Test Bank: Drugs for Diabetes Mellitus
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1. 1) Which information should the nurse include in the education of a client
when explaining
type 1 diabetes mellitus?
1. "The exocrine function of the pancreas is not working."
2. "The target cells are resistant to insulin."
3. "Your alpha cells should be able to secrete insulin, but they cannot."
4. "Your pancreas cannot secrete insulin.": Answer: 4
Explanation:
1. Secretion of insulin is an endocrine function.
2. Target cells that are resistant to insulin is descriptive of the pathology for type 2
diabetes.
3. Insulin is secreted by the beta cells of the pancreas.
4. A function of the pancreas is to secrete insulin.
2. 2) When should the nurse administer a client's prescribed 10 units of lispro
(Humalog)?
1. Thirty minutes before meals
2. Five minutes before a meal
3. When the meal trays arrive on the floor
4. Fifteen minutes after meals: Answer: 2
Explanation:
1. The onset of action for insulin lispro (Humalog) is 15 to 30 minutes so it must be
given 5
to 10 minutes prior to the client eating to prevent hypoglycemia.
2. The onset of action for insulin lispro (Humalog) is 15 to 30 minutes so it must be
given 5
to 10 minutes before the client eats to prevent hypoglycemia.
3. The onset of action for insulin lispro (Humalog) is 15 to 30 minutes so it must be
given 5
to 10 minutes before the client eats to prevent hypoglycemia.
4. The onset of action for insulin lispro (Humalog) is 15 to 30 minutes so it must be
given 5
to 10 minutes prior to the client eating to prevent hypoglycemia.
3. 3) The physician writes orders for the client with diabetes mellitus. Which
order should the
nurse clarify with the healthcare provider?
1. Lantus insulin 20U BID
2. Administering regular insulin 30 minutes prior to meals
3. Five units of Humalog/10 units NPH daily
4. Metformin (Glucophage) 1000 mg per day in divided doses: Answer: 1
, Test Bank: Drugs for Diabetes Mellitus
Study online at https://quizlet.com/_cdjb28
Explanation:
1. Lantus is a long-acting insulin with a duration of 24 hours. Administering it BID
places
the client at risk for hypoglycemia.
2. Regular insulin is administered 30 minutes before meals.
3. Humalog and NPH insulin can be mixed.
4. Metformin (Glucophage) is often prescribed in divided doses of 1000 mg per day.
4. 4) The nurse finds a client with diabetes mellitus type 1 unresponsive. Which
is the priority
nursing action?
1. Call the rapid response team.
2. Administer glucagon.
3. Administer oxygen.
4. Assess the vital signs.: Answer: 2
Explanation:
1. The nursing priority is to administer glucagon and then notify the rapid response
team.
Calling the rapid response team is delaying care.
2. When a client with diabetes mellitus type 1 is found unresponsive, the client should
be
treated as if they were hypoglycemic. Left untreated, severe hypoglycemia may
result in
death.
3. Oxygen will not help the client.
4. Vital signs can be taken after the client is treated for hypoglycemia.
5. 5) The home health nurse observes a client's 3-month supply of insulin vials
are not
refrigerated. Which action should the nurse take?
1. Instruct the client that the insulin should be stored away from direct sunlight
or
excessive heat.
2. Have the client discard the vials.
3. Instruct the client to label each vial with the date when opened.
4. Instruct the client that unopened bottles can be stored for up to 3 months-
: Answer: 1
Explanation:
1. Unopened vials can be stored at room temperature but should be stored away
from
direct sunlight or direct heat.
Study online at https://quizlet.com/_cdjb28
1. 1) Which information should the nurse include in the education of a client
when explaining
type 1 diabetes mellitus?
1. "The exocrine function of the pancreas is not working."
2. "The target cells are resistant to insulin."
3. "Your alpha cells should be able to secrete insulin, but they cannot."
4. "Your pancreas cannot secrete insulin.": Answer: 4
Explanation:
1. Secretion of insulin is an endocrine function.
2. Target cells that are resistant to insulin is descriptive of the pathology for type 2
diabetes.
3. Insulin is secreted by the beta cells of the pancreas.
4. A function of the pancreas is to secrete insulin.
2. 2) When should the nurse administer a client's prescribed 10 units of lispro
(Humalog)?
1. Thirty minutes before meals
2. Five minutes before a meal
3. When the meal trays arrive on the floor
4. Fifteen minutes after meals: Answer: 2
Explanation:
1. The onset of action for insulin lispro (Humalog) is 15 to 30 minutes so it must be
given 5
to 10 minutes prior to the client eating to prevent hypoglycemia.
2. The onset of action for insulin lispro (Humalog) is 15 to 30 minutes so it must be
given 5
to 10 minutes before the client eats to prevent hypoglycemia.
3. The onset of action for insulin lispro (Humalog) is 15 to 30 minutes so it must be
given 5
to 10 minutes before the client eats to prevent hypoglycemia.
4. The onset of action for insulin lispro (Humalog) is 15 to 30 minutes so it must be
given 5
to 10 minutes prior to the client eating to prevent hypoglycemia.
3. 3) The physician writes orders for the client with diabetes mellitus. Which
order should the
nurse clarify with the healthcare provider?
1. Lantus insulin 20U BID
2. Administering regular insulin 30 minutes prior to meals
3. Five units of Humalog/10 units NPH daily
4. Metformin (Glucophage) 1000 mg per day in divided doses: Answer: 1
, Test Bank: Drugs for Diabetes Mellitus
Study online at https://quizlet.com/_cdjb28
Explanation:
1. Lantus is a long-acting insulin with a duration of 24 hours. Administering it BID
places
the client at risk for hypoglycemia.
2. Regular insulin is administered 30 minutes before meals.
3. Humalog and NPH insulin can be mixed.
4. Metformin (Glucophage) is often prescribed in divided doses of 1000 mg per day.
4. 4) The nurse finds a client with diabetes mellitus type 1 unresponsive. Which
is the priority
nursing action?
1. Call the rapid response team.
2. Administer glucagon.
3. Administer oxygen.
4. Assess the vital signs.: Answer: 2
Explanation:
1. The nursing priority is to administer glucagon and then notify the rapid response
team.
Calling the rapid response team is delaying care.
2. When a client with diabetes mellitus type 1 is found unresponsive, the client should
be
treated as if they were hypoglycemic. Left untreated, severe hypoglycemia may
result in
death.
3. Oxygen will not help the client.
4. Vital signs can be taken after the client is treated for hypoglycemia.
5. 5) The home health nurse observes a client's 3-month supply of insulin vials
are not
refrigerated. Which action should the nurse take?
1. Instruct the client that the insulin should be stored away from direct sunlight
or
excessive heat.
2. Have the client discard the vials.
3. Instruct the client to label each vial with the date when opened.
4. Instruct the client that unopened bottles can be stored for up to 3 months-
: Answer: 1
Explanation:
1. Unopened vials can be stored at room temperature but should be stored away
from
direct sunlight or direct heat.
