Exam 5 part 2

Question 1

What type of drug is glimepiride?

Answer 1

sulfonylureas

Question 2

When does NPH peak?

Answer 2

6-14 hrs

Question 3

Patients taking sulfonylureas (glipizide, glimepiride) should avoid ______?

Answer 3

alcohol (disulfiram-like reaction)

Question 4

What is an example of a 15 g carb snack that a pt experiencing hypoglycemia should have?

Answer 4

4 oz of orange juice

Question 5

The use of this medication in diabetics may cause hyperglycemia?

Answer 5

glucocorticoids,systemic decongestants

Question 6

How must insulins be administered?

Answer 6

injections

Question 7

What lab gives an estimated glucose of the past 3 months?

Answer 7

HgB A1C

Question 8

What is an example of intermediate-acting insulin?

Answer 8

NPH

Question 9

Increased thirst, hunger, and urine output may be symptoms of what?

Answer 9

hyperglycemia

Question 10

Which anatomical region has the most consistent absorption for insulin?

Answer 10

abdomen

Question 11

What type of insulin should be drawn up first when mixing insulins?

Answer 11

clear

Question 12

What are 2 reasons that a pt with type 2 DM may require insulin?

Answer 12

illness and trauma

Question 13

What method can be used to give insulin based on current blood sugar level?

Answer 13

sliding scale

Question 14

Lispro has an onset of?

Answer 14

15 mins

Question 15

What type of insulins are detemir and glargine?

Answer 15

long acting insulins

Question 16

How should unopened insulin vials be stored?

Answer 16

refrigeration

Question 17

Regular insulin is _______ acting?

Answer 17

short acting

Question 18

What may occur if a pt doesn’t rotate injection sites?

Answer 18

lipohypertrophy

Question 19

What is the most common side effect of insulins?

Answer 19

hypoglycemia

Question 20

Insulin promotes the use of _____ by the body cells?

Answer 20

glucose

Question 21

Which insulin can be given IV?

Answer 21

regular

Question 22

Which diabetic drugs should not be given for those with a sulfa allergy?

Answer 22

sulfonylureas (glipizide)

Question 23

Lispro is a _______ acting insulin?

Answer 23

rapid acting

Question 24

This is used for hypoglycemic unconscious pts?

Answer 24

glucagon

Question 25

What symptoms may indicate hyperthyroidism in those taking levothyroxine?

Answer 25

palpitations, excessive sweating, and tachycardia

Question 26

What time frame should the nurse educate the pt to take levothyroxine?

Answer 26

before breakfast

Question 27

What conditions should a nurse identify on the patients chart as contraindications to oral contraceptive therapy?

Answer 27

estrogen-dependent cancers, thrombophlebitic disorders, pregnancy

Question 28

What pt teaching is appropriate for alendronate (bisphosphonate for osteoporosis?

Answer 28

take w/8oz water, take when waking up in morning, stay upright for at least 30 mins

Question 29

What may indicate medication therapy is effective with desmopressin?

Answer 29

decreased urine output

Question 30

This is a hyperglycemic hormone that stimulates glycogenolysis?

Answer 30

glucagon

Question 31

How does glipizide work?

Answer 31

increases insulin production

Question 32

Because lispro is rapid acting, what intervention should the nurse implement after administering this type of insulin?

Answer 32

make sure the client eats the food on the meal tray at the bedside

Question 33

What type of medications act on the cough control center of the medulla?

Answer 33

antitussives

Question 34

These medications loosen bronchial secretions so they can be removed by coughing?

Answer 34

expectorants

Question 35

How does montelukast work?

Answer 35

decreases mucus, inflammation and bronchoconstriction

Question 36

This is the most common side effect of bronchodilators?

Answer 36

tremors

Question 37

This greatly increases the metabolism of theophylline?

Answer 37

smoking

Question 38

This drug is considered second line treatment of bronchoconstriction?

Answer 38

theophylline

Question 39

What may first generation antihistamines cause in adults?

Answer 39

confusion

Question 40

What should be avoided by those taking nasal decongestants?

Answer 40

caffeine