Pharm ch 38 blood glucose PrepU
Regular insulin
A client is admitted to the emergency department in diabetic ketoacidosis (DKA) with a blood glucose level of 485 mg/dL. The client is prescribed an initial dose of 25 U insulin IV. Which type of insulin will be most likely to be administered?
"The medication will peak in 3 hours."
A 42-year-old male client is prescribed glargine insulin for management of his type 2 diabetes mellitus. The nurse caring for the client develops a teaching plan regarding glargine insulin therapy. Which statement made by the client indicates that the client needs additional teaching?
Between 10:00 AM and 12:00 PM
A client receives regular insulin at 8:00 AM. The nurse would be alert for signs and symptoms of hypoglycemia at which time?
Assess the most recent hemoglobin A1C levels.
A client who began treatment for type 2 diabetes 8 months ago is now meeting with a diabetic nurse for a scheduled follow-up. How can the nurse best assess the client's glycemic control since beginning treatment?
It slows gastric emptying.
A client with a diagnosis of diabetes is prescribed pramlintide. How will this drug assist in controlling the client's blood sugar?
Glargine
A client with type 1 diabetes presents to the diabetes educator and asks about a change in insulin. The client's occupation requires long international flights, and the client does not want to administer insulin on the plane. What kind of insulin would best meet this client's needs?
Inspect the previous injection site for inflammation.
A nurse at a health care facility is assigned to administer insulin to the patient. Which intervention should the nurse perform before administering each insulin dose?
blurred vision
A nurse is caring for a 48-year-old woman who has been hospitalized after injecting the wrong type of insulin. Which sign of hypoglycemia will the nurse be careful to observe for?
give oral fluids or candy
A nurse is caring for a patient who has developed a hypoglycemic reaction. Which intervention should the nurse perform if swallowing and gag reflexes are present in the patient?
Inulin lispro
A nurse is preparing to administer a rapid-acting insulin. Which medication would the nurse most likely administer?
Insulin glargine (Lantus) Insulin detemir (Levemir)
A nurse must recognize the duration of insulin as to not cause harm to the client with administration of the improper type of insulin. Which insulins are long-acting insulin? (Select all that apply.)
Liver enzymes
Rosiglitazone is being considered for the treatment of diabetes in an adult client. Before the initiation of rosiglitazone therapy, the nurse should review what laboratory work recently drawn?
06:45
The client is scheduled to get a breakfast tray at 07:00. At what time should the client receive a prescribed dose of insulin lispro?
inability of oxygen to diffuse to tissues in the eye
The client, newly diagnosed with diabetic retinopathy, asks what caused this disorder. What is the nurse's best response?
Allergy to sulfonamides
The nurse is caring for a client who has been prescribed glyburide. Which factor, if identified in the client history, would cause the nurse to inform the health care provider of a contraindication to use?
"Insulin assists glucose molecules to enter the cells of muscle and fat tissues."
The nurse is discussing diabetes with a group of individuals who are at risk for the disease. Which statement by a participant indicates an understanding of the role of insulin in the disease?
Do not give pramlintide in the same site where insulin is administered.
The nurse is educating a client who will be adding an injection of pramlintide to his insulin regimen. What information is most important for the nurse to share with this client to ensure safe medication administration?
Increase in insulin release
The nurse is explaining the action of exenatide to a patient. Which would the nurse include?
HbA1c
The nurse is interviewing a client who was diagnosed with type 2 diabetes four months ago. The client does not record glucometer readings. What laboratory test does the nurse anticipate the health care provider will order for this client?
Have a colleague confirm the dosage.
The nurse is preparing to administer 20 units of NPH insulin to a client. Before administering the medication, the nurse should implement which intervention?
Regular insulin
The nurse is preparing to administer insulin intravenously to a client with a blood glucose level over 600 mg/dL (33.33 mmol/L). What type of insulin will the nurse most likely give?
Garlic
The nurse is providing education to a client who has been prescribed therapy with an antidiabetic medication. During teaching, the nurse will caution the client against heavy intake of which herb?
Orange or other fruit juice Glucose tablets Hard candy
The nurse monitoring a client receiving insulin glulisine notices the client has become confused, diaphoretic, and nauseated. The nurse checks the client's blood glucose and it is 60 mg/dL (3.33 mmol/L). Which can a nurse give to treat a client with a hypoglycemic episode? (Select all that apply.)
diaphoresis
The nurse suspects the client with diabetes may be having a hypoglycemic reaction when what manifestation is assessed?
Lifelong exogenous insulin is required.
The two major classifications of diabetes are type 1 and type 2. What is a distinguishing characteristic of type 1 diabetes?
Metformin
What antidiabetic agent (when prescribed) is approved for the nurse to administer to children 10 years old and older with type 2 diabetes?
It slows the rate of inactivation of the incretin hormones.
What is the expected action of sitagliptin on type 2 diabetes?
Regular
When considering the management of diabetic ketoacidosis (DKA), what type of insulin can be administered intravenously?
Increases insulin release
When describing the effects of incretins on blood glucose control to a group of students, which would an instructor include?
Glyburide
Which would a nurse identify as an example of a sulfonylurea?
