Endocrine System Practice
A nurse is speaking with a client who is taking glipizide to treat type 2 diabetes mellitus and has called to report feeling shaky, hungry, and fatigued. Which of the following actions should the nurse instruct the client to take?
perform a fingerstick blood glucose check
A nurse gives a patient NPH insulin at 8:00 AM. At 2:00 PM the nurse finds the patient extremely lethargic but conscious. The patient is diaphoretic and slightly combative. The nurse should
provide the patient with 4 ounces of orange juice.
Which statement by a patient taking glipizide indicates that more teaching is indicated?
"I will use a new needle every time I take the medication."
Which of the following drugs should a nurse have available for a client who is experiencing insulin toxicity?
glucagon
Which lab value will the registered nurse (RN) anticipate the healthcare provider will monitor in the client prescribed metformin for the treatment of diabetes mellitus type II? Select all that apply
hemoglobin A1c liver enzymes creatinine
the patient is diagnosed with type 2 diabetes. The nurse is aware that which statement is true about this statement?
heredity and obesity are major causative factors
a patient is newly diagnosed with type 1 diabetes mellitus and requires daily insulin injections. which instructions should the nurse include in the teaching of insulin administration? (select all that apply)
instruct necessity for compliance instruct in the care and handling of the insulin
What action by the graduate nurse (GN) when administering insulin lispro will the registered nurse (RN) recognize as a need for intervention?
instructing the client to eat the scheduled meal within the next 30 minutes
A patient with type 1 diabetes mellitus is ordered insulin therapy once daily to be administered at bedtime. What is the type of insulin the patient is most likely receiving?
insulin glargine
A nurse is caring for a client who is taking metformin to treat type 2 diabetes mellitus and reports muscle pain. Which of the following adverse reactions should the nurse suspect?
lactic acidosis
A nurse is teaching a client about self-administering regular insulin. The nurse should instruct the client to rotate injection sites to prevent which of the following?
lipohypertrophy
a patient is to receive insulin before breakfast, and the time of breakfast tray delivery is variable. the nurse knows that which insulin should not be administered until the breakfast tray has arrived and the patient is ready to eat?
lispro
a patient is receiving a daily dose of NPH insulin at 7:30 AM. the nurse expects the peak effect of this drug to occur at what time?
5pm
A patient is prescribed metformin. Which is a side effect/adverse effect common to metformin?
Bitter or metallic taste
recognize symptoms of hypoglycemia
headache nervousness sweating
When teaching the patient about the storage of insulin, which statement will the nurse include?
Do not place insulin in sunlight or a warm environment
Which time frame would be most appropriate for administering sliding-scale lispro insulin?
When the breakfast tray is served and ready to eat
A nurse is caring for a client who is taking metformin and is scheduled to undergo angiography using iodine-containing contrast dye. The nurse should identify that an interaction between metformin and the IV contrast dye increases the client's risk for which of the following conditions?
acute renal failure
A nurse is teaching a client who has a prescription for glipizide therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include?
avoid drinking alcohol
A nurse is caring for a client who is about to begin insulin glargine therapy. The nurse should identify the need for additional precautions because the client also takes which of the following types of drugs?
beta blockers
a nurse is teaching clients about the use of insulin to treat type 1 diabetes mellitus. For which of the following types of insulin should the nurse tell the clients to expect a peak of effect 1 to 5 hours after administration
regular insulin
While reviewing the actions of regular insulin with the graduate nurse (GN), which benefit will the registered nurse (RN) identify? Select all that apply.
regular insulin is the only insulin that has been approved for intravenous administration regular insulin works well in combination with NPH insulin when two different peaks are needed regular insulin is the type of insulin that is ordered to be used for sliding-scale dosing based on bedside blood glucose results
A nurse is caring for a client who takes repaglinide 15 to 30 min before each meal to treat type 2 diabetes mellitus. The client asks, "If I skip a meal, what should I do?" Which of the following responses should the nurse make?
skip the dose
A nurse is providing teaching for a client who has a new prescription for metformin. Which of the following findings should the nurse instruct the client to report as an adverse effect of metformin
somnolence (can indicate lactic acidosis)
a patient is prescribed glipizide. the nurse knows that which side effects and adverse effects may be expected? (select all that apply)
tachycardia visual disturbances hunger
A patient received regular insulin at 7:30 AM. At 9:30 AM the patient feels slightly hungry and has a dull headache. The nurse should
test the patient's blood glucose level
While providing client education regarding NPH insulin, which education point will the registered nurse (RN) provide? Select all that apply.
this type of insulin is to be given twice daily, 12 hours apart this type of insulin has a longer coverage to control your blood glucose NPH insulin can be given in combination with regular insulin to maintain blood glucose control
