NURS 360 EXAM 3 QUESTIONS AND
ANSWERS. VERIFIED 2026.
Insulin (use) - ANS Diabetes type 1
-No beta cells
Anti-Diabetic Oral Agents (use) - ANS Diabetes type 2
-Have beta cells that are resistant
Insulin (nursing implications) - ANS -Pt teaching
-Educate family as well
-Teach self monitoring of blood glucose levels
-Test urine for ketones if pt is ill
-Discuss foot care & seeing an eye doctor to prevent complications
-Basal bolus dosing: long acting agent provides a basal rate of insulin delivery (commonly given
at bedtime). A short or rapid acting is given prior to meals to provide coverage for the post-
prandial spike in blood glucose levels.
Anti-Diabetic Oral Agent (nursing implications) - ANS -Pt teaching
-Educate the family as well
-Teach self monitoring of blood glucose levels
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,-Test urine for ketones if pt is ill
-Discuss foot care & seeing an eye doctor to prevent complications
Biguanide - ANS Metformin
Biguanide (AE) - ANS -Lactic Acidosis
-May cause renal failure when combined with iodine contrast media
-No hypoglycemia risk when used alone
Biguanide (drug interactions) - ANS Iodine contrast media
Sulfonylureas - ANS -Glimepiride
-Glipizide
Sulfonylureas (pt teaching) - ANS -If taken with acarbose, miglitol, metformin, glitazones:
watch & be prepared for hypoglycemic event
-Do not take with alcohol (hypoglycemia & flushing response)
-If exercising vigorously, consult doctor as you may need to decrease dose
-Sulfa based: Assess hypersensitivities.
-Sulfonamides: hypoglycemia risk
Sulfonylureas (MOA) - ANS -Must have functioning beta cells
-Stimulates cells to secrete more insulin
Sulfonylureas (AE) - ANS Hypoglycemia
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Alpha-Glucosidase Inhibitors - ANS -Acarbose
-Miglitol
Alpha-Glucosidase Inhibitors (pt teaching) - ANS -Take orally with first bite of meal. Do not
take if skipping meal
-Usually combined with a sulfonylurea
-Start low dose & gradual increase
-If hypoglycemia event occurs: must use a form of glucose or glucagon, not sucrose
(juice/candy) for tx
-Contraindicated in existing bowel disease
-Monitor CBC
Alpha-Glucosidase Inhibitors (administration) - ANS -Take orally with first bite of meal
-Do not take if skipping meal
Alpha-Glucosidase Inhibitors (AE) - ANS GI upset:
-bloating
-diarrhea
Bone Marrow Suppression (rare)
Thiazolidinediones - ANS "Glitizones"
Thiazolidinediones (AE) - ANS -Congestive heart failure
-Myocardial infarction
-Liver injury
-Diarrhea
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
ANSWERS. VERIFIED 2026.
Insulin (use) - ANS Diabetes type 1
-No beta cells
Anti-Diabetic Oral Agents (use) - ANS Diabetes type 2
-Have beta cells that are resistant
Insulin (nursing implications) - ANS -Pt teaching
-Educate family as well
-Teach self monitoring of blood glucose levels
-Test urine for ketones if pt is ill
-Discuss foot care & seeing an eye doctor to prevent complications
-Basal bolus dosing: long acting agent provides a basal rate of insulin delivery (commonly given
at bedtime). A short or rapid acting is given prior to meals to provide coverage for the post-
prandial spike in blood glucose levels.
Anti-Diabetic Oral Agent (nursing implications) - ANS -Pt teaching
-Educate the family as well
-Teach self monitoring of blood glucose levels
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,-Test urine for ketones if pt is ill
-Discuss foot care & seeing an eye doctor to prevent complications
Biguanide - ANS Metformin
Biguanide (AE) - ANS -Lactic Acidosis
-May cause renal failure when combined with iodine contrast media
-No hypoglycemia risk when used alone
Biguanide (drug interactions) - ANS Iodine contrast media
Sulfonylureas - ANS -Glimepiride
-Glipizide
Sulfonylureas (pt teaching) - ANS -If taken with acarbose, miglitol, metformin, glitazones:
watch & be prepared for hypoglycemic event
-Do not take with alcohol (hypoglycemia & flushing response)
-If exercising vigorously, consult doctor as you may need to decrease dose
-Sulfa based: Assess hypersensitivities.
-Sulfonamides: hypoglycemia risk
Sulfonylureas (MOA) - ANS -Must have functioning beta cells
-Stimulates cells to secrete more insulin
Sulfonylureas (AE) - ANS Hypoglycemia
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Alpha-Glucosidase Inhibitors - ANS -Acarbose
-Miglitol
Alpha-Glucosidase Inhibitors (pt teaching) - ANS -Take orally with first bite of meal. Do not
take if skipping meal
-Usually combined with a sulfonylurea
-Start low dose & gradual increase
-If hypoglycemia event occurs: must use a form of glucose or glucagon, not sucrose
(juice/candy) for tx
-Contraindicated in existing bowel disease
-Monitor CBC
Alpha-Glucosidase Inhibitors (administration) - ANS -Take orally with first bite of meal
-Do not take if skipping meal
Alpha-Glucosidase Inhibitors (AE) - ANS GI upset:
-bloating
-diarrhea
Bone Marrow Suppression (rare)
Thiazolidinediones - ANS "Glitizones"
Thiazolidinediones (AE) - ANS -Congestive heart failure
-Myocardial infarction
-Liver injury
-Diarrhea
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
