Test Bank for Pharmacology and the Nursing Process 10th
Edition By Linda Lilley, Shelly Collins, Julie Snyder Chapter 1-58
| 9780323827973 | All Chapters with Answers and Rationals
A woman who has type 2 DM is now pregnant. She wants to know whether to take her oral
antidiabetic medication. What instructions will she receive?
A. She should continue the antidiabetic medication at the same dosage.
B. The antidiabetic medication dosage will be increased gradually throughout her pregnancy.
C. She will be switched to insulin therapy while she is pregnant.
D. She will not receive any antidiabetic medication while pregnant and will need to monitor her
dietary intake closely. - ANSWER: C. She will be switched to insulin therapy while she is pregnant.
Oral antidiabetic medications are generally not recommended for pregnant patients because of a lack
of firm safety data. Insulin therapy is the currently recommended drug therapy for pregnant women.
The nurse has just administered the morning dose of a patient's lispro (Humalog) insulin. Just after the
injection, the dietary department calls to inform the patient care unit that breakfast trays will be 45
minutes late. What will the nurse do next?
A. Inform the patient of the delay.
B. Check the patient's blood glucose levels.
C. Call the dietary department to send a tray immediately.
D. Give the patient food, such as cereal and skim milk, and juice - ANSWER: D. Give the patient food,
such as cereal and skim milk, and juice
lispro insulin's onset of action is 15 minutes. It is essential that a patient with DM eat a meal after
injection. Otherwise, profound hypoglycemia may result.
A patient with type 1 DM is admitted to the medical unit with an acute exacerbation of COPD. He is
placed on IV piggyback antibiotics, nebulizer treatments with albuterol, and an IV corticosteroid, and
he is also taking a proton pump inhibitor for GERD. He takes a dose of glargine insulin every evening.
This evening the nurse notes that his blood glucose level is 170 mg/dL. The next morning, his fasting
glucose level is 202 mg/dL. What is the most likely cause of his elevated glucose levels?
A. the albuterol
B. the antibiotics
C. the proton pump inhibitor
D. the corticosteroid - ANSWER: D. the corticosteroid
Corticosteroids antagonize the hypoglycemic effects of insulin, resulting in elevated blood glucose
After the 0700 report, the day shift nurse notices that a patient has a 0730 dose of insulin due and
goes to the automated dispensing machine to retrieve the insulin. The nurse sees that the night shift
nurse had removed the 0730 dose of insulin, but the medication administration record (MAR) has not
been signed by the nurse. The patient is confused and says "she thinks" the night nurse gave her the
insulin. The patient's blood glucose level is 142 mg/dL. What will the day shift nurse do?
A. Give the insulin because it was not signed off.
B. Hold the insulin because the patient thinks she received it and it is recorded in the machine.
C. Ask the charge nurse to call the night nurse at home to clarify whether the insulin was given.
D. Report this to the nursing supervisor. - ANSWER: C. Ask the charge nurse to call the night nurse at
home to clarify whether the insulin was given.
, Never guess whether a drug was given. Taking the drug out of the machine does not mean it was
given. The nurse should ask the night nurse what was done.
What can the nurse inform the patient about the use of HbA1C in diabetes mellitus?
A. helps to identify which type of DM the patient has
B. will identify if he has an infection
C. will aid in monitoring patient compliance with the treatment regimen for several months previously
D. represents current fasting blood glucose level - ANSWER: C. will aid in monitoring patient
compliance with the treatment regimen for several months previously
HbA1C is a good indicator of the patient's compliance with the therapy regimen for several months
previously.
Which drug will the nurse tell the patient is a long-acting insulin?
A. Insulin glulisine (Apidra)
B. Insulin isophane suspension (NPH)
C. Insulin detemir (Levemir)
D. Regular insulin (Humulin R) - ANSWER: C. Insulin detemir (Levemir)
The nurse should inform the patient that timing of meals with insulin and oral antidiabetic therapy is
important to prevent hypoglycemia and to obtain the most optimal results from the antidiabetic
therapy. Whereas insulin detemir (Levemir) is a long-acting insulin, insulin glulisine (Apidra) is a rapid-
acting insulin. Insulin isophane suspension (NPH) is an intermediate-acting insulin, and regular insulin
(Humulin R) is a short-acting insulin.
The patient is being discharged home with insulin aspart (NovoLog) and insulin isophane suspension
(NPH). Which information does the nurse include when providing discharge teaching to the patient?
A. Store the insulins in the refrigerator.
B. Shake the insulins for 1 full minute before use.
C. Administer the injection at a 30-degree angle to your skin.
D. Draw up the insulin aspart (NovoLog) first and then draw up the insulin isophane suspension (NPH)
into the same syringe. - ANSWER: D. Draw up the insulin aspart (NovoLog) first and then draw up the
insulin isophane suspension (NPH) into the same syringe.
The rapid-acting (clear) and then the intermediate-acting (cloudy) insulins should be mixed in the
syringe after the appropriate amount of air has been injected. Insulin is stored at room temperature
when it will be used within the month. The injection should be administered at a 90-degree angle for
patients who have adequate body fat and at a 45-degree angle for patients who are very thin. Insulins
should be rolled before administration and not shaken.
The nurse enters the patient's room to complete the discharge process and finds the patient to be
lying in bed unresponsive and breathing. The patient has a blood glucose reading of 48 mg/dL. What is
the most appropriate response by the nurse?
A. Place a packet of table sugar in the patient's mouth.
B. Start cardiopulmonary resuscitation (CPR).
C. Roll the patient to the side and administer the ordered glucagon.
D. Have the patient drink orange juice. - ANSWER: C. Roll the patient to the side and administer the
ordered glucagon.
Glucagon, a natural hormone secreted by the pancreas, is available as an SQ injection to be given
when a quick response to severe hypoglycemia is needed. Because glucagon injection may induce
vomiting, roll an unconscious patient onto his or her side before injection. Glucagon is useful in
Edition By Linda Lilley, Shelly Collins, Julie Snyder Chapter 1-58
| 9780323827973 | All Chapters with Answers and Rationals
A woman who has type 2 DM is now pregnant. She wants to know whether to take her oral
antidiabetic medication. What instructions will she receive?
A. She should continue the antidiabetic medication at the same dosage.
B. The antidiabetic medication dosage will be increased gradually throughout her pregnancy.
C. She will be switched to insulin therapy while she is pregnant.
D. She will not receive any antidiabetic medication while pregnant and will need to monitor her
dietary intake closely. - ANSWER: C. She will be switched to insulin therapy while she is pregnant.
Oral antidiabetic medications are generally not recommended for pregnant patients because of a lack
of firm safety data. Insulin therapy is the currently recommended drug therapy for pregnant women.
The nurse has just administered the morning dose of a patient's lispro (Humalog) insulin. Just after the
injection, the dietary department calls to inform the patient care unit that breakfast trays will be 45
minutes late. What will the nurse do next?
A. Inform the patient of the delay.
B. Check the patient's blood glucose levels.
C. Call the dietary department to send a tray immediately.
D. Give the patient food, such as cereal and skim milk, and juice - ANSWER: D. Give the patient food,
such as cereal and skim milk, and juice
lispro insulin's onset of action is 15 minutes. It is essential that a patient with DM eat a meal after
injection. Otherwise, profound hypoglycemia may result.
A patient with type 1 DM is admitted to the medical unit with an acute exacerbation of COPD. He is
placed on IV piggyback antibiotics, nebulizer treatments with albuterol, and an IV corticosteroid, and
he is also taking a proton pump inhibitor for GERD. He takes a dose of glargine insulin every evening.
This evening the nurse notes that his blood glucose level is 170 mg/dL. The next morning, his fasting
glucose level is 202 mg/dL. What is the most likely cause of his elevated glucose levels?
A. the albuterol
B. the antibiotics
C. the proton pump inhibitor
D. the corticosteroid - ANSWER: D. the corticosteroid
Corticosteroids antagonize the hypoglycemic effects of insulin, resulting in elevated blood glucose
After the 0700 report, the day shift nurse notices that a patient has a 0730 dose of insulin due and
goes to the automated dispensing machine to retrieve the insulin. The nurse sees that the night shift
nurse had removed the 0730 dose of insulin, but the medication administration record (MAR) has not
been signed by the nurse. The patient is confused and says "she thinks" the night nurse gave her the
insulin. The patient's blood glucose level is 142 mg/dL. What will the day shift nurse do?
A. Give the insulin because it was not signed off.
B. Hold the insulin because the patient thinks she received it and it is recorded in the machine.
C. Ask the charge nurse to call the night nurse at home to clarify whether the insulin was given.
D. Report this to the nursing supervisor. - ANSWER: C. Ask the charge nurse to call the night nurse at
home to clarify whether the insulin was given.
, Never guess whether a drug was given. Taking the drug out of the machine does not mean it was
given. The nurse should ask the night nurse what was done.
What can the nurse inform the patient about the use of HbA1C in diabetes mellitus?
A. helps to identify which type of DM the patient has
B. will identify if he has an infection
C. will aid in monitoring patient compliance with the treatment regimen for several months previously
D. represents current fasting blood glucose level - ANSWER: C. will aid in monitoring patient
compliance with the treatment regimen for several months previously
HbA1C is a good indicator of the patient's compliance with the therapy regimen for several months
previously.
Which drug will the nurse tell the patient is a long-acting insulin?
A. Insulin glulisine (Apidra)
B. Insulin isophane suspension (NPH)
C. Insulin detemir (Levemir)
D. Regular insulin (Humulin R) - ANSWER: C. Insulin detemir (Levemir)
The nurse should inform the patient that timing of meals with insulin and oral antidiabetic therapy is
important to prevent hypoglycemia and to obtain the most optimal results from the antidiabetic
therapy. Whereas insulin detemir (Levemir) is a long-acting insulin, insulin glulisine (Apidra) is a rapid-
acting insulin. Insulin isophane suspension (NPH) is an intermediate-acting insulin, and regular insulin
(Humulin R) is a short-acting insulin.
The patient is being discharged home with insulin aspart (NovoLog) and insulin isophane suspension
(NPH). Which information does the nurse include when providing discharge teaching to the patient?
A. Store the insulins in the refrigerator.
B. Shake the insulins for 1 full minute before use.
C. Administer the injection at a 30-degree angle to your skin.
D. Draw up the insulin aspart (NovoLog) first and then draw up the insulin isophane suspension (NPH)
into the same syringe. - ANSWER: D. Draw up the insulin aspart (NovoLog) first and then draw up the
insulin isophane suspension (NPH) into the same syringe.
The rapid-acting (clear) and then the intermediate-acting (cloudy) insulins should be mixed in the
syringe after the appropriate amount of air has been injected. Insulin is stored at room temperature
when it will be used within the month. The injection should be administered at a 90-degree angle for
patients who have adequate body fat and at a 45-degree angle for patients who are very thin. Insulins
should be rolled before administration and not shaken.
The nurse enters the patient's room to complete the discharge process and finds the patient to be
lying in bed unresponsive and breathing. The patient has a blood glucose reading of 48 mg/dL. What is
the most appropriate response by the nurse?
A. Place a packet of table sugar in the patient's mouth.
B. Start cardiopulmonary resuscitation (CPR).
C. Roll the patient to the side and administer the ordered glucagon.
D. Have the patient drink orange juice. - ANSWER: C. Roll the patient to the side and administer the
ordered glucagon.
Glucagon, a natural hormone secreted by the pancreas, is available as an SQ injection to be given
when a quick response to severe hypoglycemia is needed. Because glucagon injection may induce
vomiting, roll an unconscious patient onto his or her side before injection. Glucagon is useful in
