Pharmakon WK 6

A nurse is conducting 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."

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

Tachycardia

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 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

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

Increased hypoglycemic effect

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.

1: Atenolol 2: Amlodipine 3: Phenytoin 3: Levothyroxine

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.

1: Check the expiration date on the vial 2: Remove all air bubbles from the syringe barrel 3: Check the health care provider's orders for the type and dosage of insulin

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.

1: Diaphoresis 2: Confusion 3: Headache

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.

1: Glyburide 2: Glipizide

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

1: History of gestational diabetes 2: Impaired glucose tolerance 3: Obesity

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.

1: Ranitidine 2: Warfarin 3: Amitriptyline

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

9 AM

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

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

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

1: Hypoglycemia 2: Heartburn 3: Nausea

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

1: Increased thirst 2: Increased urination 3: Abdominal pain

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

1: Insulin detemir 2: Insulin glargine

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.

1: Insulin glulisine 2: Insulin aspart

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.

1: Malaise 2: Tachypnea 3: Abdominal pain 4: Muscular pain

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.

1: Methylprednisolone 2: Estradiol 3: Niacin

A nurse is preparing to administer a new drug to a client who also receives insulin detemir. Which medication might the nurse be administering which will result in a decreased insulin dosage? Select all that apply.

1: Metoprolol 2: Fenofibrate 3: Sulfamethoxazole/trimethoprim

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.

1: Miglitol 2: Acarbose

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.

1: Occurs before age 20 2: Insulin supplementation required for survival

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.

1: Orange or other fruit juice 2: Glucose tablets 3: Hard candy

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.

1: Rosiglitazone 2: Pioglitazone

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

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 insulin to the client. Which interventions should the nurse perform before administering each insulin dose?

Inspect the previous injection site for inflammation

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?

Observe the client for hypoglycemic episodes