurse most likely identify?

Ineffective Breathing Pattern

A nurse at a health care facility is assigned to administer insulin to the client. Which of the following interventions should the nurse perform before administering each insulin dose?

Inspect the previous injection site for inflammation.

A nurse is caring for a client diagnosed with type 2 diabetes. When teaching the client about this condition, the nurse would identify which of the following as a risk factor?

Obesity

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

Observe the client for hypoglycemic episodes.

A client at a health care facility has been prescribed diazoxide for hypoglycemia due to hyperinsulinism. After administration, the nurse would assess the client for which adverse reaction?

Tachycardia

A client 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