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Diabetes ATI Module

Pretest Questions and Answers

QuestionAnswer
A nurse is teaching a patient with type 1 diabetes who is beginning a regimen about the properties and actions of the types of insulin. The nurse should explain that the type of insulin with onset of 60-120min, peaks 6-14 hrs and duration of 16-24 hrs is NPH insulin has an onset of 60 to 120 minutes, peaks in 6 to 14 hours, and has a duration of 16 to 24 hours.
A nurse is reviewing self-admin of insulin using a pre-filled pen admin system with a patient who started using the pen system the previous week. The patient asks what can he do to reduce injection pain. The nurse should suggest that he keep the pen at room temperature fro a few minutes because injecting room temperature insulin is less painful than injecting cold insulin
A nurse is teaching a patient newly diagnosed with type 2 diabetes about the biguanide she has been prescribed, which is metformin (Glucophage). The nurse should explain that this medication acts by reducing hepatic glucose production while increasing insulin action on muscle glucose uptake.
A nurse is reviewing the results of routine laboratory tests performed as part of a 50 year old woman's annual physical examination. The nurse notes a blood glucose level of 120mg/dL. The nurse should interpret this as an abnormal result for a This result exceeds the acceptable range for a fasting blood glucose measurement, which is generally between 70 and 105mg/dL.
Long-acting insulin, such as insulin glargine (Lantus), is intended to provide basal glucose control. The dosage is typically once daily at the same time each day.
After confirming hypoglycemia, the nurse should give the patient 15 to 20 g of a rapid-acting, concentrated carbohydrate source, such as 4 to 6 oz of fruit juice, 8 oz of skim milk, 1 tbsp of honey, or three or four commercially prepared glucose tablets.
This allows the blood to flow over the reagent pad until the amount of blood on the strip is adequate. A sample that is too small can result in falsely low readings.
Malfunction of the pump from low battery power, occlusion of tubing or needles, or lack of insulin in the pump increases the risk of DKA, particularly if the patient is not aware of it.
Created by: lincoln2020