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Exam 47: Antidiabetics

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Question 1

Multiple Choice

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A patient has administered regular insulin 30 min prior but has not received a breakfast tray.The patient is experiencing nervousness and tremors.What is the nurse's first action?

A) Administer glucagon.
B) Give the patient orange juice.
C) Notify the kitchen to deliver the tray.
D) Perform bedside glucose testing.

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Question 2

Multiple Choice

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The nurse is teaching a patient how to administer insulin.The patient is thin with very little body fat.The nurse will suggest injecting insulin

A) by pinching up the skin and injecting straight down.
B) in the abdomen only with the needle at a 90-degree angle.
C) subcutaneously with the needle at a 45- to 60-degree angle.
D) using the thigh and buttocks areas exclusively.

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Question 3

Multiple Choice

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The nurse will administer parenteral insulin to a patient who will receive a mixture of NPH (Humulin NPH) and regular (Humulin R) .The nurse will give this medication via which route?

The nurse receives the following order for insulin: IV NPH (Humulin NPH) 10 units.The nurse will perform which action?

A patient who has type 1 diabetes mellitus asks the nurse about using a combination insulin product such as Humalog 70/20.The nurse will tell the patient that use of this product

The nurse is teaching a group of nursing students about diabetes.The nurse explains that which type of diabetes is the most common?

A patient who has type 2 diabetes mellitus asks the nurse why the provider has changed the oral antidiabetic agent from tolbutamide (Orinase) to glipizide (Glucotrol) .The nurse will explain that glipizide

The nurse is teaching a patient about home administration of insulin.The patient will receive regular (Humulin R) and NPH (Humulin NPH) insulin at 0700 every day.What is important to teach this patient?

A patient who has been taking a sulfonylurea antidiabetic medication will begin taking metformin (Glucophage) .The nurse understands that this patient is at increased risk for which condition?

A patient who is unconscious and has a pulse is brought to the emergency department.The patient is wearing a Medic-Alert bracelet indicating type 1 diabetes mellitus.The nurse will anticipate an order to administer

A 45-year-old patient who is overweight has had a diagnosis of type 2 diabetes for 2 years.The patient uses 20 units of insulin per day.The patient's fasting blood glucose (FBG) is 190 mg/dL.The patient asks the nurse about using an oral antidiabetic agent.The nurse understands that oral antidiabetic agents

A patient who is overweight is being evaluated for diabetes.The patient has a blood glucose level of 160 mg/dL and a hemoglobin A_1c of 5.8%.The nurse understands that this patient has which condition?

The parent of a junior high school child who has type 1 diabetes asks the nurse if the child can participate in sports.The nurse will tell the parent

A patient is ordered to receive insulin lispro at mealtimes.The nurse will instruct this patient to administer the medication at which time?

The nurse is teaching a patient who is newly diagnosed with type 1 diabetes mellitus about insulin administration.Which statement by the patient indicates a need for further teaching?

Which statement by a patient who will begin using an external insulin pump indicates understanding of this device?

The patient asks the nurse about storing insulin.Which response by the nurse is correct?

A patient who has insulin-dependent diabetes mellitus must take a glucocorticoid medication for osteoarthritis.When teaching this patient,the nurse will explain that there may be a need to

A patient develops type 2 diabetes mellitus.The nurse will explain that this type of diabetes