NPH is intermediate-acting insulin.

What is the onset for intermediate acting insulin?

• 15 to 30 minutes
• 1-2 hours
• 0.5-1 hours
• 4-6 hours

A nurse is teaching a client who has been prescribed glipizide. Which statement by the client indicates the need for further teaching?

• I will take this medication 30 minutes before a meal
• If i feel shaky or dizzy ill eat some honey or drink juice
• This medication is safe to take with alcohol
• I will monitor for signs of low blood sugar

Hint

A nurse administers metformin to a client with type 2 diabetes. Which lab value should the nurse monitor more closely?

• Liver enzymes
• White blood cell count
• Serum lactate
• Sodium levels

Which medication is most associated with increased risk of fluid retention and heart failure?

• Glipizide
• Pioglitazone
• Repaglinide
• Metformin

Peak time for regular insulin is 30min to 1 hour.

Which action by the client using NPH insulin warrants follow up?

• Rotating injection sites
• Eating a bedtime snack
• Drawing up insulin glargine and NPH in the same syringe
• Rolling the vial gently before use

A nurse is educating a client about acarbose. Which statement demonstrates understanding? Select O for: "This medication replaces insulin" Select X for: "I will take this medication with my meal"

A nurse is reviewing a prescription for sitagliptin. Which potential adverse effect is the priority to report?

• Headache
• Runny nose
• Upper abdominal pain radiating to the back
• Mild rash on forearms

What should the nurse include in teaching a client starting pramlintide?

• Take your oral meds with pramlintide to improve absorption
• Mix pramlintide with insulin for convenience
• Use separate injection site from your insulin
• Take this medication after meals for the best results

Complete the word (1 letter) Shortness of breath and fruity breath odor are the most concerning symptoms for a client taking '_mpagliflozin'.

• E

Keep insulin pens at room temperature for up to 14 days after opening.

A nurse is administering exenatide to a client. When is the best time to give this medication?

• With meals
• Immediately after meals
• Up to 60 min before meals
• Bed time

A nurse is caring for a client taking bromocriptine. Which condition in the client history should prompt the nurse to question this order?

• Hypotension
• Type 2 diabetes
• History of MI
• Fatigue

Hint

Which adverse effect is most concerning for a client taking metformin? Select O for: fatigue and hyperventilation Select X for: metallic taste and nausea

What is a priority instruction for a client prescribed glucagon for home use?

• Keep it refrigerated until ready to use
• Take it before meals to prevent low blood sugar
• Lay the client flat and give them water after injection
• Administer the injection in the arm only

Hint

A client taking pioglitazone develops 5 lbs of weight gain and increasing dyspnea. What should the nurse do?

• Instruct client to restrict fluid intake
• Notify provider immediately
• Administer diuretic
• Teach client to elevate their legs