Chap 32 (exam 3) Flashcards
When administering insulin, the nurse must keep in mind that which is the most immediate and serious adverse effect of insulin therapy? Hyperglycemia Hypoglycemia Bradycardia Orthostatic hypotension
Hypoglycemia
A dose of long-acting insulin has been ordered for bedtime for a diabetic patient. The nurse expects to give which type of insulin? Regular Lispro NPH Glargine
Glargine
A patient is to be placed on an insulin drip to control his high blood glucose levels. The nurse knows that the type of insulin that would be used for this intravenous infusion would be which of these? Regular Lispro NPH Glargine
Regular
While monitoring a patient who is receiving insulin therapy, the nurse observes for which signs of hypoglycemia?
Decreased pulse and respiratory rates and flushed skin
Increased pulse rate and a fruity, acetone breath odor
Irritability, sweating, and confusion
Increased urine output and edema
Irritability, sweating, and confusion
When will the nurse administer the drug acarbose (Precose)? With the first bite of a meal 15 minutes before a meal 30 minutes before a meal 1 hour after eating
With the first bite of a meal
A patient taking glipizide (Glucotrol) asks the nurse, “How does my insulin pill work, anyway?” Which information will the nurse provide to the patient regarding the mechanism of action of glipizide?
“It increases insulin production”
“It helps the body use insulin”
“It decreases the amount of glucose made by the liver”
“It decreases the amount of glucose the body takes in from food”
“It increases insulin production”
The nurse is reviewing the history of a patient who will be taking the amylin mimetic drug pramlintide (Symlin). Which condition is a contradiction to the use of this drug? Hypertension Coronary artery disease Hypothyroidism Gastroparesis
Gastroparesis
The nurse will monitor for significant interactions if sitagliptin (Januvia) is given with which of these? Corticosteroids Sulfonylureas Thyroid drugs Nonsteroidal antiinflammatory drugs
Sulfonylureas
