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
