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Pharm201 CH 42 Questions and Verified Answers

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Pharm201 CH 42 Questions and Verified Answers

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Pharm201 CH 42 Questions and Verified Answers, 100% Guarantee


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? - increased risk of lactic acidosis


A 4-year-old child with type 1 diabetes mellitus becomes angry and then lethargic. The parent
should be taught that a change in behavior may indicate hypoglycemia. True or false? -
True


A client is admitted to the emergency department in diabetic ketoacidosis (DKA). The physician
orders an initial dose of 25 units insulin IV. Which type of insulin will be administered? -
Regular insulin


The nurse is preparing to administer a mixture of 12 units regular insulin and 45 units NPH
insulin to a client with a blood sugar of 378 mg/dL. After the nurse draws the medication into the
syringe, what is the nurse's next action? - Check the dosage with another nurse.


A client is receiving acarbose. What would the nurse incorporate into the teaching plan for this
client about the action of the drug? - Inhibits an enzyme to delay glucose absorption



Which is the best indicator of overall diabetic control? - Glycosylated hemoglobin levels


The health care provider has ordered a change of prescription from rapid-acting insulin to an
intermediate-acting type. Which adverse effect must the nurse closely monitor for in the client? -
Hypoglycemia


The nurse instructs a client who has been prescribed extended-release metformin (Glucophage
XR) to take the medication at what time? - With the evening meal


A client, who is 42 years old and newly diagnosed with type 2 diabetes, has attended educational
sessions to provide insight into the diagnosis. Which of the client's statements should prompt the

, nurse to provide further teaching - "I'm disappointed, but I take some solace in the fact
that I won't ever have to have insulin injections."


A nurse is caring for a client receiving metformin drug therapy to improve glycemic control.
What adverse reaction to the drug should the nurse monitor the client for? - asthenia


When considering the management of diabetic ketoacidosis (DKA), what type of insulin can be
administered intravenously? - regular


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? - 06:45


The nurse is discussing diabetes with a group of individuals who are at risk for the disease.
Which statement by a participant indicates an understanding of the role of insulin in the disease?
- "Insulin assists glucose molecules to enter the cells of muscle and fat tissues."


A diabetic client has been admitted to the ICU with diabetic ketoacidosis (DKA). What is the
first step in the treatment of this client? - Administration of IV fluids


A client is admitted to the intensive care unit with diabetic ketoacidosis. The nurse knows that
the client will be placed on an intravenous insulin drip. The only type of insulin that can be
administered intravenously is: - regular


The nurse is caring for a client taking insulin. The nurse realizes the client is experiencing
symptoms of hypoglycemia when the client displays: - weakness, sweating, and decreased
mentation.


After teaching a class about the various drugs used to control blood glucose, the instructor
determines that the teaching was successful when the class identifies what as a biguanide? -
Metformin

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