Chapter 32: Antidiabetic Drugs - Questions

Helpfulness: 0
Set Details Share
created 1 year ago by mens05
33 views
Antidiabetic Drugs - Questions
updated 1 year ago by mens05
Subjects:
nursing
show moreless
Page to share:
Embed this setcancel
COPY
code changes based on your size selection
Size:
X
Show:
1

Which is the most appropriate timing regarding the nurse's administration of a rapid-acting insulin to a hospitalized patient?

  1. Give it 15 minutes before the patient begins a meal.
  2. Give it image hour before a meal.
  3. Give it 1 hour after a meal.
  4. The timing of the insulin injection does not matter with insulin lispro.

A. Give it 15 minutes before the patient begins a meal.

2

Which statement is appropriate for the nurse to include in patient teaching regarding type 2 diabetes?

  1. “Insulin injections are never used with type 2 diabetes.”
  2. “You don't need to measure your blood glucose levels because you are not taking insulin injections.”
  3. “A person with type 2 diabetes still has functioning beta cells in his or her pancreas.”
  4. “Patients with type 2 diabetes usually have better control over their diabetes than those with type 1 diabetes.”

C. “A person with type 2 diabetes still has functioning beta cells in his or her pancreas.”

3

The nurse monitoring a patient for a therapeutic response to oral antidiabetic drugs will look for

  1. fewer episodes of diabetic ketoacidosis (DKA).
  2. weight loss of 5 pounds.
  3. hemoglobin A1C levels of less than 7%.
  4. glucose levels of 150 mg/dL.

C. hemoglobin A1C levels of less than 7%.

4

A patient with type 2 diabetes is scheduled for magnetic resonance imaging (MRI) with contrast dye. The nurse reviews the orders and notices that the patient is receiving metformin (Glucophage). Which action by the nurse is appropriate?

  1. Proceed with the MRI as scheduled.
  2. Notify the radiology department that the patient is receiving metformin.
  3. Expect to hold the metformin the day of the test and for 48 hours after the test is performed.
  4. Call the prescriber regarding holding the metformin for 2 days before the MRI is performed.

C. Expect to hold the metformin the day of the test and for 48 hours after the test is performed.

5

A patient with type 2 diabetes has a new prescription for repaglinide (Prandin). After 1 week, she calls the office to ask what to do, because she keeps missing meals. “I work right through lunch sometimes, and I'm not sure whether I need to take it. What do I need to do?” What is the nurse's best response?

  1. “You need to try not to skip meals, but if that happens, you will need to skip that dose of Prandin.”
  2. “We will probably need to change your prescription to insulin injections because you can't eat meals on a regular basis.”
  3. “Go ahead and take the pill when you first remember that you missed it.”
  4. “Take both pills with the next meal, and try to eat a little extra to make up for what you missed at lunchtime.”

A. “You need to try not to skip meals, but if that happens, you will need to skip that dose of Prandin.”

6

When checking a patient's fingerstick blood glucose level, the nurse obtains a reading of 42 mg/dL. The patient is awake but states he feels a bit “cloudy-headed.” After double-checking the patient's glucose level and getting the same reading, which action by the nurse is most appropriate?

  1. Administer two packets of table sugar.
  2. Administer oral glucose in the form of a semisolid gel.
  3. Administer 50% dextrose IV push.
  4. Administer the morning dose of lispro insulin.

B. Administer oral glucose in the form of a semisolid gel.

7

A patient is taking metformin for new-onset type 2 diabetes mellitus. When reviewing potential adverse effects, the nurse will include information about: (Select all that apply.)

  1. Abdominal bloating
  2. Nausea
  3. Diarrhea
  4. Headache
  5. Weight gain
  6. Metallic taste

A. Abdominal bloating

B. Nausea

C. Diarrhea

F. Metallic taste

8

A patient who has a new diagnosis of type 2 diabetes asks the nurse about a new insulin that can be inhaled. “Is there a reason I can't take that drug?” Which condition, if present in the patient, would be a concern?

  1. Atrial fibrillation
  2. Chronic lung disease
  3. Hypothyroidism
  4. Rheumatoid arthritis

B. Chronic lung disease

9

Which is a rapid-acting insulin with an onset of action of less than 15 minutes?

  1. Insulin glargine (Lantus)
  2. Insulin aspart (NovoLog)
  3. Insulin detemir (Levemir)
  4. Regular insulin (Humulin R)

B. Insulin aspart (NovoLog)

10

Which long-acting insulin mimics natural, basal insulin with no peak action and a duration of 24 hours?

  1. Insulin glargine (Lantus)
  2. Insulin glulisine (Apidra)
  3. Regular insulin (Humulin R)
  4. NPH insulin

A. Insulin glargine (Lantus)

11

Which insulin can be administered by continuous intravenous (IV) infusion?

  1. Insulin glargine (Lantus)
  2. Insulin aspart (Novolog)
  3. Insulin detemir (Levemir)
  4. Regular insulin (Humulin R)

D. Regular insulin (Humulin R)

12

Assuming the patient eats breakfast at 8:30 AM, lunch at noon, and dinner at 6:00 AM, he or she is at highest risk of hypoglycemia after an 8:00 AM dose of NPH insulin at what time?

  1. 10:00 AM
  2. 2:00 PM
  3. 5:00 PM
  4. 8:00 PM

C. 5:00 PM

13

The nurse is preparing a patient for a computed tomography scan using iodine contrast media. Which medication should the nurse question if prescribed one day before the scheduled procedure?

  1. Acarbose (Precose)
  2. Pioglitazone (Actos)
  3. Repaglinide (Prandin)
  4. Metformin (Glucophage)

D. Metformin (Glucophage)

14

Which oral hypoglycemic drug has a quick onset and short duration of action, enabling the patient to take the medication 30 minutes before eating and skip the dose if he or she does not eat?

  1. Acarbose (Precose)
  2. Metformin (Glucophage)
  3. Repaglinide (Prandin)
  4. Pioglitazone (Actos)

C. Repaglinide (Prandin)

15

Pramlintide (Symlin) is prescribed as supplemental drug therapy to the treatment plan for a patient with type 1 diabetes mellitus. What information should the nurse include when teaching the patient about the action of this medication?

  1. Pramlintide slows gastric emptying.
  2. Pramlintide increases glucagon excretion.
  3. Pramlintide stimulates glucose production.
  4. Pramlintide corrects insulin receptor sensitivity.

A. Pramlintide slows gastric emptying.

16

The patient is prescribed 30 units of regular insulin and 70 units of insulin isophane suspension (NPH insulin) subcutaneously every morning. The nurse should provide which instruction to the patient for insulin administration?

  1. “Inject the needle at a 30-degree angle.”
  2. “Rotate sites at least once or twice a week.”
  3. “Use a 23- to 25-gauge syringe with a 1-inch needle to increase insulin absorption.”
  4. “Draw up the regular insulin into the syringe first, followed by the cloudy NPH insulin.”

D. “Draw up the regular insulin into the syringe first, followed by the cloudy NPH insulin.

17

When teaching a patient about insulin glargine (Lantus), which statement by the nurse about this drug is correct?

  1. “You can mix this insulin with NPH insulin to enhance its effects on glucose metabolism.”
  2. “You cannot mix this insulin with regular insulin and thus will have to take two injections.”
  3. “It is often combined with regular insulin to decrease the number of insulin injections per day.”
  4. “The duration of action for this insulin is 8 to10 hours, so you will need to take it twice a day.”

B. “You cannot mix this insulin with regular insulin and thus will have to take two injections.”

18

The nurse is providing education to a patient for the prescription glipizide (Glucotrol). The nurse explains this medication is more effective when administered at which time?

  1. At bedtime
  2. In the morning
  3. 15 minutes postprandial
  4. 30 minutes before a meal

D. 30 minutes before a meal

19

The nurse will instruct the patient to treat hypoglycemia with which drug?

  1. Acarbose (Precose)
  2. Propranolol (Inderal)
  3. Glucagon (GlucaGen)
  4. Bumetanide (Bumex)

C. Glucagon (GlucaGen)

20

When caring for a pregnant patient with gestational diabetes, the nurse should question a prescription for which drug?

  1. Insulin glargine (Lantus)
  2. Glipizide (Glucotrol)
  3. Insulin glulisine (Apidra)
  4. NPH insulin

B. Glipizide (Glucotrol)

21

Which information should the nurse include in a teaching plan for patients taking oral hypoglycemic drugs? (Select all that apply.)

  1. Take your medication only as needed.
  2. Report symptoms of anorexia and fatigue.
  3. Explain dietary changes are not necessary.
  4. Advise to avoid smoking and alcohol consumption.
  5. Instruct that it is okay to skip breakfast 1 to 2 times per week.

B. Report symptoms of anorexia and fatigue.

D. Advise to avoid smoking and alcohol consumption.

22

Which actions describe the beneficial effects produced by sulfonylurea oral hypoglycemics? (Select all that apply.)

  1. Stimulate insulin secretion from beta cells
  2. Increase hepatic glucose production
  3. Enhance action of insulin in various tissues
  4. Inhibit breakdown of insulin by liver

A. Stimulate insulin secretion from beta cells

C. Enhance action of insulin in various tissues

D. Inhibit breakdown of insulin by liver

23

A diabetic patient has proliferative retinopathy, nephropathy, and peripheral neuropathy. What should the nurse teach this patient about exercise?

  1. “Jogging for 20 minutes 5 to 7 days a week would most efficiently help you to lose weight.”
  2. “One hour of vigorous exercise daily is needed to prevent progression of disease.”
  3. “Avoid all forms of exercise because of your diabetic complications.”
  4. “Swimming or water aerobics 30 minutes each day would be the safest exercise routine for you.”

D. “Swimming or water aerobics 30 minutes each day would be the safest exercise routine for you.”

24

It is most important for the nurse to include which risk factors in a teaching plan associated with the development of type 2 diabetes mellitus? (Select all that apply.)

  1. Hypertension
  2. History of pancreatic trauma
  3. Weight gain of 30 pounds during pregnancy
  4. Body mass index greater than 25 kg/m
  5. Triglyceride levels between 150 and 200 mg/dL
  6. Delivery of a 4.99-kg baby

A. Hypertension

D. Body mass index greater than 25 kg/m

F. Delivery of a 4.99-kg baby