Pharmacology Nursing Quiz
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Questions and Answers

The nurse has completed a education program about glargine insulin. Which of the following statements made by the nurse is correct understanding of this medication?

  • Glargine can be mixed with regular insulin
  • The peak action of this insulin is about 12 hours
  • This insulin should be given near mealtime. The nurse should recognize that this medication works by preparing to administer glargine to a client (correct)
  • This is a long-acting insulin with an onset of 1-1.5 hours

The nurse is discussing the symptoms of pancreatitis from a client. The nurse should recognize that this medication works by preparing to administer glargine to a client. The nurse should recognize that this medication works by preparing to administer glargine to a client. Which of the following statements accurately describes the GI tract?

  • Increase intake of carbs
  • Take these medications orally regardless of food intake
  • Avoid intravenous dyes unless metformin is discontinued at least 48 hours prior
  • Dangle legs on side of bed 30 minutes before getting up (correct)

A nurse is educating a client about hypoglycemia, which of the following statements would be included in the teaching plan?

  • If symptoms occur call 911 or go to the nearest emergency room (correct)
  • This medication should avoid drinking green tea while taking this medication
  • The client should drink unsweetened tea while taking this medication
  • It is normal for the client to experience headaches while taking this medication

The nurse is preparing a client who is taking metformin. The nurse should recognize that this medication works by preparing to administer glargine to a client. The nurse should recognize that this medication works by preparing to administer GLP-1 to a client. The nurse should recognize that this medication works by preparing to administer glargine to a client. The nurse should recognize that this medication works by preparing to administer glargine to a client. The nurse should recognize that this medication works by preparing to administer glargine to a client. The nurse should recognize that this medication works by preparing to administer glargine to a client.

<p>False (B)</p> Signup and view all the answers

The nurse is talking with a client who has parathyroid deficiency. Which of the following actions should the nurse take? Which of the following statements is incorrect about a client who has parathyroid deficiency?

<p>The nurse should be cautious about administering bisphosphonate medication (D)</p> Signup and view all the answers

A new nurse is working with a client who has type 2 diabetes. What instruction is important for the nurse to include in the teaching plan?

<p>The client should always carry a fast-acting source of carbohydrate, such as glucose tablets or juice, in case of hypoglycemia (D)</p> Signup and view all the answers

The nurse is providing instructions to the client who has been prescribed a new medication for their heart, which of the following should the nurse avoid telling the client about this new medication*?

<p>This medication should not be taken with milk (A)</p> Signup and view all the answers

The nurse is taking care of a client who has type 2 diabetes. The nurse recognizes that the client needs to be educated on the importance of foot care. Which of the following actions should the nurse include in the teaching plan for this client?

<p>The nurse should inform the client to wear shoes that provide good support and cushioning. (C)</p> Signup and view all the answers

The client who has type 2 diabetes has been prescribed a new medication. The nurse is speaking with the client about the importance of regular medication administration. Which of the following statements should the nurse include in the teaching plan for the client?

<p>The client should be encouraged to take medication consistently, regardless of how they are feeling. (B)</p> Signup and view all the answers

The nurse has completed a nurse education program about gaining insulin. Which of the following statements is true about the correct understanding of this medication?

<p>This insulin should be given near to a client meal (B)</p> Signup and view all the answers

The nurse is preparing to administer metformin to a client. The nurse should recognize that this medication works by preparing the body to:

<p>Stopping the metabolism of sugars from intestines from releasing dietary glucose (A)</p> Signup and view all the answers

A nurse is teaching a client who is taking metformin about the medication. Which of the following actions should be included in the teaching plan?

<p>Dangle intravenous dyes unless metformin is discontinued at least 48 hours prior (B)</p> Signup and view all the answers

The nurse has just administered 20 units of NPH insulin to a client at 0800. Which of the following options listed next meal for a hypoglycemic reaction?

<p>The nurse must withhold his next meal for the client (C)</p> Signup and view all the answers

A client who has parathyroid deficiency. Which of the following medication prescribed to this client?

<p>Calcitriol (A)</p> Signup and view all the answers

The nurse is talking with a client who has type 2 diabetes. The nurse should avoid drinking green tea while taking this medication. Which of the following requires precaution with a prescription?

<p>The client should avoid drinking green tea while taking this medication (D)</p> Signup and view all the answers

Flashcards

Glargine Insulin Action Time

Glargine insulin has a prolonged action, with no peak.

Glargine Insulin Onset

Glargine insulin's onset is 1-1.5 hours.

Mixing Glargine with Regular Insulin

Glargine insulin cannot be mixed with regular insulin.

Glargine Insulin Administration

Glargine insulin is not administered near mealtime; it's a long-acting type.

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Glipizide Mechanism

Glipizide stimulates insulin secretion from beta cells.

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Metformin Patient Teaching

Patients should take metformin daily regardless of meals and avoid IV dyes 48 hours before it.

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Hypoglycemic Reaction Monitoring

Monitor for hypoglycemia after NPH insulin at next meal.

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Parathyroid Deficiency Treatment

Calcitriol is a treatment for parathyroid deficiency.

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Metformin Cautions for Kidney Impairment

Metformin should be used cautiously with kidney impairment.

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Metformin and IV Dye Interactions

Metformin should be held 48 hours before IV dyes.

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Metformin and Green Tea

Avoid drinking green tea while taking metformin.

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Metformin Side Effects

Headaches and chills are not normal side effects.

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NPH Insulin Action Time

NPH insulin has intermediate action time.

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Glargine Insulin: Peak Action

Glargine insulin is a long-acting insulin with no distinct peak action, meaning it provides a steady release of insulin over a prolonged period.

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Can Glargine be mixed with regular insulin?

No, glargine insulin should not be mixed with regular insulin. It is a long-acting insulin, while regular insulin is a rapid-acting insulin.

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Glipizide: Mechanism of Action

Glipizide is a type of oral diabetes medication that works by stimulating the release of insulin from the beta cells in the pancreas.

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Metformin: Kidney Impairment

Metformin should be used with caution in patients with kidney impairment, as it can accumulate in the blood.

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Metformin: Common Side Effects

Common side effects of metformin include nausea, vomiting, and diarrhea. Headaches and chills are not typical side effects.

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What is the function of insulin in the body?

Insulin is a hormone that helps glucose (sugar) from food enter cells to be used for energy. Without insulin, glucose stays in the blood, leading to high blood sugar.

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What is diabetes?

Diabetes is a condition where the body either doesn't produce enough insulin or can't properly use the insulin it produces, leading to high blood sugar.

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What is hyperglycemia?

Hyperglycemia is simply a high blood sugar level. It's the hallmark of diabetes, but can also occur for other reasons.

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What is a blood glucose meter?

A blood glucose meter is a device that allows diabetics to check their blood sugar levels at home.

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What is hypoglycemia?

Hypoglycemia is a low blood sugar level, which can be dangerous to individuals with diabetes.

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What causes hypoglycemia?

Hypoglycemia can be caused by taking too much insulin or diabetes medication, eating too little food, or exercising more intensely than usual.

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What are the symptoms of hypoglycemia?

Symptoms of hypoglycemia include sweating, shakiness, dizziness, hunger, and confusion.

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How do you treat hypoglycemia?

Treat hypoglycemia by consuming a fast-acting source of sugar like glucose tablets or juice.

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What is lactic acidosis?

Lactic acidosis is a serious complication of diabetes where the body builds up too much lactic acid, which can damage organs.

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What are the symptoms of lactic acidosis?

Symptoms of lactic acidosis include rapid breathing, nausea, vomiting, and muscle pain.

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How is lactic acidosis treated?

Lactic acidosis is treated by stopping metformin, the medication that often causes it, and providing supportive care.

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How can I prevent lactic acidosis?

You can prevent lactic acidosis by taking metformin as prescribed, monitoring your blood sugar, and keeping your kidneys healthy.

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What are the different types of insulin?

Insulin is categorized by its action time: Rapid-acting, short-acting, intermediate-acting, and long-acting.

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What are the different types of diabetes medications?

There are various medications for diabetes, including insulin, oral medications (like metformin, glipizide), and newer injectable medications (like GLP-1 receptor agonists).

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Study Notes

Lactic Acidosis

  • Incorrect nurse statement: The nurse has incorrect understanding of glargine insulin
  • Correct statement: Glargine is a long-acting insulin with an onset of 1-1.5 hours

Glipizide

  • Mechanism of action: Stimulates insulin secretion from pancreatic beta cells

Metformin

  • Teaching points: Avoid intravenous dyes at least 48 hours prior to metformin; take daily regardless of food intake

NPH Insulin

  • Monitoring time: Monitor for hypoglycemic reaction after 1600

Parathyroid Deficiency

  • Medication: Calcitriol

Metformin (Client with Type 2 Diabetes)

  • Cautions: Avoid green tea, use cautiously with kidney impairment

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Description

Test your knowledge on pharmacology related to insulin, oral hypoglycemics, and parathyroid medications. This quiz covers critical teaching points, mechanisms of action and monitoring for hypoglycemic reactions. Perfect for nursing students or healthcare professionals.

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