Pharm102 Flashcards
A patient develops type 2 diabetes mellitus. The nurse will explain that this type of diabetes
is related to heredity and obesity.
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?
“Repeating injections in the same spot is preferable.”
How do you prevent lipodystrophy?
rotate injection sites
Which type of insulin can be given IV?
insulin regular
The nurse will administer insulin to a patient who will receive a mixture of NPH and regular. The nurse will give this medication via which route?
Subcutaneous
A patient who takes insulin for diabetes has been prescribed a glucocorticoid for their osteoarthritis.
When teaching this patient, the nurse will explain that there may be a need to
increase the insulin dose.
A patient is ordered to receive insulin lispro at mealtimes. The nurse will instruct this patient to administer the medication at which time?
10 min before eating
The nurse administers NPH insulin at 8 AM. What intervention is essential for the nurse to perform?
Make sure patient eats at 5 pm
A patient recently diagnosed with diabetes is prescribed a long-acting insulin that is administered once per day. Which of the following would that be?
insulin glargine
Sliding-scale insulin coverage involves
adjusting the dose of insulin based on glucose level.
The patient asks the nurse about storing insulin. Which response by the nurse is correct?
“Insulin is good for one month outside of the refrigerator once opened.”
The nursing assistant reports to the nurse that they suspect a patient is experiencing hypoglycemia.
Which of the following are indications of this? (Select all that apply)
sweating
tremors
A patient has been given insulin regular 30 minutes prior but has not received their breakfast. The patient is experiencing nervousness and tremors. What is the nurse’s first action?
Give the patient 4 oz. of orange juice.
Take the patient’s vital signs.
A patient who is unconscious is brought to the emergency department. The patient is wearing a bracelet indicating type 1 diabetes mellitus. The glucometer test indicates low blood sugar. The nurse will anticipate an order to administer
glucagon
The nurse is reviewing the record of a patient with diabetes and recognizes that which drug improves insulin resistance?
metformin
Metformin can lead to lactic acidosis or acute renal failure if it interacts with
IV contrast
A patient who has been taking metformin (Glucophage) will begin taking a sulfonylurea antidiabetic medication. The nurse understands that this patient is at increased risk for which condition?
hypoglycemia
The patient with type 1 diabetes mellitus asks, “Why can’t I take a sulfonylurea like my friend who has diabetes?” What is the nurse’s best response?
“You are unable to store glucose, because you do not have insulin, and sulfonylurea work like insulin, helping with glucose storage?
“Sulfonylurea increases beta-cell stimulation to secrete insulin, and with your type of diabetes, the beta cells do not contain insulin. This medication will not work for you.”
The nurse is teaching a woman who is pregnant about iron supplementation. Which statement by the woman indicates understanding of the teaching?
“Vitamin C increases the absorption of iron.”
Adverse effects of iron supplementation include all except
excessive bruising and bleeding
A young woman who is contemplating pregnancy asks the nurse prenatal nutrients that reduce the risk of birth defects. The nurse will recommend which dietary supplement?
folic acid
Which of the following drugs must be avoided in pregnancy?
aspirin
A woman who is in her third trimester of pregnancy asks the nurse why she cannot take ibuprofen for headaches. The nurse will explain that it
can affect her fetus.
The nurse is caring for a woman who is experiencing premature labor. The provider has ordered intravenous magnesium sulfate. The nurse will explain that it
relaxes the uterus through its effect on calcium
During tocolytic therapy, a pregnant patient develops lethargy, sluggishness, hypotension, and decreased muscle reflexes. Which drug is being used?
magnesium sulfate
A woman who has recently started taking a combination contraceptive calls the clinic to report breakthrough bleeding. The nurse will
counsel her to continue taking the contraceptive as prescribed.
The nurse is discussing the use of combined hormonal contraceptives with a client. Which statement indicates that the client has understood the teaching?
“Smoking increases the risk of adverse effects.”
A 35-year-old woman asks the nurse about oral contraceptives. The nurse learns that the patient smokes and has high blood pressure. The nurse will suggest that the patient
will not be a good candidate for a combined hormonal contraceptive
A 45-year-old woman who has not had a period for 15 months reports severe hot flashes and poor sleep.
The nurse reviews information about hormone replacement therapy and tells this woman that hormone therapy
should be used at the lowest dose possible for less than 5 years.
Match the drug
insulin glargine
long lasting
insulin NPH
intermediate ac
insulin lispro
rapid acting
insulin regular
short acting
metformin
antidiabetic - in
glipizide
antidiabetic- stimulates insulin secretion
sitagliptin
antidiabetic - DPP-4 inhibitor
terbutaline
tocolytic
raloxifene
selective estrog
Norethindrone
progestin
Alendronate
bisphosphonate