An type 1 (insulin-dependent) diabetic reports recurrent hypoglycemia late in the morning. After collecting his health history what finding would the nurse suspect is causing the late morning hypoglycemia? Show
A) The patient likes to nap after work before his evening meal. Ans: Feedback: The
nurse suspects the diabetic patient may be having a hypoglycemic reaction when what manifestation is assessed? Ans: Feedback: The nurse is preparing patient teaching for a diabetic patient who is to begin pramlintide acetate (Symlin) therapy, which will be taken in addition to insulin. What is the priority nursing instruction to include in this teaching plan? A) The drug is injected subcutaneously immediately before a major meal. Ans: Feedback: What type of insulin would the nurse administer if the fastest therapeutic effects are needed? Ans: Feedback: When the nurse administers an oral combination drug called Metaglip, what doses of the two medications are being administered? Ans: Feedback: The patient, newly
diagnosed with diabetic retinopathy, asks what caused this disorder. What is the nurses best response? Ans: Feedback: 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? Ans: Feedback: A patient is brought to the emergency department with severe hypoglycemia. What drug would the nurse prepare to administer intravenously? Ans: Feedback: The nurse will question what medication order for a diabetic patient who takes insulin to control his blood sugar level? A) Propranolol (Inderal) 10 mg orally t.i.d. Ans: Feedback: A patient comes to the diabetes 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 kind of insulin would the diabetic nurse educator seek an order for? Ans: Feedback: The diabetes nurse educator describes type 1 diabetes with what statement? A) Blood glucose level can be controlled with diet. Ans: Feedback: A patient is admitted to the emergency department in diabetic ketoacidosis (DKA) with a blood glucose level of 485 mg/dL. The physician orders an initial dose of 25 U insulin IV. Which
type of insulin will be administered? Ans: Feedback: What instructions would be important to give to a 50-year-old patient with type 2 diabetes who has been switched from glyburide (DiaBeta) to repaglinide? Ans: Feedback: The nurse is instructing a patient how to mix NPH insulin with regular insulin in one syringe. The nurse tells the patient the mixture must be administered within how long after it is prepared? Ans: Feedback: The nurse is caring for a 3-year-old child newly diagnosed with type 1 diabetes. When developing the plan of care for this child, the nurse incorporates challenges the child faces that the adult does
not, which includes what? (Select all that apply.) Ans: Feedback: With what patient would the nurse question the administration of human insulin? Ans: Feedback: The nurse is teaching the patient about the newly prescribed external insulin pump. What are priority teaching points for the nurse to include? (Select all that apply.) Ans: Feedback: The nurse, working in the emergency department, receives a patient following a motor vehicle accident whose medical history is unknown with a blood glucose level of 325 mg/dL. What rationale does the nurse provide explaining this elevated blood glucose level? Ans: Feedback: A patient with type 2 diabetes presents at the clinic for a routine follow-up appointment. The patient asks the nurse whether she can take the herbal supplement ginseng. What is the correct response by the nurse? Ans: Feedback: The nurse is performing diabetes screening and recognizes what ethnic group is at higher risk for diabetes but is also predisposed to a higher normal range of blood glucose? Ans: A Feedback: Certain ethnic groups tend to have a genetically predetermined variation in blood glucose levels, possibly caused by a variation in metabolism. For example, Native Americans, Hispanic Americans, and Japanese Americans have higher blood glucose levels than white Americans do. Groups that are more likely to develop diabetes mellitus include African Americans, Native Americans, and Hispanic Americans. The nurse is caring for a patient with renal dysfunction who requires an
oral antidiabetic agent. What drug will the nurse expect to see ordered? Ans: Feedback: A patient with type 1 diabetes takes 12 units of regular insulin and 34 units of NPH insulin in the morning. How would the nurse explain why two different types of insulin are required to control the patients blood sugar? Ans: Feedback: What antidiabetic agent is approved for the nurse to administer to children 10 years old and older with type 2 diabetes? A) Pioglitazone Ans: Metformin is the only oral antidiabetic drug approved for children. It has established dosage for children 10 years of age and older. With the increasing number of children being diagnosed with type 2 diabetes, the use of other agents in children is being tested. Because metformin is the only drug approved for use with children, pioglitazone, repaglinide, and liraglutide would not be appropriate. The nurse is caring for a pregnant patient diagnosed with pregnancy-induced diabetes. What antidiabetic agent is best suited for administration to this patient? Ans: Feedback: The home care nurse is caring for an older adult patient with visual impairment who cannot see the numbers on the syringe when preparing insulin for administration and cannot afford the increased cost of prefilled auto syringes. What strategy might the nurse use to help this
patient comply with insulin needs between visits? Ans: Feedback: The
nurse admits a patient to the emergency department and recognizes the patient is in diabetic ketoacidosis (DKA) when what manifestations are assessed? (Select all that apply.) Ans: Feedback: The patient with diabetes asks the nurse why different oral antidiabetic agents are ordered instead of just one drug. What is the nurses
best explanation of the benefit of combining different agents? Ans: Feedback: The nurse is caring for an obese woman who was just diagnosed with type 2 diabetes. When developing this patients plan of care, what is the priority nursing diagnosis? Ans: Feedback: What outcome would best
indicate the nurses teaching was effective and that drug therapy was appropriate? Ans: Feedback: The nurse is caring for a postoperative patient whose diabetes has been well controlled on acarbose (Precose). The patient is not allowed to take anything orally
following abdominal surgery and is receiving high-glucose total parenteral nutrition via a central IV line. What medication can the nurse administer IV to control the patients blood glucose level? Ans: Feedback: The
nurse is caring for a patient with polycystic ovary syndrome. What antidiabetic drug would the nurse anticipate will be ordered? Ans: Feedback: The nurse is caring for an adolescent newly diagnosed with type 1 diabetes. The patient says, I cant believe Im going to spend the rest of my life sticking myself with needles. What future possibilities for insulin delivery can the nurse share with this patient? (Select all that apply.) A) Implantable insulin
pump Ans: Feedback: The nurse is caring for a patient taking Bromocriptine (Cycloset). What is an advantage of this medication? A) Reduces risk of heart attack or stroke Ans: Feedback: The nurse transcribes an order for chlorpropamide (Diabinese). What is an appropriate dosage range for this medication? Ans: Feedback: What is the maximum daily dosage of metformin the nurse can administer to a child aged 10 to 16 years? A) 500 mg Ans: Feedback: Which condition that the patient also has would be a contraindication to taking metformin?These are usually not severe, especially if you take metformin along with food. The side effects usually improve after a few weeks. People with severe kidney, liver, and heart disease and those who drink alcohol excessively should not take metformin.
Which medication can cause hyperglycemia?Common drug categories and drugs associated with contributing to hyperglycemia are discussed below.. Antibiotics (Fluoroquinolones) ... . β-blockers. ... . Thiazide and Thiazide-Like Diuretics. ... . Second-Generation Antipsychotics (SGAs) ... . Corticosteroids. ... . Calcineurin Inhibitors (CNIs) ... . Protease Inhibitors. ... . Clinical Management.. Which complications of pregnancy may occur as a result of diabetes select all that apply?If not treated, gestational diabetes can increase your risk for pregnancy complications and procedures, including:. Macrosomia. ... . Shoulder dystocia or other birth injuries (also called birth trauma). ... . High blood pressure and preeclampsia. ... . Perinatal depression. ... . Preterm birth. ... . Stillbirth.. Which of the following medications should be used with caution in a person with severe sulfa allergy?Avoid the following medications if you're allergic or have a sensitivity to sulfa: antibiotic combination drugs such as trimethoprim-sulfamethoxazole (Septra, Bactrim) and erythromycin-sulfisoxazole (Eryzole, Pediazole)
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