Antidiabetic Meds Sherpath Questions and Answers 100% Pass

Antidiabetic Meds Sherpath Questions and Answers 100% Pass Regular insulin is administered at 0730. At which time would the nurse anticipate the insulin to start acting? 0800 Regular insulin's onset of action is within 30 minutes to 1 hour. Glargine insulin is administered at bedtime (2100). When should the peak of action be expected for this medication? Because it is a basal insulin, is considered "peakless." Glargine has a small plateau but is considered to be "peakless." A nurse administering neutral protamine Hagedorn (NPH) insulin would expect peak effect to occur in which time frame? 6 to 12 hours NPH Insulin is an intermediate-acting insulin and has its peak effect at 6 to 12 hours. A nurse is administering glargine insulin to a patient. Which time frame describes the onset of action of this medication? 1 to 2 hours Glargine is a long-acting insulin with an onset of action of 1 to 2 hours After taking metformin at 0800, in which time frame should the patient expect to take another dose? Within 24 hours Metformin's duration of action is 24 hours, allowing for one daily dosage. Which phrase describes the unique action of empagliflozin, an SGLT2 inhibitor used for type II diabetes? Promotes glucose excretion through the urine SGLT2 inhibitors like empagliflozin help to eliminate glucose in the urine. Which action of sulfonylurea drugs lowers the elevated blood glucose levels in patient with type II diabetes? Stimulates release of insulin from pancreas Sulfonylureas act primarily on the release of insulin from the pancreas, which lowers blood glucose levels. A nurse is treating an unconscious adult who is covered in sweat. The person has a history of diabetes. A blood glucose of 20 mg/dL is obtained. Which substance would the nurse administer? Glucagon injection Glucagon should be administered to patients who are unconscious or unable to swallow. A patient with type 1 diabetes has a scheduled dose of insulin due. Which action would the nurse take when the fingerstick glucose monitor reads 50 mg/dL? Hold scheduled dose and give fruit juice. Blood glucose should be 70 mg/dL or above. If a patient with a blood glucose of less than 60 mg/dL receives insulin, the blood glucose will decrease more. Holding the scheduled dose and giving juice would be the appropriate intervention. There is a clinical protocol to hold metformin for 48 hours before and after tests that require intravenous contrast dye. Which statement explains why metformin would be held? Contrast dye can cause kidney dysfunction, which is a metformin contraindication. Intravenous contrast dye that contains iodine has the potential to cause acute kidney disease. Because metformin is contraindicated in patients with renal dysfunction, it should be discontinued a day or two prior to the procedure and resumed 48 hours after the procedure, once lab results show normal renal function. A patient diagnosed with type 2 diabetes states, "I did not eat breakfast, but I made sure to take my repaglinide." Which response by the nurse is appropriate? "Skipping meals can cause your blood glucose to drop." Repaglinide regulates blood glucose, which could drop if the drug is taken without a meal