Chapter questions Flashcards
a client with type 1 diabetes will use and combination insulin that includes NPH and regular insulins. the nurse is explaining the importance of knowing the peak times for both insulins. why is this important information for the client to know?
- the client will be able to estimate the time for the next injection of insulin based on these peaks.
- the risk of hypoglycemic reaction is greatest around the peak of insulin activity.
- it is best to plan activities or exercise around peak insulin times for the best utilization of glucose.
- additional insulin may be required at the peak periods to prevent hyperglycemia.
- the risk of hypoglycemic reaction is greatest around the peak of insulin activity.
the nurse would consider which of the following assessment findings as adverse effects to metformin therapy?
- hypoglycemia
- gastrointestinal distress
- lactic acidosis
- weight loss
- lactic acidosis
a client was started on rosiglitazone for type 2 diabetes . he tells the nurse that he has been taking it for 5 days, but his glucose levels are unchanged. what is the nurse’s best response?
- ” you should double the dose. that should help.”
- “you need to give the drug more time. it can take several weeks before it becomes fully effective.”
- ” you will need to add a second drug since this one has not been effective.”
- ” you most likely require insulin now.”
2.”you need to give the drug more time. it can take several weeks before it becomes fully effective.”
a young women calls the clinic and reports that her mother has an insulin reaction, and was found unconscious. the young women gave her a glucagon injection 20 mins ago, and her mother woke up, but is still groggy and “does not make sense.” what should the nurse tell the daughter?
- ” let her wake up on her own, then give her something to eat.”
- ” place some hard candies in her mouth.”
- ” just let her sleep. people are sleepy after hypoglycemic episodes.”
- ” give her another injection and call the paramedics.”
4.” give her another injection and call the paramedics.”
the nurse explains the benefits of using the long-acting insulin glargine (lantus) over other insulins. what will the nurse tell the client about this insulin?
- it does not need to be administered by injection
- it can be given by intramuscular or subcutaneous injection
- it does not require blood glucose monitoring
- it has no definite peak but maintains a steady state of insulin in the body.
- it has no definite peak but maintains a steady state of insulin in the body.
the nurse teaches the client that which type of over the- counter cough preparation is not effectve on coughs associated wth the common cold and allergic rhinitis?
- dextromethorphan
- diphenhydramine
- muclytics
- pseudoephedrine
- pseudoephedrine
fexofenadine (allegra) is prescribed to treat the symptoms of allergic rhinitis for a client with seasonal allergies. before teaching the client about this drug, what condition would the nurse assess for?
- a history of osteoporosis
- a history of peptic ulcer disease
- a history os psoriasis
- a history of cardiac disease
- a history of cardiac disease
the nurse is teaching the client about the use of dextromethorphan with guaifenesin (robitussin-DM) syrup for a cough accomplanied by thick mucus. which statement would be part og the client’s teaching?
- “lie supine for 30 mins after taking the drug.”
- “drink minimal fluids to avoid stimulating the cough reflex.”
- ” take the drug with food for best result.”
- “avoid drinking fluids immediately followin the syrip and then increase overall fluid intake.”
- “avoid drinking fluids immediately followin the syrip and then increase overall fluid intake.”
a client with asthma asks which of the prescribed medications should be used in the event of an acute episode of bronchospasm. the nurse will instruct the client to use :
- albuterol, a beta agonist bronchodilator, by inhalation.
- beclomethasone, a glucocorticoid anti-inflammatory drug by inhalation
- ipratropium, an anticholineric bronchodilator, by inhalation
- zafirlukas, a luekotriene modifier, by mouth
- albuterol, a beta agonist bronchodilator, by inhalation.
a client is prescribed beclomethasone (Qvar), a glucocorticoid inhaler, education by the nurse will include:
- “check your heart rate because this may cause tachycardia.”
- “limit your coffee intake while on this drug.”
- ” rinse your motuth out well after each use.”
- “you may feel shaky and nervous after using this drug.”
3.” rinse your motuth out well after each use.”
the nurse should inform the client who is prescribed a nebulizer treatment with albuterol (procentil, Vospire) that a common adverse effect is:
- an increased heart rate with palpitations.
- a predisposition to infection
- sedation
- temporary dyspnea
- an increased heart rate with palpitations.
a 4 year old child with repiratory distress secondary to asthma has an order for a nebulizer treatment. the type of medication most likely to be given for asthma management is a :
- beta agonist
- beta antagonist
- corticosteroid
- leukotriene modifier
- beta agonist
despite repearted demonstrations of proper inhaler use by the nurse,, the client is unable to return proper demonstration of the training inhaler. The client is becoming frustrated. what is the best action for the nurse to take?
- encourage the client to keep practicing just a little longer.
- notify the health care provider that the client is imcompetent
- provide a spacer for use with the inhaler.
- switch to an oral form of a beta agonist.
- provide a spacer for use with the inhaler.
a client who uses over- the- counter phenylephrine (Neo- synephrine) nasal spray asks the nurse how the medication works. the nurses’s response would be:
- it helps to shrink the swelling in your nose by tightening the blood vessels there.
- it works to locally destroy invading organisms that cause colds and flu.
- it coats the nasal passage to reduce swelling.
- it is absorbed after you swallow it to act as a decongestant.
- it helps to shrink the swelling in your nose by tightening the blood vessels there.
the health care provider prescribes epinephrine (adrenalin) to a client who was stung by several wasps 30 mins ago. the nurse knows that the primary purpose of this medication for this client is to:
- stop the systemic release of histamine produced by the mast cells.
- counteract the formation of antibodies in response to an invading antigen.
- increase the number of white blood cells produced to fight the primary invader.
- increase a declining blood pressure and dilate constricting bronchi associated with anaphylaxis.
- increase a declining blood pressure and dilate constricting bronchi associated with anaphylaxis.