Chapter 45 (Drugs for Diabetes Mellitus) Practice Questions
What patient education should the nurse provide to the patient with diabetes who is planning an exercise program? (Select all that apply. A patient with type 2 diabetes has been nothing by mouth (NPO) since midnight for surgery in the morning. He has been on a combination of oral type 2 antidiabetic drugs. What would be the best action for the nurse to take concerning the administration of his medications? TEXTBOOK
- Monitor blood glucose levels before and after exercise - Eat a complex carbohydrate prior to strenuous exercise
The nurse is initiating discharge teaching with the newly diagnosed patient with diabetes. Which statement indicates that the patient needs additional teaching? TEXTBOOK
" I must draw the NPH insulin first if I am mixing it with regular insulin."
A patient receives NPH and regular insulin every morning. The nurse is verifying that the patient understands that there are 2 different peak times to be aware of for this insulin regimen. Why is this an important concept for the nurse to stress? TEXTBOOK
The risk for hypoglycemia is greatest around the peak of insulin activity
A patient with type 2 diabetes has been nothing by mouth (NPO) since midnight for surgery in the morning. He has been on a combination of oral type 2 antidiabetic drugs. What would be the best action for the nurse to take concerning the administration of his medications? TEXTBOOK
Contact the healthcare provider for further orders
A 63-year-old patient with type 2 diabetes is admitted to the nursing unit with an infected foot ulcer. Despite previous good control on glyburide (DiaBeta), his blood glucose has been elevated the past several days and he requires sliding-scale insulin. What is the most likely reason for the elevated glucose levels? TEXTBOOK
It is a temporary condition related to the stress response with increased glucose release.
The patient is scheduled to receive 5 units of Humalog and 25 units of NPH (Isophane) insulin prior to breakfast. Which nursing intervention is most appropriate for this patient? TEXTBOOK
Make sure the patient's breakfast is available to eat before administering this insulin
