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Pharm201 CH 42 Questions and answers
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Pharm201 CH 42 Questions and answers Pharm201 CH 42 Questions and answers Pharm201 CH 42 Questions and answers
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Pharm201 CH 42A client is receiving metformin therapy at a health care facility. The client is also prescribed
glucocorticoids. The nurse would be alert for which adverse reaction due to the interaction of these
two drugs? - increased risk of lactic acidosis
A 4-year-old child with type 1 diabetes mellitus becomes angry and then lethargic. The parent should
be taught that a change in behavior may indicate hypoglycemia. True or false? - True
A client is admitted to the emergency department in diabetic ketoacidosis (DKA). The physician
orders an initial dose of 25 units insulin IV. Which type of insulin will be administered? - Regular
insulin
The nurse is preparing to administer a mixture of 12 units regular insulin and 45 units NPH insulin to
a client with a blood sugar of 378 mg/dL. After the nurse draws the medication into the syringe,
what is the nurse's next action? - Check the dosage with another nurse.
A client is receiving acarbose. What would the nurse incorporate into the teaching plan for this client
about the action of the drug? - Inhibits an enzyme to delay glucose absorption
Which is the best indicator of overall diabetic control? - Glycosylated hemoglobin levels
The health care provider has ordered a change of prescription from rapid-acting insulin to an
intermediate-acting type. Which adverse effect must the nurse closely monitor for in the client? -
Hypoglycemia
The nurse instructs a client who has been prescribed extended-release metformin (Glucophage XR)
to take the medication at what time? - With the evening meal
A client, who is 42 years old and newly diagnosed with type 2 diabetes, has attended educational
sessions to provide insight into the diagnosis. Which of the client's statements should prompt the
nurse to provide further teaching - "I'm disappointed, but I take some solace in the fact that I won't
ever have to have insulin injections."
A nurse is caring for a client receiving metformin drug therapy to improve glycemic control. What
adverse reaction to the drug should the nurse monitor the client for? - asthenia
, When considering the management of diabetic ketoacidosis (DKA), what type of insulin can be
administered intravenously? - regular
The client is scheduled to get a breakfast tray at 07:00. At what time should the client receive a
prescribed dose of insulin lispro? - 06:45
The nurse is discussing diabetes with a group of individuals who are at risk for the disease. Which
statement by a participant indicates an understanding of the role of insulin in the disease? - "Insulin
assists glucose molecules to enter the cells of muscle and fat tissues."
A diabetic client has been admitted to the ICU with diabetic ketoacidosis (DKA). What is the first step
in the treatment of this client? - Administration of IV fluids
A client is admitted to the intensive care unit with diabetic ketoacidosis. The nurse knows that the
client will be placed on an intravenous insulin drip. The only type of insulin that can be administered
intravenously is: - regular
The nurse is caring for a client taking insulin. The nurse realizes the client is experiencing symptoms
of hypoglycemia when the client displays: - weakness, sweating, and decreased mentation.
After teaching a class about the various drugs used to control blood glucose, the instructor
determines that the teaching was successful when the class identifies what as a biguanide? -
Metformin
After teaching a group of students about the various methods for the delivery of insulin, the
instructor determines that the teaching was successful when the students identify which method as
most commonly used for administration? - Subcutaneous injection
A client is prescribed sitagliptin. The nurse would expect to administer this drug by which route? -
Oral
After reviewing information about different insulin preparations, a nursing student demonstrates
understanding of the information when the student identifies which medication as an example of a
long-acting insulin? - insulin glargine
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