EAQ Endocrine/Diabetes Quiz
The nurse is teaching a client about safe insulin administration. Which statement made by the client indicates the need for further education?
"I should administer insulin only if there are any symptoms."
Metformin (Glucophage) 2 g by mouth is prescribed for a client with type 2 diabetes. Each tablet contains 500 mg. How many tablets should the nurse administer? Record your answer using a whole number. _____ tablets.
4
Which action by the client indicates the need for *further* instruction on insulin administration? SATA
Aspirating before administering the dose Aspiration is not performed for insulin administration. The client would use a 27-gauge needle to administer the dose of insulin. The abdomen is the appropriate location for administering rapid-acting insulins. The client would hold the needle in place for several seconds after administering the insulin. Appropriate locations to administer insulin are those where 2.5 cm (1 inch) of subcutaneous fat can be pinched.
An insulin pump is instituted for a client with type 1 diabetes. The nurse plans discharge instructions. Which short-term goal is the priority for this client?
Demonstrate correct use of the insulin pump.
The nurse prepares to administer extended-release metformin to an older adult who has asked that it be crushed because it is difficult to swallow. Which rationale will prompt the nurse to ask the provider for a different form of metformin?
Extended-release formulations are designed to be released slowly and crushing the tablet will prevent this from occurring.
An adolescent with type 1 diabetes mellitus is admitted to the intensive care unit in ketoacidosis with a blood glucose level of 170 mg/dL (9.4 mmol/L). A continuous insulin infusion is started. Which adverse reaction to the infusion is most important for the nurse to monitor?
Hypokalemia
The nurse is caring for a client with type 2 diabetes mellitus and renal insufficiency. The client is scheduled for a computerized tomography (CT) scan with contrast. Which medication would the nurse withhold to prevent lactic acidosis?
Metformin
Which mechanism of action explains how glyburide decreases serum glucose levels?
Stimulates the pancreas to produce insulin
Which would the nurse conclude about a client when planning teaching strategies based on the results of a glycosylated hemoglobin measurement of 6%?
The client has followed the treatment plan as prescribed.
A client with type 1 diabetes receives Humulin R insulin in the morning. Shortly before lunch the nurse identifies that the client is diaphoretic and trembling. Which intervention is appropriate?
Assess the client's blood glucose level