Deck 67: Pharmacotherapy of Diabetes Mellitus

Question 1

The insulin with the most rapid onset of action is insulin:
1)Aspart.
2)Lispro.
3)Regular.
4)Glulisine.

Answer 1

2

Question 2

The normal range for serum glucose is 60-100 mg/dL.The level is usually tightly regulated to:
1)60-70 mg/dL.
2)70-80 mg/dL.
3)80-90 mg/dL.
4)90-100 mg/dL.

Answer 2

3

Question 3

The difference between diabetic ketoacidosis (DKA)and hyperosmolar hyperglycemic state (HHS)is that clients with HHS:
1)Have elevated glucose.
2)Are dehydrated.
3)Have absence of ketoacidosis.
4)Are confused.

Answer 3

2

Question 4

Which of the following should be included in patient teaching for the client with diabetes? Select all that apply.
1)Maintain glucose control.
2)Check feet daily for signs of irritation.
3)Get annual eye exams.
4)Monitor blood pressure carefully.
5)Quit smoking.

Question 5

Which insulin can be administered intravenously?
1)Aspart
2)Lispro
3)Regular
4)Glulisine

Question 6

What percent of adults with diabetes take oral agents only?
1)30-40
2)40-50
3)50-60
4)60-70

Question 7

The nurse knows that insulin should not be administered in patients whose blood glucose is lower than:
1)90 mg/dL.
2)80 mg/dL.
3)70 mg/dL.
4)60 mg/dL.

Question 8

Hemoglobin A1C monitors:
1)The level of hemoglobin over time.
2)The level of glucose over time.
3)The percent of glucose present in the blood.
4)The percent of glucagon in the blood.

Question 9

The breakdown of fatty acids for fuel results in the presence of which of the following in the blood?
1)Glucose
2)Ketones
3)Leukocytes
4)Protein

Question 10

Following a meal, glucose that is not needed for immediate energy needs is stored as:
1)Fat.
2)Glycogen.
3)Glucagon.
4)Muscle tissue.

Question 11

Polyuria that occurs in diabetes is due to:
1)Osmotic diuresis.
2)Excessive fluid intake.
3)Inflammation of the glomerulus.
4)Lack of albumin.

Question 12

The advantage of second-generation sulfonylureas is they:
1)Exhibit fewer drug-drug interactions.
2)Can be administered in smaller doses.
3)Cause fewer side effects.
4)Do not cause hypoglycemia.

Question 13

The primary factor contributing to the development of diabetes type 2 is:
1)Age.
2)Ethnicity.
3)Obesity.
4)Sedentary lifestyle.

Question 14

The primary adverse effect of insulin is:
1)Somogyi phenomenon.
2)Swollen lymph glands.
3)Urticaria.
4)Hypoglycemia.

Question 15

Which of the following drugs would alter the patient's ability to recognize the symptoms of hypoglycemia?
1)Antibiotics
2)Diuretics
3)Beta blockers
4)Oral hypoglycemics

Question 16

Which of the following substances should be avoided while the client is using sulfonylureas?
1)Calcium products
2)Alcohol
3)Antacids
4)Antibiotics

Question 17

The nurse assesses the client in the Emergency Department and finds the client confused, sweating, and complaining of a headache.The nurse suspects hypoglycemia.The nurse's next action is to obtain:
1)A glucose tolerance test.
2)A serum blood glucose.
3)A finger-stick blood glucose.
4)Serum electrolytes.

Question 18

Insulin administration site should be rotated primarily to prevent:
1)Lipodystrophy.
2)Systemic absorption of insulin.
3)Ineffective dosing.
4)Abscess development.

Question 19

Glyburide would be contraindicated in patient with allergies to:
1)Sulfa drugs.
2)Eggs.
3)Milk products.
4)Urea.

Question 20

Risk factors for type 2 diabetes include which of the following? Select all that apply.
1)Family history
2)Obesity
3)Race
4)Ethnicity
5)Age below 45

Question 21

Which of the following should be included in the patient teaching plan for the client taking insulin? Select all that apply.
1)Rotate sites.
2)Carry a readily available supply of sugar.
3)Remember the signs of hypoglycemia.
4)Wear a medic alert bracelet that explains the patient has diabetes.
5)Store insulin in the freezer.