Exam (elaborations)
Chapter 38- Agents to Control Blood Glucose Levels
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Chapter 38- Agents to Control Blood Glucose Levels
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1. An insulin dependent diabetic is having trouble with hypoglycemia late in the morning.During the health history the nurse becomes aware of the most likely cause. What
would cause the late morning hypoglycemia?
A) The patient likes to nap when he comes home from work before his evening meal.
B) The patient jogs two miles in the morning before he goes to work.
C) The patient likes to have an early lunch with his girlfriend.
D) The patient eats oatmeal early in the morning before his morning.
2. The pathophysiology class is studying diabetes. A student asks the instructor what is
considered a sign of a hypoglycemic reaction. The instructor's response would be
what?
A) Dry, flaky skin
B) Diaphoresis
C) Flushing of the face
D) Fruity breath
3. You are preparing patient teaching for a diabetic patient who is to begin pramlintide
acetate (Symlin) therapy, which will be taken in addition to his insulin. What would
be the priority nursing instruction to include in the patient teaching?
A) The drug is injected subcutaneously immediately before a major meal
B) The drug has a rapid onset of action
C) Inject the drug at least 2 inches away form any insulin injection site
D) Do not combine the drug with insulin in the same syringe
4. A student asks the nursing instructor what insulin has the quickest therapeutic effect
once administered. What would be the best response?
A) PZI (Humulin U)
B) NPH (Humulin N)
C) Regular (Humulin R)
D) Ultralente (Humulin U Ultralente)
5. A patient with type 2 diabetes takes the oral combination drug, Metaglip. What is the
chemical make-up and correct dosage for this drug?
A) 2.5 mg glipizide, 500 mg metformin
B) 1.25 mg glyburide, 250 mg metformin
C) 5 mg glipizide, 250 mg metformin
D) 4 mg rosiglitazone, 500 mg metformin
, 6. Diabetic retinopathy is a disorder diabetics develop as a result of a thickening of
the basement membrane. What is this caused by?
A) Inability of cell replication in the eye
B) Increase of aqueous humor in the eye
C) Decrease of nerve innervations throughout the eye
D) Inability of oxygen to diffuse across vessel membrane to tissues in the eye
7. A diabetic patient is taking regular and NPH insulin to manage his diabetes. What is
the best evaluation tool to measure the overall patient response to the insulin therapy?
A) Blood pressure
B) Bilirubin level
C) Glycosylated hemoglobin (HbAlc) levels
D) Fasting blood glucose levels
8. A patient is brought to the Emergency Department (ED) with severe
hypoglycemia. What drug would the nurse prepare to administer intravenously?
A) Diazole (Hyperstat)
B) Glyburide (DiaBeta)
C) Glucagon (GlucaGen)
D) Insulin (Humulin R)
9. After making an initial assessment of your patients you review their medications. What
medication order should you question for a diabetic patient who takes insulin to
control their diabetes?
A) Propranolol (Inderal) 10 mg PO t.i.d.
B) Furosemide (Lasix) 60 mg/d PO
C) Cefaclor (Ceclor) 250 mg PO q 8 h
D) Metoclopramide (Reglan) 20 mg PO
10. A patient comes to the diabetic educator and asks about changing his insulin. The
patient explains that his occupation takes him on long international flights and he does
not want to administer insulin on the plane. What insulin would the diabetic educator
recommend?
A) Lispro (Humalog)
B) Glulisine (Apidra)
C) Ultralente (Humulin U Ultralenta)
D) Aspart (Novolog)
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