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Pharm 2
Antidiabetic therapy
| Question | Answer |
|---|---|
| Regular insulin is administered at 0730. At which time would the nurse anticipate the insulin to start acting? | 0800 |
| Glargine insulin is administered at bedtime (2100). When should the peak of action be expected for this medication? | Because it is a basal insulin, is considered “peakless.” |
| A nurse administering neutral protamine Hagedorn (NPH) insulin would expect peak effect to occur in which time frame? | 6 to 12 hours |
| A nurse is administering glargine insulin to a patient. Which time frame describes the onset of action of this medication? | 1 to 2 hours |
| After taking metformin at 0800, in which time frame should the patient expect to take another dose? | Within 24 hours |
| Which phrase describes the unique action of empagliflozin, an SGLT2 inhibitor used for type II diabetes? | Promotes glucose excretion through the urine |
| Which action of sulfonylurea drugs lowers the elevated blood glucose levels in patient with type II diabetes? | Stimulates release of insulin from pancreas |
| A home health nurse is visiting a patient who uses prefilled insulin syringes. Which instruction would the nurse provide regarding the storage of the insulin syringes? | Store insulin syringes in refrigerator with needles pointing up. |
| A nurse is treating an unconscious adult who is covered in sweat. The person has a history of diabetes. A blood glucose of 20 mg/dL is obtained. Which substance would the nurse administer? | Glucagon injection |
| A patient with type 1 diabetes has a scheduled dose of insulin due. Which action would the nurse take when the fingerstick glucose monitor reads 50 mg/dL? | Hold scheduled dose and give fruit juice. |
| A patient taking insulin has a new prescription for hydrochlorothiazide, a thiazide diuretic to treat hypertension. Which statement by the patient indicates a need for additional teaching about the interactions between the two medications? | “My insulin dose may need to be decreased.” |
| A patient with type 1 diabetes, who has been admitted to the hospital for infection, has been taking regular insulin for about 3 months. Which statement made by the patient indicates a need for additional teaching? | “My insulin needs will be decreased.” |
| There is a clinical protocol to hold metformin for 48 hours before and after tests that require intravenous contrast dye. Which statement explains why metformin would be held? | Contrast dye can cause kidney dysfunction, which is a metformin contraindication. |
| Following administration of a nonantidiabetic drug, the patient develops new responses. Which response indicates an urgent need for nursing intervention? | The presence of itching and rash |
| A patient diagnosed with type 2 diabetes states, “I did not eat breakfast, but I made sure to take my repaglinide.” Which response by the nurse is appropriate? | “Skipping meals can cause your blood glucose to drop.” |
| A patient presents to the emergency department reporting heart palpitations. The patient is flushed, smells of alcohol, and is taking glyburide, a sulfonylurea. Which situation might the nurse suspect based on this clinical presentation? | The alcohol is reacting with the glyburide. |
| A patient taking metformin for type II diabetes is prescribed prednisone for a respiratory infection. Which action would the nurse anticipate? | Increase metformin dosage during prednisone therapy |
Created by:
Lightnning54
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