Ch 38 Flashcards

1
Q

Hypoglycemia is defined as a blood sugar concentration lower than _______________.

A

70 mg/dL

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2
Q

T/F: Diabetes mellitus is the most common metabolic disorder in the United States.

A

True

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3
Q

T/F: Diabetes mellitus can be successfully managed with diet and oral antidiabetic agents.

A

True

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4
Q

_____________ occurs when the body burns fat instead of glucose for energy.

A

Ketosis

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5
Q

T/F: Glucagon (GlucaGen) is taken orally at home to increase blood sugar levels when a patient develops hypoglycemia.

A

False

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6
Q

T/F: Metformin (Glucophage) is used to lower blood glucose in patients with type 2 diabetes.

A

True

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7
Q

T/F: Afrezza is a new form of inhaled insulin that was approved in 2014 for use by some patients with type 1 diabetes.

A

True

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8
Q

In order for glucose to enter the body’s cells, ___________ is needed.

A

Insulin

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9
Q

The leading energy source for the body is ________________.

A

Glucose

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10
Q

The test that measures the average serum glucose level over a 3-month period is the ________________.

A

Glycosylated hemoglobin (HbA1c)

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11
Q

A client is receiving glipizide as treatment for his type 2 diabetes. The nurse understands that this drug acts by:

A

Binding to potassium channels on pancreatic beta cells

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12
Q

The nurse is caring for a client who has been prescribed glyburide. Which factor, if identified in the client history, would cause the nurse to inform the health care provider of a contraindication to use?

A

Allergy to sulfonamides

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13
Q

A client diagnosed with diabetic ketoacidosis has been admitted to the intensive care unit. The client is prescribed an intravenous insulin drip, so the nurse knows that what type of insulin will be administered?

A

Regular.

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14
Q

Which would a nurse identify as an example of a sulfonylurea?

Metformin

Acarbose

Miglitol

Glyburide

A

Glyburide

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15
Q

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?

A

Metformin

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16
Q

When reviewing the medication list of a client being seen in the clinic, the nurse notes that the client is receiving glipizide. Based on the nurse’s understanding, this drug is used to treat:

hyperkalemia.

hyperglycemia.

hypokalemia.

hypoglycemia.

A

hyperglycemia

17
Q

What is the expected action of sitagliptin on type 2 diabetes?

A

It slows the rate of inactivation of the incretin hormones.

18
Q

Rosiglitazone is being considered for the treatment of diabetes in an adult client. Before the initiation of rosiglitazone therapy, the nurse should review what laboratory work recently drawn?

A

liver enzymes

19
Q

An older adult client has been prescribed metformin for the treatment of type 2 diabetes for several years. Which change in the client’s laboratory values may demonstrate a need to discontinue the medication?

A

An increase in serum lactate