Insulin Administration Guidelines Quiz
37 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which adverse effect is associated with furosemide?

  • Hypokalemia (correct)
  • Hypercalcemia
  • Hypoglycemia
  • Hypervolemia
  • What property of aspirin differentiates it from other NSAIDs?

  • Antipyretic
  • Analgesic
  • Antiplatelet (correct)
  • Antiinflammatory
  • Which statement indicates effective teaching on aluminum hydroxide administration?

  • I will take a laxative if I develop constipation
  • I will take aluminum hydroxide within 30 minutes of my other medications
  • I will drink 2oz of water after taking aluminum hydroxide
  • I will take aluminum hydroxide at mealtime (correct)
  • What is the mechanism of action of clomiphene citrate?

    <p>Stimulates ovulation</p> Signup and view all the answers

    Which medication would be anticipated for a patient with a blood glucose level of 48 mg/dL?

    <p>Glucagon</p> Signup and view all the answers

    Why would a nurse instruct a patient to take sucralfate on an empty stomach and avoid using additional forms of antacids?

    <p>Sucralfate forms a protective barrier between ulcer and gastric acids</p> Signup and view all the answers

    What effect does sucralfate have on other drugs?

    <p>Reduces their absorption</p> Signup and view all the answers

    Which symptom is often one of the first signs of diabetic ketoacidosis?

    <p>Sudden confusion and headache</p> Signup and view all the answers

    When should a person with type 1 diabetes mellitus suspect they are experiencing diabetic ketoacidosis?

    <p>When experiencing sudden nervousness or tremors</p> Signup and view all the answers

    What is the role of sucralfate in relation to ulcers and gastric acids?

    <p>Forms a protective barrier between ulcer and gastric acids</p> Signup and view all the answers

    What is the potential risk when a patient is taking high doses of both phenytoin and warfarin?

    <p>Higher chance of digitalis-induced arrhythmias</p> Signup and view all the answers

    If a patient is on levothyroxine and warfarin, what should the nurse primarily monitor for?

    <p>Cardiac dysrhythmias</p> Signup and view all the answers

    What should be the first action of the nurse when a diabetic patient on beta blockers displays tremors, irritability, diaphoresis, a blood pressure reading of 130/75 mm Hg, a pulse rate of 80 beats per minute, and a respiration rate of 18 breaths per minute?

    <p>Obtain a blood glucose level</p> Signup and view all the answers

    Which instruction should a nurse provide to a patient prescribed bisacodyl?

    <p>Expect bowel movement within 6-12 hours</p> Signup and view all the answers

    Why should the dosage of warfarin be decreased according to the text provided?

    <p>To lower the risk for drug toxicity</p> Signup and view all the answers

    Which type of insulin peaks at 6 to 8 hours after administration?

    <p>Regular</p> Signup and view all the answers

    Which type of insulin can be administered intravenously?

    <p>Regular</p> Signup and view all the answers

    Which adverse effect is associated with the long-term use of prednisone therapy?

    <p>Loss of muscle bulk</p> Signup and view all the answers

    A patient has been taking a prescription of solifenacin succinate 5 mg orally daily. Which reaction to the medication is this patient most likely experiencing?

    <p>Anticholinergic response</p> Signup and view all the answers

    Which clinical indicator of hypoglycemia would the nurse include when teaching a patient with type 1 diabetes?

    <p>Tachycardia</p> Signup and view all the answers

    What time interval should be kept between sucralfate and antacid administration?

    <p>10-minute gap</p> Signup and view all the answers

    Which of the following symptoms is NOT associated with menopause?

    <p>Polyphagia</p> Signup and view all the answers

    Which medication would the nurse educate a patient about if the patient is a perimenopausal woman experiencing vaginal dryness and hot flashes?

    <p>Conjugated equine estrogens with synthetic progestin</p> Signup and view all the answers

    Which statement by a patient indicates a need for further instruction if the nurse teaches a patient with type 2 diabetes about the administration of glipizide?

    <p>I CAN STILL HAVE ONE GLASS OF WINE WITH MY EVENING MEAL</p> Signup and view all the answers

    Which adverse effect(s) is (are) associated with nonsteroidal antiinflammatory drugs (NSAIDs)?

    <p>Dyspepsia</p> Signup and view all the answers

    Which mode of action is associated with solifenacin succinate?

    <p>Anticholinergic</p> Signup and view all the answers

    Which symptom is NOT associated with constipation?

    <p>Decreased appetite</p> Signup and view all the answers

    Insulin lispro should be administered according to the regular insulin sliding scale.

    <p>False</p> Signup and view all the answers

    Patients prescribed levothyroxine 0.075 mg daily may need to take 1.5 scored tablets of 0.05 mg each.

    <p>True</p> Signup and view all the answers

    Insulin administration should be followed by ensuring the patient eats a meal within the next 10 to 15 minutes.

    <p>True</p> Signup and view all the answers

    Alcohol use disorder is a contraindication of acetaminophen.

    <p>False</p> Signup and view all the answers

    The most appropriate drug for a patient experiencing an acute asthma attack is Tiotropium.

    <p>False</p> Signup and view all the answers

    Shaking the vial of insulin lispro before administration is recommended.

    <p>False</p> Signup and view all the answers

    If ALT, ALP, and GTT lab values are low, acetaminophen should not be administered.

    <p>False</p> Signup and view all the answers

    A patient overdosing on morphine sulfate may present with pinpoint pupils.

    <p>True</p> Signup and view all the answers

    Severe hepatic disease is a contraindication of acetaminophen.

    <p>True</p> Signup and view all the answers

    The side effect of increased urinary output may occur in a patient receiving isoniazid for tuberculosis.

    <p>False</p> Signup and view all the answers

    Study Notes

    Urinary Output and Medication Administration

    • Report urinary output below 40 mL/hr.
    • Maintain a 10-minute gap before administering sucralfate and antacids.
    • Administer other prescribed medications (excluding antacids) 2 hours after sucralfate.
    • Medications should be given after meals or with a glass of milk.

    Insulin Types and Administration

    • Insulin peaking at 6 to 8 hours: Detemir.
    • Insulin suitable for intravenous administration: Regular.

    Adverse Effects of Prednisone

    • Long-term prednisone use can lead to:
      • Increased sleep disturbances.
      • Personality changes.
      • Loss of muscle bulk.
      • Risk of peptic ulcer disease.

    Solifenacin Succinate Side Effects

    • Patient likely experiencing an anticholinergic response, indicated by:
      • Dry mouth.
      • Decreased urination.
      • Constipation.
    • Vital signs: Temp 37.3°C, Pulse 86 bpm, Respirations 28, BP 122/72 mm Hg.
    • Physical assessment reveals hypoactive bowel sounds.

    Hypoglycemia Indicators for Type 1 Diabetes

    • Teach clinical indicators of hypoglycemia to include:
      • Increased appetite.
      • Sweating and tremors.
      • Confusion and irritability.

    Drug Interactions with Thyroid Medications

    • Effective learning statement by student nurse:
      • Thyroid drugs can increase serum digitalis levels.
      • Absorption of thyroid drugs increased by cholestyramine.
      • May reduce efficacy of oral anticoagulants.
      • Can decrease hypoglycemic drug activity.

    Side Effects of Estrogen Therapy

    • Common side effects associated with estrogen therapy include:
      • Dry skin.
      • Weight loss.
      • Higher-pitched voice.

    Insulin Administration Timing

    • Administering insulin at 8:30 a.m. and checking for hypoglycemia by 11:00 a.m. likely involves Lispro or Regular insulin.

    Patient Education for Oral Antidiabetic Medications

    • Discharge education should include:
      • Keep sugar-containing snacks nearby for emergencies.
      • Insulin may be needed during stress events like surgery.
      • Moderate alcohol consumption may be permissible but should be discussed with a healthcare provider.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Final Exam Review 318 PDF

    Description

    Test your knowledge on insulin administration guidelines. From timing of prescribed drugs to urinary output monitoring, this quiz covers various important aspects. Determine the type of insulin that peaks at 6 to 8 hours and which type can be administered intravenously.

    More Like This

    Use Quizgecko on...
    Browser
    Browser