Chapter 38: Agents to Control Blood Glucose Levels

Which would be appropriate to include in teaching a client with type 2 diabetes?
It is possible with weight loss and exercise to discontinue the use of antidiabetic medication.

When administering insulin, what would be most appropriate?
Insert the needle at a 45-degree angle for injection.

Regular insulin may be administered intravenously or intramuscularly in an emergency situation.
True

Glycosylated hemoglobin levels provide reliable evidence of blood glucose control.
True

Glycosylated hemoglobin measures average blood glucose over what time period?
The past 3 or 4 months

A nurse should monitor a client taking glimepiride (Amaryl) for which of adverse effects? (Select all that apply.)
Hypoglycemia
Heartburn
Nausea

Amylin is a peptide hormone secreted with insulin by the beta cells of the pancreas and is important in the regulation of glucose control during the postprandial period. True or false?
True

A patient is diagnosed with type 1 diabetes. What distinguishing characteristic is associated with type 1 diabetes?
Exogenous insulin is required for life.

The nurse is interviewing a client who was diagnosed with type 2 diabetes about four months ago. The client never records glucometer readings but says that everything is just fine. What laboratory test does the nurse anticipate the health care provider will order for this client?
HbA1c

The nurse is preparing to administer insulin lispro (Humalog) to a client at 7 AM. What is the nurse’s top priority intervention related to this medication?
Make sure the client’s breakfast is available in the next 5-10 minutes.

What is an example of rapid acting insulin?
Insulin lispro (Humalog)

Which is an example of long acting insulin?
Insulin glargine (Lantus)

The nurse monitoring a client receiving insulin glulisine (Apidra) notices the client has become confused, diaphoretic, and nauseated. The nurse checks the client’s blood glucose and it is 60 mg/dL. Which can a nurse give to treat a client with a hypoglycemic episode? (Select all that apply.)
Orange or other fruit juice
Glucose tablets
Hard candy

A nurse is caring for a patient with diabetes mellitus who is receiving an oral antidiabetic drug. Which of following ongoing assessments should the nurse perform when caring for this patient?
Observe the patient for hypoglycemic episodes.

A nurse at a health care facility is assigned to administer insulin to the patient. Which intervention should the nurse perform before administering each insulin dose?
Inspect the previous injection site for inflammation.

A patient is prescribed pramlintide (Symlin). How will it assist in controlling the patient’s blood sugar?
It slows gastric emptying.

Insulin binds with and activates receptors on cell membranes. Once insulin-receptor binding occurs, the membranes become highly permeable to glucose. Which action does this enable?
Entry of glucose into the cells

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

What would alert the nurse to suspect that a client is developing ketoacidosis?
Fruity breath odor

A client newly diagnosed with type 1 diabetes asks the nurse why the client cannot just take a pill. The nurse would incorporate what knowledge when responding to this client?
Insulin is needed because the beta cells of the pancreas are no longer functioning.

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?
Metformin

A patient receives a dose of insulin lispro at 8 AM. The nurse would be alert for signs and symptoms of hypoglycemia at which time?
Between 8:30 AM and 9:30 AM

After teaching a group of students about the various methods for the delivery of insulin, the instructor determines that the teaching was successful when the students identify which method as most commonly used for administration?
Subcutaneous injection

Patients with type 2 diabetes have nonfunctioning beta pancreatic cells.
False

A nurse is assigned to administer glargine to a patient at a health care facility. What precaution should the nurse take when administering glargine?
Avoid mixing glargine with other insulin.

A patient is in diabetic ketoacidosis. The patient blood glucose level is over 600. The physician has ordered the patient to receive an initial dose of 25 units of insulin. What type of insulin will be administered intravenously?
Regular insulin

The nurse is discussing diabetes with a group of individuals who are at risk for the disease. Which statement by a participant indicates an understanding of the role of insulin in the disease?
“Insulin assists glucose molecules to enter the cells of muscle and fat tissues.”

The school nurse identifies more children with type 2 diabetes each year and recognizes that this trend is mainly attributed to what issue?
Obesity and inadequate exercise

Which would be least appropriate when administering insulin by subcutaneous injection?
Massaging the site after removing the needle

A nurse is preparing an in-service presentation for a group of staff members on diabetes. Which would the nurse include as the primary delivery system for insulin?
Subcutaneous injection

Type 1 diabetes is also called Insulin -dependent or Juvenile The alpha cells of the pancreas secrete Glucagon WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE Write my sample Hormone that stimulates …

After teaching a group of students about sulfonylureas, the instructor determines that the teaching was successful when the students identify which agent as a second-generation sulfonylurea? (Select all that apply.) Pramlintide Repaglinide Glimepiride Glyburide Tolazamide Glimepiride Glyburide Which is an …

What is insulin? A hormone produced by the pancreas that regulates the amount of glucose in the body. What is glucose? A simple sugar that is an important energy source. WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC …

Where do you find glucose transporters? Throughout the body What type of transport is used to move glucose into cells other than the intestinal epithelial? Facilitated diffusion WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU …

The results of the blood glucose determination using the glucose oxidase reaction showed a very high coefficient of variations, standard deviations, and variances. These are measures of the precision and ultimately, accuracy of the technique in measuring blood glucose. Although …

The daily blood glucose (also known as blood sugar) concentration should remain constant, as food is ingested, broken down to simple monomers, and used to produce energy, water, and carbon dioxide. The metabolism of glucose is a tightly regulated series …

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