Test Bank for Karchs Focus on Nursing Pharmacology 9th
Edition by Rebecca Tucker 9781975180409 Chapter 1-60 All
Chapters with Answers and Rationals
The nurse is explaining the action of exenatide to a patient. Which would the nurse include? -
ANSWER: Increase insulin resistance
A nurse is preparing to administer a rapid-acting insulin. Which medication would the nurse most
likely administer? - ANSWER: Insulin lispro
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? - ANSWER: Inspect the previous
injection site for inflammation.
The nurse is preparing to administer insulin intravenously to a client with a blood glucose level over
600 mg/dL (33.33 mmol/L). What type of insulin will the nurse most likely give? - ANSWER: Regular
insulin
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? - ANSWER: Subcutaneous injection
When considering the management of diabetic ketoacidosis (DKA), what type of insulin can be
administered intravenously? - ANSWER: Regular
A client, being evaluated for diabetes, asks how a blood glucose test is used to diagnosis this disease.
What is the nurse's best response? - ANSWER: "A fasting blood sugar result of 126 mg/dL (6.99
mmol/L) or more on two separate occasions is diagnostic of diabetes."
A client who began treatment for type 2 diabetes 8 months ago is now meeting with a diabetic nurse
for a scheduled follow-up. How can the nurse best assess the client's glycemic control since beginning
treatment? - ANSWER: Assess the most recent hemoglobin A1C levels.
When administering insulin, what would be most appropriate? - ANSWER: Insert the needle at a 45-
degree angle for injection.
A client is prescribed sitagliptin. The nurse would expect to administer this drug by which route? -
ANSWER: Oral
A client is receiving metformin therapy at a health care facility. The client is also prescribed
glucocorticoids. The nurse would be alert for which adverse reaction due to the interaction of these
two drugs? - ANSWER: increased risk of lactic acidosis
A student asks the nursing instructor what insulin has the quickest therapeutic effect once
administered. What would be the best response? - ANSWER: Regular (Humulin R)
Which is the best indicator of overall diabetic control? - ANSWER: Glycosylated hemoglobin levels
(A1C)
The nurse monitoring a client receiving insulin glulisine notices the client has become confused,
diaphoretic, and nauseated. The nurse checks the client's blood glucose and it is 60 mg/dL (3.33
mmol/L). Which can a nurse give to treat a client with a hypoglycemic episode? (Select all that apply.)
- ANSWER: Hard candy
Glucose tablets
Orange or other fruit juice
, A patient with type 1 diabetes has come to the clinic for a routine follow-up appointment. While
assessing the patient's skin, the nurse observes brown spots on his lower legs. What might these
spots indicate? - ANSWER: Widespread changes in the blood vessels
A female client is a newly diagnosed diabetic. She is a stay-at-home mother and responsible for meal
planning and management of the home. What will the home care nurse teach this client? (Select all
that apply.) - ANSWER: Watch the client draw up and administer her insulin.
Reinforce instructions on dealing with hypoglycemia.
Assist the client in making menus that will meet the needs of both the client and the family.
Which would a nurse identify as an example of a sulfonylurea? - ANSWER: Glyburide
When describing the effects of incretins on blood glucose control to a group of students, which would
an instructor include? - ANSWER: Increases insulin release
A man is brought to the emergency department. He is nonresponsive, and his blood glucose level is 32
mg/dL. Which would the nurse expect to be ordered? - ANSWER: Glucagon
A hospital client with a diagnosis of type 1 diabetes is prescribed Humulin R on a sliding scale. Based
on the client's blood glucose reading, the nurse administered 8 units of insulin at 07:45. The nurse
should consequently check the client's blood glucose level at what time to monitor peak effectiveness
of the medication? - ANSWER: Between 09:45 and 10:45
The nurse is preparing to administer 20 units of NPH insulin to a client. Before administering the
medication, the nurse should implement which intervention? - ANSWER: Have a colleague confirm
the dosage.
The client is scheduled to get a breakfast tray at 07:00. At what time should the client receive a
prescribed dose of insulin lispro? - ANSWER: 06:45
A client prescribed metformin is scheduled to undergo diagnostic testing with the administration of
parenteral radiographic contrast media containing iodine. What fact should direct the nurse's plan of
care for this client? - ANSWER: Metformin should be discontinued at least 48 hours before and after
diagnostic tests that use contrast medias.
What should be the nurse's initial response when a client diagnosed with type 1 diabetes suddenly
reports feeling weak, shaky, and dizzy? - ANSWER: Perform a blood sugar analysis.
A client's current condition requires rapid reduction of blood sugar levels. Which type of insulin will
have the most rapid onset of action? - ANSWER: insulin lispro
A client was diagnosed with type 2 diabetes several months ago and has presented for a scheduled
follow-up appointment. Which stated behavior most clearly indicates that the client has established
effective health maintenance? - ANSWER: The client frequently checks his/her blood glucose levels.
Because of the risk for lactic acidosis, metformin is contraindicated in which client? - ANSWER: an 82-
year-old diagnosed with type 2 diabetes
Rosiglitazone is being considered for the treatment of diabetes in an adult male client. Before the
initiation of rosiglitazone therapy, the nurse should review what laboratory work recently drawn? -
ANSWER: liver enzymes
Edition by Rebecca Tucker 9781975180409 Chapter 1-60 All
Chapters with Answers and Rationals
The nurse is explaining the action of exenatide to a patient. Which would the nurse include? -
ANSWER: Increase insulin resistance
A nurse is preparing to administer a rapid-acting insulin. Which medication would the nurse most
likely administer? - ANSWER: Insulin lispro
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? - ANSWER: Inspect the previous
injection site for inflammation.
The nurse is preparing to administer insulin intravenously to a client with a blood glucose level over
600 mg/dL (33.33 mmol/L). What type of insulin will the nurse most likely give? - ANSWER: Regular
insulin
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? - ANSWER: Subcutaneous injection
When considering the management of diabetic ketoacidosis (DKA), what type of insulin can be
administered intravenously? - ANSWER: Regular
A client, being evaluated for diabetes, asks how a blood glucose test is used to diagnosis this disease.
What is the nurse's best response? - ANSWER: "A fasting blood sugar result of 126 mg/dL (6.99
mmol/L) or more on two separate occasions is diagnostic of diabetes."
A client who began treatment for type 2 diabetes 8 months ago is now meeting with a diabetic nurse
for a scheduled follow-up. How can the nurse best assess the client's glycemic control since beginning
treatment? - ANSWER: Assess the most recent hemoglobin A1C levels.
When administering insulin, what would be most appropriate? - ANSWER: Insert the needle at a 45-
degree angle for injection.
A client is prescribed sitagliptin. The nurse would expect to administer this drug by which route? -
ANSWER: Oral
A client is receiving metformin therapy at a health care facility. The client is also prescribed
glucocorticoids. The nurse would be alert for which adverse reaction due to the interaction of these
two drugs? - ANSWER: increased risk of lactic acidosis
A student asks the nursing instructor what insulin has the quickest therapeutic effect once
administered. What would be the best response? - ANSWER: Regular (Humulin R)
Which is the best indicator of overall diabetic control? - ANSWER: Glycosylated hemoglobin levels
(A1C)
The nurse monitoring a client receiving insulin glulisine notices the client has become confused,
diaphoretic, and nauseated. The nurse checks the client's blood glucose and it is 60 mg/dL (3.33
mmol/L). Which can a nurse give to treat a client with a hypoglycemic episode? (Select all that apply.)
- ANSWER: Hard candy
Glucose tablets
Orange or other fruit juice
, A patient with type 1 diabetes has come to the clinic for a routine follow-up appointment. While
assessing the patient's skin, the nurse observes brown spots on his lower legs. What might these
spots indicate? - ANSWER: Widespread changes in the blood vessels
A female client is a newly diagnosed diabetic. She is a stay-at-home mother and responsible for meal
planning and management of the home. What will the home care nurse teach this client? (Select all
that apply.) - ANSWER: Watch the client draw up and administer her insulin.
Reinforce instructions on dealing with hypoglycemia.
Assist the client in making menus that will meet the needs of both the client and the family.
Which would a nurse identify as an example of a sulfonylurea? - ANSWER: Glyburide
When describing the effects of incretins on blood glucose control to a group of students, which would
an instructor include? - ANSWER: Increases insulin release
A man is brought to the emergency department. He is nonresponsive, and his blood glucose level is 32
mg/dL. Which would the nurse expect to be ordered? - ANSWER: Glucagon
A hospital client with a diagnosis of type 1 diabetes is prescribed Humulin R on a sliding scale. Based
on the client's blood glucose reading, the nurse administered 8 units of insulin at 07:45. The nurse
should consequently check the client's blood glucose level at what time to monitor peak effectiveness
of the medication? - ANSWER: Between 09:45 and 10:45
The nurse is preparing to administer 20 units of NPH insulin to a client. Before administering the
medication, the nurse should implement which intervention? - ANSWER: Have a colleague confirm
the dosage.
The client is scheduled to get a breakfast tray at 07:00. At what time should the client receive a
prescribed dose of insulin lispro? - ANSWER: 06:45
A client prescribed metformin is scheduled to undergo diagnostic testing with the administration of
parenteral radiographic contrast media containing iodine. What fact should direct the nurse's plan of
care for this client? - ANSWER: Metformin should be discontinued at least 48 hours before and after
diagnostic tests that use contrast medias.
What should be the nurse's initial response when a client diagnosed with type 1 diabetes suddenly
reports feeling weak, shaky, and dizzy? - ANSWER: Perform a blood sugar analysis.
A client's current condition requires rapid reduction of blood sugar levels. Which type of insulin will
have the most rapid onset of action? - ANSWER: insulin lispro
A client was diagnosed with type 2 diabetes several months ago and has presented for a scheduled
follow-up appointment. Which stated behavior most clearly indicates that the client has established
effective health maintenance? - ANSWER: The client frequently checks his/her blood glucose levels.
Because of the risk for lactic acidosis, metformin is contraindicated in which client? - ANSWER: an 82-
year-old diagnosed with type 2 diabetes
Rosiglitazone is being considered for the treatment of diabetes in an adult male client. Before the
initiation of rosiglitazone therapy, the nurse should review what laboratory work recently drawn? -
ANSWER: liver enzymes
