ATI Med-Surg Exam 1 2021/2022 Graded A+

1. The nurse is preparing to administer insulin intravenously. Which statement about the administration of intravenous insulin is true? • Aspart or lispro can be administered intravenously. But there must be a 50% dose reduction • A warmer is required to infuse insulin • Only regular insulin can be given intravenously • Any form of insulin can be administered intravenously 2. A client has been diagnosed with metabolic syndrome and is started on the biguanide metformin. The nurse knows that the purpose of metformin, in this situation, is which of the following • To decrease the pancreatic secretion of insulin • To decrease insulin resistance • To decrease the pancreatic secretion of insulin • To increase blood glucose levels 3. A patient receives aspart at 0800. What time will it be most important for the nurse to monitor for symptoms of hypoglycemia 1000 1600 1200 1400 4. A 32 year old client with diabetes is starting on intensive insulin therapy. Which type of insulin will be used for mealtime coverage • NPH • Glargine • Detemir • Lispro 5. Which information will the nurse include when teaching a 50 year old client about type 2 diabetes? • Glyburide Decreases glucagon secretion from the pancreas • Glyburide should not be used for 48 hours after receiving IV contrast media • Glyburide stimulates insulin production and release for the pancreas • Glyburide should be taken even if the morning blood glucose level is low 6. A hospitalized diabetic client received 38U of NPH insulin at 0700. At 1300 the client has been away from the nursing unit for two hours, missing the lunch delivery while awaiting a chest x-ray. To prevent hypoglycemia, the best action by the nurse is to • Ask that diagnostic testing area staff to start a 5% dextrose IV • Request that if testing us further delayed, that the patient be returned to the unit to eat • Save the lunch tray for the clients later return to the unit • Send a glass of milk