after taking the drug; he should learn to self-administer the drug;
and constipation is a concern. However, the most important safety
concern is to avoid alcohol.
Question 11
0 out of 1 points
A nurse is instructing a patient in the administration of regular insulin by the
subcutaneous route. Which of the following strategies would the nurse suggest if
the goal is to promote absorption of the regular insulin?
Response
Feedback:
To promote the absorption of regular insulin, one anatomic area
should be selected for subcutaneous injections. Serial locations
within that anatomic area are then chosen to rotate the exact
injection site. Injection sites should not be rotated by using
different anatomic areas each day, because this would
substantially change the absorption of the insulin and the patient's
blood glucose levels. Using one injection site regularly may lead to
lipodystrophy. Regular insulin is administered about 30 to 60
minutes before eating a meal, not after.
Question 12
1 out of 1 points
A 33-year-old man has developed acute gouty arthritis. He has been prescribed
colchicine. When developing a care plan for this patient, which factor will be
most important for the nurse to consider?
Response
Feedback:
The nurse must consider the patient's dietary habits because
foods high in purines increase uric acid concentrations in the
blood, making a gouty attack more likely. Assessing the patient's
work environment, fluid intake, and ethnicity are not as important
as assessing his dietary habits.
Question 13
1 out of 1 points
A nurse is instructing a patient who was recently diagnosed with multiple
sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the
foreman for a construction company. In order to minimize one important
adverse effect of the drug, the nurse will give the patient which of the following
instructions?
Response
Feedback:
The nurse will need to caution the patient about the adverse effect
of photosensitivity, especially considering his work. He should be

advised to wear protective clothing and sunglasses and to use
sunscreen whenever he is outside on the job site. A complete
blood cell count should be done before therapy begins but would
not be needed again unless indicated. A nurse must check with the
prescriber before advising a patient to decrease a drug dosage. A
diet high in protein is not necessary with this drug.
Question 14
1 out of 1 points
A diabetic patient being treated for obesity tells the nurse that he is having
adverse effects from his drug therapy. The patient has been taking
dextroamphetamine for 2 weeks as adjunct therapy. Which of the following
adverse effects would need the nurse's immediate attention?
Response
Feedback:
All of the patient's adverse effects should be addressed by the
nurse. However, the most critical effect that needs immediate
attention would be the increased blood glucose. Drug therapy for
the increased blood glucose may need to be altered. The patient


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- Fall '13
- Nursing, Pharmacology, Blood sugar, Allopurinol, Dantrolene