Diabetes Questions Flashcards
Which is the most appropriate timing regarding the nurse’s administration of a rapid-acting insulin to a hospitalized patient?
a. Give it 15 minutes before the patient begins a meal.
b. Give it ½ hour before a meal.
c. Give it 1 hour after a meal.
d. The timing of the insulin injection does not matter with insulin lispro.
a. Give it 15 minutes before the patient begins a meal.
Which statement is appropriate for the nurse to include in patient teaching regarding type 2 diabetes?
a. “Insulin injections are never used with type 2 diabetes.”
b. “You don’t need to measure your blood glucose levels because you are not taking insulin injections.”
c. “A person with type 2 diabetes still has some functioning beta cells in his or her pancreas.”
d. “Patients with type 2 diabetes usually have better control over their diabetes than those with type 1 diabetes.”
c. “A person with type 2 diabetes still has some functioning beta cells in his or her pancreas.”
The nurse monitoring a patient for a therapeutic response to oral diabetes drugs will look for which of these?
a. Fewer episodes of diabetic ketoacidosis
b. Weight loss of 5 lb
c. Hemoglobin A1C levels of less than 7%
d. Glucose levels of 150 mg/dL
c. Hemoglobin A1C levels of less than 7%
A patient with type 2 diabetes is scheduled for magnetic resonance imaging (MRI) with contrast dye. The nurse reviews the orders and notices that the patient is receiving metformin. Which action by the nurse is appropriate?
a. Proceed with the MRI as scheduled.
b. Notify the radiology department that the patient is receiving metformin.
c. Expect to hold the metformin the day of the test and for 48 hours after the test is performed.
d. Call the prescriber regarding holding the metformin for 2 days before the MRI is performed.
c. Expect to hold the metformin the day of the test and for 48 hours after the test is performed.
A patient with type 2 diabetes has a new prescription for repaglinide. After 1 week, she calls the office to ask what to do, because she keeps missing meals. “I work right through lunch sometimes, and I’m not sure whether I need to take it. What do I need to do?” What is the nurse’s best response?
a. “You need to try not to skip meals, but if that happens, you will need to skip that dose of Prandin.”
b. “We will probably need to change your prescription to insulin injections because you can’t eat meals on a regular basis.”
c. “Go ahead and take the pill when you first remember that you missed it.”
d. “Take both pills with the next meal, and try to eat a little extra to make up for what you missed at lunchtime.”
a. “You need to try not to skip meals, but if that happens, you will need to skip that dose of Prandin.”
When checking a patient’s fingerstick blood glucose level, the nurse obtains a reading of 42 mg/dL. The patient is awake but states he feels a bit “cloudy-headed.” After double-checking the patient’s glucose level and getting the same reading, which action by the nurse is most appropriate?
a. Administer two packets of table sugar.
b. Administer oral glucose in the form of a semisolid gel.
c. Administer 50% dextrose IV push.
d. Administer the morning dose of lispro insulin.
b. Administer oral glucose in the form of a semisolid gel.
A patient is taking metformin for new-onset type 2 diabetes mellitus. When reviewing potential adverse effects, the nurse will include information about: (Select all that apply.)
a. Abdominal bloating
b. Nausea
c. Diarrhea
d. Headache
e. Weight gain
f. Metallic taste
a. Abdominal bloating
b. Nausea
c. Diarrhea
f. Metallic taste
A patient who has a new diagnosis of type 2 diabetes asks the nurse about a new insulin that can be inhaled. “Is there a reason I can’t take that drug?” Which conditions, if present in the patient, would be a concern? (Select all that apply.)
a. Atrial fibrillation
b. History of smoking
c. Chronic lung disease
d. Hypothyroidism
e. Rheumatoid arthritis
b. History of smoking
c. Chronic lung disease
The nurse is administering insulin humalog and will keep in mind that this insulin will start to have an effect within which timeframe?
a. 15 minutes
b. 1 to 2 hours
c. 80 minutes
d. 3 to 5 hours
a. 15 minutes
When teaching about hypoglycemia, the nurse will make sure that the patient is aware of the early signs of hypoglycemia, including which of these?
a. Hypothermia and seizures
b. Nausea and diarrhea
c. Confusion and sweating
d. Fruity, acetone odor to the breath
c. Confusion and sweating
The nurse is teaching a group of patients about self-administration of insulin. What content is important to include?
a. Patients need to use the injection site that is the most accessible.
b. If two different insulins are ordered, they need to be given in separate injections.
c. When mixing insulins, the cloudy (such as NPH) insulin is drawn up into the syringe first.
d. When mixing insulins, the clear (such as regular) insulin is drawn up into the syringe first.
d. When mixing insulins, the clear (such as regular) insulin is drawn up into the syringe first.
When monitoring a patient‘s response to oral antidiabetic drugs, the nurse knows that which laboratory result would indicate a therapeutic response?
a. Random blood glucose level 180 mg/dL
b. Blood glucose level of 50mg/dL after meals
c. Fasting blood glucose level of 92 mg/dL
d. Evening blood glucose level below 80mg/dL
c. Fasting blood glucose level of 92 mg/dL
A 75-year-old woman with type 2 diabetes has recently been placed on glipizide. She asks the nurse when the best time would be to take this medication. What is the nurse‘s best response?
a. Take this medication in the morning, 30 minutes before breakfast.
b. Take this medication in the evening with a snack.
c. This medication needs to be taken after the midday meal.
d. It does not matter what time of day you take this medication.
a. Take this medication in the
morning, 30 minutes before breakfast.
A patient who has type 2 diabetes is scheduled for an oral endoscopy and has been NPO (nothing by mouth) since midnight. What is the best action by the nurse regarding the administration of her oral antidiabetic drugs?
a. Administer half the original dose.
b. Withhold all medications as ordered.
c. Contact the prescriber for further orders.
d. Give the medication with a sip of water
c. Contact the prescriber for further orders.
The nurse is reviewing instructions for a patient with type 2 diabetes who also takes insulin injections as part of the therapy. The nurse asks the patient, ―What should you do if your fasting blood glucose is 44mg/dL Which response by the patient reflects a correct understanding of insulin therapy?
a. I will call my doctor right away.
b. I will give myself the regular insulin.
c. I will take an oral form of glucose.
d. I will rest until the symptoms pass.
c. I will take an oral form of glucose.
