Short-acting insulin is regular insulin.

How many types of insulin are there based on their acting time?

• 4

Hint

What is the onset of rapid-acting insulin?

• 0.5-1 hour
• <15 minutes
• <10 minutes
• <30 minutes

Which of the following is NOT a sign of lactic acidosis, a serious adverse effect of metformin?

• Muscle aches
• Sleepiness
• Malaise
• Hypoventilation

The appearance of short-acting insulin is ________. (clear or cloudy)

• clear

Glipizide increases insulin secretion, but metformin does not.

What are the common symptoms of hypoglycemia caused by insulin therapy? (Select two)

• Pupil constriction
• Polydipsia (Excessive thirst)
• Tremors
• Diaphoresis (Excessive sweating)
• Polyuria (Excessive urination)

_______-acting insulin has highest risk for hypoglycemia.

• rapid

Hint

Which of the following is an example of rapid acting insulin?

• Humulin R™
• Glulisine (Apidra™)
• Novolin R™
• Detemir (Levemir™)

Which of the following are included in a diabetic diet? (Select all that apply) (Select three)

• Consuming foods high in fiber, like whole grains and vegetables
• Avoiding all carbohydrates completely
• Using less salt to manage blood pressure
• Limiting use of alcohol
• Practicing intermittent fasting without medical supervision

Hint

The appearance of intermediate-acting insulin is cloudy because it contains an additive that helps delay absorption.

Glargine(Lantus) is a ____ - acting insulin.

• Short
• Intermediate
• Long
• Rapid

Type 2 Diabetes Mellitus is characterized by: (select 2)

• Hyperglycemia
• Autoimmune destruction of pancreatic beta cells
• Insulin resistance
• Complete absence of insulin production

Which of the following oral antidiabetic medications has the highest risk for hypoglycemia?

• Pioglitazone
• Sitagliptin
• Glipizide
• Metformin

Which of the following are side effects that are unique to Pioglitazone? Select O for: hypoglycemia and constipation Select X for: edema and fluid retention

What is the most important teaching the nurse should mention to a patient taking Alpha-glucosidase inhibitors for the first time?

• This medication can be taken with metformin.
• You should take this with the first bite of the meal and do not take it if you are not eating.
• You may need to stop taking it when you are having a dye study.
• You need to use a second form of contraceptive while on this medication.

When mixing regular and NPH insulin in the same syringe, you should always draw ____ first.

• regular

Long acting insulin can be mixed with other insulin.

Which of the medications is 1st line treatment for type 2 diabetes?

• Insulin
• Pioglitazone
• Metformin
• NPH

The nurse is teaching a patient that was newly prescribed Metformin. Which of the following should the nurse include in the teaching? (Select all that apply)

• This medication decreases the amount of glucose released from the liver.
• You may experience diarrhea and nausea while taking this medication.
• You are at risk for hypoglycemia, so do not skip your meals.
• You should take this medication with food to minimize symptoms.
• This medication must be stopped when having a dye study or surgical procedure.