NURS 300 Exam 4 – Questions With Correct
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Terms in this set (71)
A nurse is preparing to administer 100 D. Use separate syringes for administering insulin
units of insulin glargine and 4 units of glargine and NPH insulin
NPH insulin subcutaneously to a client. The nurse should not mix insulin glargine with any
Which of the following actions should other insulin. The nurse should administer the NPH
the nurse plan to take? insulin and insulin glargine separately.
A. Verify with the provider about
giving insulin glargine at 1700
B. Ensure the insulin glargine is a
cloudy suspension
C. Request a prescription for giving
insulin glargine twice daily
D. Use separate syringes for
administering insulin glargine and
NPH insulin
A nurse is caring for a client with A. Regular insulin
diabetic ketoacidosis who has a Treatment for diabetic ketoacidosis is directed at
prescription for an intravenous correcting hyperglycemia and acidosis. Therefore,
infusion of insulin. The nurse should the client's insulin levels are restored with an initial IV
document that which of the following bolus of regular insulin followed by continuous
types of insulin was administered infusion.
intravenously to treat ketoacidosis?
A. Regular insulin
B. Insulin lispro
C. Insulin aspart
D. Insulin glargine
,A nurse is teaching self-administration C. Rotate injection sites within the same area
of NPH insulin to a client who has type To prevent lipodystrophy, the client should rotate
2 diabetes mellitus. Which of the injection sites and keep them about 2.5 cm (1 in) apart
following instructions should the within the same anatomical area.
nurse include?
A. Alternate injecting doses between
the abdomen and the thigh
B. Shake the vial before withdrawing
the dosage
C. Rotate injection sites within the
same area
D. Discard the vial if the insulin is
cloudy
A nurse is teaching a client who has C. "Insulin lispro has an onset of about 15 minutes."
type 2 diabetes mellitus about a Insulin lispro is a rapid-acting insulin and has an onset
prescription for insulin lispro. Which of of 15 to 30 minutes.
the following statements should the
nurse include in the teaching?
A. "The effects of the insulin lispro can
last for 8 to 12 hours."
B. "Administer insulin lispro 30 to 60
minutes before eating."
C. "Insulin lispro has an onset of about
15 minutes."
D. "This insulin can be given as a
continuous intravenous bolus."
A nurse is caring for a client who C. 0645
receives gastrostomy tube feedings Lispro is a rapid-acting insulin with an onset of 15
and insulin. The client is scheduled to minutes. The nurse should administer the insulin dose
receive a tube feeding at 0700. At 15 min prior to the feeding.
which of the following times should
the nurse plan to administer insulin
lispro subcutaneously?
A. 0600
B. 0630
C. 0645
D. 0730
, A nurse is conducting a home visit for B. Hypoglycemia
an older adult client who has diabetes A client who has hypoglycemia can have slurred
mellitus and takes regular insulin speech, disorientation, weakness, and confusion near
subcutaneously before each meal. The meal time each day because regular insulin peaks in
client appears disoriented and weak 2 to 4 hours, causing a drop in the client's blood
and has slurred speech. Which of the glucose. Other manifestations of hypoglycemia
following conditions should the nurse include irritability, mental confusion, double vision,
consider first when responding to hunger, tachycardia, diaphoresis, and palpitations.
these manifestations?
A. Dementia
B. Hypoglycemia
C. Infection
D. Transient ischemic attack
A nurse is caring for a client who has B. Decreased blood glucose level
been taking taken metformin for 6 A client who has taken metformin for 6 months
months. Which of the following should experience the expected therapeutic effect
findings should the nurse identify as of a decrease in blood glucose levels. Metformin is a
an expected therapeutic effect of the non-insulin medication for clients who have type 2
medication? diabetes mellitus.
A. Decreased vitamin B12 levels
B. Decreased blood glucose level
C. Abdominal bloating and diarrhea
D. Decreased LDL level
A nurse is providing teaching to a B. MyalgiaMyalgia, malaise, somnolence, and
client who has type 2 diabetes hyperventilation are manifestations of lactic acidosis,
mellitus and a new prescription for which rarely occur while taking metformin due to the
metformin. Which of the following blockage of lactic acid oxidation. The nurse should
adverse effects of metformin should instruct the client to report these findings promptly
the nurse instruct the client to watch to the provider
for and report to the provider?
A. Weight gain
B. Myalgia
C. Hypoglycemia
D. Severe constipation
Solutions
Save
Terms in this set (71)
A nurse is preparing to administer 100 D. Use separate syringes for administering insulin
units of insulin glargine and 4 units of glargine and NPH insulin
NPH insulin subcutaneously to a client. The nurse should not mix insulin glargine with any
Which of the following actions should other insulin. The nurse should administer the NPH
the nurse plan to take? insulin and insulin glargine separately.
A. Verify with the provider about
giving insulin glargine at 1700
B. Ensure the insulin glargine is a
cloudy suspension
C. Request a prescription for giving
insulin glargine twice daily
D. Use separate syringes for
administering insulin glargine and
NPH insulin
A nurse is caring for a client with A. Regular insulin
diabetic ketoacidosis who has a Treatment for diabetic ketoacidosis is directed at
prescription for an intravenous correcting hyperglycemia and acidosis. Therefore,
infusion of insulin. The nurse should the client's insulin levels are restored with an initial IV
document that which of the following bolus of regular insulin followed by continuous
types of insulin was administered infusion.
intravenously to treat ketoacidosis?
A. Regular insulin
B. Insulin lispro
C. Insulin aspart
D. Insulin glargine
,A nurse is teaching self-administration C. Rotate injection sites within the same area
of NPH insulin to a client who has type To prevent lipodystrophy, the client should rotate
2 diabetes mellitus. Which of the injection sites and keep them about 2.5 cm (1 in) apart
following instructions should the within the same anatomical area.
nurse include?
A. Alternate injecting doses between
the abdomen and the thigh
B. Shake the vial before withdrawing
the dosage
C. Rotate injection sites within the
same area
D. Discard the vial if the insulin is
cloudy
A nurse is teaching a client who has C. "Insulin lispro has an onset of about 15 minutes."
type 2 diabetes mellitus about a Insulin lispro is a rapid-acting insulin and has an onset
prescription for insulin lispro. Which of of 15 to 30 minutes.
the following statements should the
nurse include in the teaching?
A. "The effects of the insulin lispro can
last for 8 to 12 hours."
B. "Administer insulin lispro 30 to 60
minutes before eating."
C. "Insulin lispro has an onset of about
15 minutes."
D. "This insulin can be given as a
continuous intravenous bolus."
A nurse is caring for a client who C. 0645
receives gastrostomy tube feedings Lispro is a rapid-acting insulin with an onset of 15
and insulin. The client is scheduled to minutes. The nurse should administer the insulin dose
receive a tube feeding at 0700. At 15 min prior to the feeding.
which of the following times should
the nurse plan to administer insulin
lispro subcutaneously?
A. 0600
B. 0630
C. 0645
D. 0730
, A nurse is conducting a home visit for B. Hypoglycemia
an older adult client who has diabetes A client who has hypoglycemia can have slurred
mellitus and takes regular insulin speech, disorientation, weakness, and confusion near
subcutaneously before each meal. The meal time each day because regular insulin peaks in
client appears disoriented and weak 2 to 4 hours, causing a drop in the client's blood
and has slurred speech. Which of the glucose. Other manifestations of hypoglycemia
following conditions should the nurse include irritability, mental confusion, double vision,
consider first when responding to hunger, tachycardia, diaphoresis, and palpitations.
these manifestations?
A. Dementia
B. Hypoglycemia
C. Infection
D. Transient ischemic attack
A nurse is caring for a client who has B. Decreased blood glucose level
been taking taken metformin for 6 A client who has taken metformin for 6 months
months. Which of the following should experience the expected therapeutic effect
findings should the nurse identify as of a decrease in blood glucose levels. Metformin is a
an expected therapeutic effect of the non-insulin medication for clients who have type 2
medication? diabetes mellitus.
A. Decreased vitamin B12 levels
B. Decreased blood glucose level
C. Abdominal bloating and diarrhea
D. Decreased LDL level
A nurse is providing teaching to a B. MyalgiaMyalgia, malaise, somnolence, and
client who has type 2 diabetes hyperventilation are manifestations of lactic acidosis,
mellitus and a new prescription for which rarely occur while taking metformin due to the
metformin. Which of the following blockage of lactic acid oxidation. The nurse should
adverse effects of metformin should instruct the client to report these findings promptly
the nurse instruct the client to watch to the provider
for and report to the provider?
A. Weight gain
B. Myalgia
C. Hypoglycemia
D. Severe constipation
