PP1 Glucose Meds EAQ
perferred site of subcutaneous insulin
abdomen
which complication of diabetes would the nurse suspect when a health care provider prescribed one tube of glucose gel for a client with type 1 diabetes?
C. Insulin-induced hypoglycemia
which purpose is served by an evening snack of miklk, crackers, and cheese for a client recieving NPH insulin?
B. food to counteract late insulin activity
the nurse is caring for a client with hypoglycemia. the nurse anticipates a prescription for which medications?
B. glucagon C. intravenous IV glucose D. oral hydrocortisone
which hormone would the nurse identify as inhibiting insulin glucagon secretion?
B. somatostatin
which angle would an obese client be taught to self administer insulin injections at?
D. 90 degree angle
which advice will the nurse give the client to avoid lipodystrophy when self administering insulin therapy?
B. rotate injection sites
which responses would the nurse expect a client experiencing hypoglycemia to exhibit>
B, palpations C, tachycardia D, nervousness
which response would a nurse give a client who asks "why cant i take the insulin in pulls instead of taking shots" during a teaching session about insulin injections?
B. "insulin is destroyed by gastric juices, rendering it ineffective"
the nurse is teaching a 12 yr old child about the action of insulin injections. which statement indicates the child understands how insulin works in the body?
C. "glucose is carried into cells where it is used for energy"
which initial intervention would the nurse expect the primary health care provider to order for a client admitted to the hospital with a diagnosis of diabetic ketoacidosis?
A. IV fluids
how will the nurse respond to a client with a new diagnosis of type 1 diabetes who becomes agitated and says " i am scared of shots. if that is my only option, ill just have to go into a coma and die" when told that lifelone insulin will be needed?
A. "injections are not the only option available for insulin"
which information would the nurse include when teaching a type 2 diabetic controlled with oral antidiabetic medications who is prescribed regular insulin when admitted for elective surgery?
C. " with insulin, dosage can be adjusted to your changing need during recovery from surgery"
which period of time would a nurse recognize as the greatest risk of hypoglycemia when caring for a client who recieved regular insulin daily at 8am?
D. 10:00 AM to 1:00 PM
which medication is responsible for neonatal hypoglycemia?
c. tolbutamide
in which order will the nurse perform the actions associated with insulin administration?
1. wash hands 2. rotate the vial 3. wipe the tope of the vial 4. instill air into the vial 5. withdraw the correct amount
which medicaiton would be administered to a client who reports sweating, tachycardia, and tremors with a laboratory report that reveals serum cortisol less than normal and blood glucose level of 60 mg/dL?
A. glucagon
the nurse is explaining insulin needs to a client with gestational diabetes who is in her second trimester. which information would the nurse give to this client?
A. insulin needs will increase during the second trimester
which information will the nurse include when teaching a client with type 1 diabetes about the use of an insulin pump?
A. insulin pumps mimic the way a healthy pancreas works
which clinical finding supports the conclusion by a nurse that a client has had a hypoglycemic reaction to insulin?
A. irritability D. heart palpitations
the nurse plans to teach a school aged child with type 1 diabetes who is recieving both intermediate-acting insulin and regular insulin daily how to self-administer the insulin before discharge. Which procedure would the nurse teach the child?
A. practice using the nonmedicated insulin pen first
which mechanism of actions explains how glyburide decreases serum glucose levels?
A. stimulates the pancreas to produce insulin
the nurse is educating the client newly diagnosed with type 2 diabetes on oral antidiabetic medications, which instuction would the nurse include in the teaching plan?
A, the client should obtain a finger stick blood glucose reading before each meal C. the teaching plan should include signs and symptoms of hypoglycemia E. the teaching plan should include sick day rules
a child is prescribed insulin glargine before breakfast. which instruction is most appropriate for the nurse to give the parent regarding a bedtime snack?
A. "offer a snakc to prevent hypoglycemia during the night"
which information would the nurse provide to a client with type 1 who requests information about the differences between penlike insulin delivery devices and syringes?
B. "penlike devices provide a more accurate dose delivery
when will the nurse monitor for a potential hypoglycemic reaction after administering daily regular insulin to a client with type 1 diabetes at 8 am?
B. before lunch
a continuous insulin infusion is started on an adolescent with a blood glucose level of 700 mg/dL. which complication would the nurse make a priority of detecting while the adolescent is recieving the infusion?
B. hypokalemia
which type of insulin would the nurse recognize as compatible with IV solutions when caring for a client with diabetes who is scheduled to recieve an IV administration of 25 units of insulin in 250 mL normal saline?
B. insulin lispro
which explanation would the nurse share regarding the reversal of hypoglycemia after administering a tube of glucose gel to a client?
B. it provides a glucose source that is rapidly absorbed
between which weeks of gestation would a client with type 1 diabetes expect to increase her insulin dosage?
C. 24th and 28th weeks of gestation
which statement will the nurse need to consider when developing the teaching plan for a client with type 2 diabetes prescribed an oral hypoglycemic medication?
C. clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control
which short term goal is priority for a client with a new insulin pump who is recieving dischange instructions?
C. demonstrate correct use of the insulin pump
which condition would the nurse identify as the likely cause of profound weakness and nervousness in a client that became confused shortly after self administers the morning dose of 10 units of regular insulin and 25 units of NPH insulin after a light breakfast with no additional intake in the 3 hours since that time?
C. hypoglycemia
which response will the nurse provide to a client with type 2 diabetes taking one glyburide tablet daily who asks weather an extra tablet should be taken before exercise?
D. "Do not take an extra pill because you may become hypoglycemic when exercising"
which statement made by the client prescribed metformin extended release to control type 2 diabetes indicates the need for further education?
D. "I will stop taking metformin for 24 hours before and after having a test involving dye"
a mother asks the neonatal nurse why her infant must be monitored so closely for hypoglycemia when her type 1 diabetes was in excellent control during the entire pregnancy. how would the nurse best respond ?
D. babies of mothers with diabetes have a higher than average insulin level because of the excess glucose recieved from the mother during pregnancy, so the glucose level may drop
list the actions in order the nurse will perform when mixing a short acting and an intermediate acting insulin in the same syringe
1. put the air into the intermediate acting insulin vial 2. inject the air into the short acting insuling 3. the short acting insulin should be withdrawn first to prevent possible contamination 4. the intermediate acting insulin should be drawn up after the short acting
Why is 15g of a simple sugar administered when a client with diabetes experiences hypoglycemia?
C. increased blood glucose levels
which insulin will the nurse prepare for the emergency treatment of ketoacidosis?
C. insulin aspart
which information would the nurse include in a teaching plan when teaching a client with diabetes about the advantages of using an insulin pump?
C. it can improve A1c levels E. clients may be able to exercise without eating more carbohydrates
which period of time would a nurse recognize as the HIGHEST risk of hypoglycemia when caring for a client who self administers neutral protamine hagedorn (NPH) insulin every morning at 8:00am?
C. noon to 8:00 PM
for which condition is an oral hypoglycemic agent indicated?
D. reduced insulin production
a client experiences ineffective control of type 1 diabetes. the client's study results indicate that a sudden decrease in blood glucose level is followed by rebound hyperglycemia. when this even occurs, which action would the nurse take?
D. collaborate with the primary healthcare provider to alter the insulin prescription
the nuse is teaching a 10 yr old child with type 1 diabetes about insulin requirements, which statement by the nurse correctly identifies when insulin needs decrease?
D. increased muscle activity such as exercise cause insulin needs to decrease
which instruction will the nurse provide to a client with type 2 diabetes who develops gout when teaching about the administration of allopurinol?
D. monitor blood glucose levels more frequently
before having surgery, a client with type 1 diabetes insulin requirements are elevated but well controlled. which insulin requirements would the nurse anticipate for this client postoperativley?
D. remain elevated
an adolescent with diabetes has a 6:30 AM fasting blood glucose level of 180 mg/DL which nursing action is priority
D. tell the adolescent that the prescribed dose of rapid-acting insulin should be administered
when planning care for a client with type 1 diabetes, which change in insulin requirements would the nurse anticipate on the first postpartum day?
C. sudden decrease
which is an appropriate response to a 24 yr old client w type 1 diabetes who asks how pregnancy will affect her diet and insulin needs?
D. insulin dosage and dietary needs will be adjusted in accordance with the results of blood glucose monitoring
for which reason may insulin requirements of a client with type 1 decrease during the 1st trimester?
B. morning sickness may result in decreased food intake
