36-41 - Ch. 36 1. A patient received the evening dose of...

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Ch. 36 1. A patient received the evening dose of Lispro subcutaneously at 1630. What time will symptoms of hypoglycemia likely occur? A. 1900 B. 1830 C. 0130 D. 0600 2. It is 1400 and a patient who has been NPO since 12 AM for a bronchoscopy is complaining of a headache and shakiness, and is extremely irritable. Vital signs are within normal limits, and a one- touch glucose reads 50 mg/dL. Which action is most important for the nurse to take? A. Have the patient eat a snack and drink milk. B. Administer glucagon subcutaneously. C. Call the bronchoscopy room to follow up with the delay. D. Obtain an A 1c test. 3. After a blood glucose reading, it is determined that the patient should receive 4 units of Lispro and 8 units of NPH. Which action will the nurse take to administer these medications? A. Draw up each insulin in separate syringes and administer two injections. B. Draw up the NPH first and then the Lispro using the same syringe. C. Administer the Lispro before the meal and the NPH after the meal. D. Draw up the Lispro first and then the NPH using the same syringe. 4. A patient with type 2 diabetes mellitus, which was previously controlled with an oral antidiabetic agent, is hospitalized for treatment of a leg ulcer. The health care provider has ordered sliding scale insulin coverage with regular insulin for hyperglycemia. The nurse brings the injection into the room, and the patient becomes upset, stating “I don’t want to start taking that drug! I’ll need it the rest of my life.” What is the nurse’s best response? A. “This is the same drug as the oral medication you were taking. It’s a stronger dose while you are in the hospital.” B. “Don’t worry. You shouldn’t need this too often. As you feel better, your blood glucose level will drop.” C. “Your body is under stress right now, which raises your blood glucose level. This does not mean you will be on this drug permanently. Once you’re feeling better, your provider will determine if your oral medication is all you will need.” D. “Your disease is progressing and your pancreas is producing less insulin. I know
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this is a hard time for you. Do you want to talk about it?” 5. What test determines glycemic control over the previous 8 to 10 weeks? A. 24-hour glucose clearance test B. Fructosamine test C. Fasting blood sugar D. A 1c test 6. When is the best time for the nurse to administer Lispro? A. After the patient has started eating B. Within 10 to 15 minutes of eating C. 30 minutes before a meal D. 45 to 60 minutes before a meal 7. Which is the most important for the successful management of diabetes mellitus? A. A network of community resources B. The level of self-management C. Preventative education D. Frequent follow-up with the health care provider 8. What laboratory test is the preferred screening test for diabetes in children and nonpregnant adults? A. FPG
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This note was uploaded on 02/01/2011 for the course PNR 182 taught by Professor Toole during the Spring '10 term at Orangeburg-Calhoun Technical College.

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36-41 - Ch. 36 1. A patient received the evening dose of...

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