Deck 12: Diabetic Medications

Question 1

Name the two types of diabetes mellitus.

Answer 1

DM type 1 and DM type 2

Question 2

Ordered: NovoLog insulin 8 units subcut ac tid

A)Mark the dose on the syringe.
B)Is this a rapid-, intermediate-, or long-acting insulin?
C)What does U 100 mean?

Answer 2

a.
b.Rapid
c.100 units per mL

Question 3

What is the name of the hormone that may be administered by injection for severe hypoglycemic levels?

Answer 3

glucagon

Question 4

What is the major side effect of insulin overdose?

Question 5

Ordered: Novolin R subcut per sliding scale q6h,for a patient receiving total parenteral nutrition

A)The patient's blood glucose level is 240 mg per dL.How many units should the nurse administer?
B)Why must U be written out as units in medical records?

Question 6

Ordered: Humulin R 6 U per hr IV infusion
Recheck the blood glucose level in 1 hour and notify the prescriber's office.
Available: 100 units Humulin R in 100 mL NS
How many milliliters per hour will the nurse set on the infusion pump?

A)Estimated flow rate:
B)DA equation:
C)Evaluation:
D)Why should diet beverages not be given if hypoglycemic reaction is suspected or occurring?

Question 7

What is a normal fasting blood glucose range in mg per dL?

Question 8

If a patient is to receive a premixed insulin as noted on the label below,which number indicates the intermediate-acting insulin percentage?

Question 9

What is the difference between BGM and SMBG testing?

Question 10

A)What are the three main classifications of insulin activity (onset and/or duration)?
B)Does insulin elevate or lower blood glucose levels?

Question 11

If the patient doesn't take the prescribed antidiabetic medicine,what happens to the blood glucose level?

Question 12

A)What two products must be on hand for IV administration for a severe hypoglycemic reaction?
B)What kinds of insulins require a bedtime snack unless otherwise ordered?
C)State the reason.

Question 13

If a patient's blood glucose level is 295,which insulin infusion rate would you administer according the sliding scale below?

Question 14

Name the route that is most commonly prescribed for patients to self-administer insulin.

Question 15

Ordered: insulin glargine 28 units subcut at bedtime daily

A)What is the concentration in units per milliliter?
B)Mark the dose on the syringe.
C)Is this a rapid-, intermediate-, or long-acting insulin?
D)What is the major difference between insulin glargine and other insulins?

Question 16

Ordered: Humulin Regular insulin infusion IV at 4 units per hr
Available: 50 units
Humulin Regular insulin in100 mL of NS
How many milliliters per hour should the nurse set on the infusion pump?

A)Estimated flow rate:
B)DA equation:
C)Evaluation:
D)What are the only insulin products that may be administered intravenously?

Question 17

If a patient receives insulin and doesn't eat,what happens to the blood glucose level?

Question 18

Ordered: insulin infusion,Humulin R 7 units per hr
Infusing: insulin Humulin R infusion at 10 mL per hr
Available: 100 units Humulin R in 100 mL NS
How many units of insulin are infusing?

A)Estimate:
B)DA equation:
C)Evaluation: How many milliliters per hour will deliver the ordered flow rate?
D)Estimate:
E)DA equation:
F)Evaluation:
G)Decision:

Question 19

Ordered: NovoLog 6 units subcut tid ac daily

A)Mark the dose on the syringe.
B)Is this a rapid-, intermediate-, or long-acting insulin?
C)Which types of patients particularly benefit from use of this type of syringe?

Question 20

Ordered: an insulin mix-Humulin R 4 units,subcut AM and PM; Humulin N 26 units,30 minutes before meals

A)Is Humulin N a rapid-, intermediate-, or long-acting insulin?
B)Which type of insulin should the nurse withdraw first for the mix: Humulin R or Humulin N? State the reason for this decision.
C)Mark the total dose.Indicate the Humulin R and Humulin N doses with arrows.

Question 21

Which specific part of the following sliding scale would necessitate clarification with the prescriber?

Question 22

What serious ADE could the nurse expect if the dose prepared for an order of 4 units of Regular insulin and 26 units of intermediate acting insulin was reversed?

Question 23

Can long-acting insulins be given IV? If so,why; if not,why not?

Question 24

When giving insulin injections subcutaneously,what area on the abdomen must be avoided and by how many inches of radius?

Question 25

A sliding scale insulin order is based on what kind of test?

Question 26

A test that determines the average blood glucose level over the past 2 to 3 months is called:

A)HbA1c (glycosolated hemoglobin)
B)Fasting blood glucose (FBS)
C)Postprandial glucose test
D)BGM

Question 27

If a patient is having a hypoglycemic episode,which of the following choices would be best to give first if the patient is able to swallow?

A)Diet cola
B)Coffee (caffeine)
C)Orange juice
D)An antidiabetic pill

Question 28

Why are bedtime snacks such as half of a sandwich or milk ordered for patients on intermediate and long-acting or evening insulin?

Question 29

What does U 100 on an insulin label mean exactly?

A)100 units of total contents in the bottle
B)100 units per mL
C)100 units is the usual dose
D)100 units per hr is recommended

Question 30

What is the most commonly ordered insulin concentration per mL?