Ans d if mixing insulins in one syringe the clear

ANS: D
If mixing insulins in one syringe, the clear (regular) insulin is always drawn up into the
syringe first. Patients always need to rotate injection sites. Mixing of insulins may be
ordered.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
Chapter 32 - Antidiabetic Drugs 166
Pharmacology and the Nursing Process 9th Edition 9780323529495
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MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
4.
When monitoring a patient’s response to oral antidiabetic drugs, the nurse knows that
which laboratory result would indicate a therapeutic response?
a. Random blood glucose level 180 mg/dL
b. Blood glucose level of 50 mg/dL after meals
c. Fasting blood glucose level of 92 mg/dL
d. Evening blood glucose level below 80 mg/dL
ANS: C
The American Diabetes Association recommends a fasting blood glucose level of between
70 and 130 mg/dL for diabetic patients. The other options are incorrect.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Evaluation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
5.
A 75-year-old woman with type 2 diabetes has recently been placed on glipizide
(Glucotrol). She asks the nurse when the best time would be to take this medication. What
is the nurse’s best response?
a. “Take this medication in the morning, 30 minutes before breakfast.”
b. “Take this medication in the evening with a snack.”
c. “This medication needs to be taken after the midday meal.”
d. “It does not matter what time of day you take this medication.”
ANS: A
Glipizide is taken in the morning, 30 minutes before breakfast. This allows the timing of
the insulin secretion induced by the glipizide to correspond with the elevation in blood
glucose level induced by the meal in much the same way as endogenous insulin levels are
raised in a person without diabetes.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
6.
A patient who has type 2 diabetes is scheduled for an oral endoscopy and has been NPO
(nothing by mouth) since midnight. What is the best action by the nurse regarding the
administration of her oral antidiabetic drugs?
a. Administer half the original dose.
b. Withhold all medications as ordered.
c. Contact the prescriber for further orders.
d. Give the medication with a sip of water.
ANS: C
When the diabetic patient is NPO, the prescriber needs to be contacted for further orders
regarding the administration of the oral antidiabetic drugs. The other options are incorrect.