Ati rn fundamentals
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A nurse is reinforcing teaching with a client who has a
prescription for pramlintide for type 1 diabetes mellitus.
Which of the following instructions should the nurse
include?
(Select all)
1 - "Take oral medications 1 hr before injection."
2 - "Use upper arms as preferred injection sites."
3 - "Mix pramlintide with the breakfast dose of insulin."
4 - "Inject pramlintide just before a meal."
5 - "Discard open vials after 28 days."✔✔ANSWER➖1,
4 &5
1 - "Take oral medications 1 hr before injection."
4 - "Inject pramlintide just before a meal."
5 - "Discard open vials after 28 days."
Rational
2 - the thigh or abdomen, rather than the upper arms, are
preferred sites for pramlintide injections
3 - Pramlintide should not be mixed in a syringe with any
type of insulin
A nurse is a client who is taking metformin XR for type 2
DM. Which of the following instructions should the nurse
include in the teaching?✔✔ANSWER➖"Take the
medication with a meal." This will help the client avoid
HYPOglycemia and GI upset and to provide the most
absorption of the medication.
A nurse is assessing a client who is receiving liothyronine
for treatment of hypothyroidism. The nurse should
recognize which of the following finding is a therapeutic
response to the medication?✔✔ANSWER➖Increase in
energy. Depression, lethargy, and fatigue are
manifestations of HYPOthyroidism and effective
treatment will improve these manifestations.
A nurse is caring for an adolescent client who has a long
history of DM and is long admitted to the ED confused,
flushed, and with an acetone odor on the breath . DKA is
suspected. The nurse should anticipate using which of the
following types of insulin to treat this
client?✔✔ANSWER➖Regular insulin is classified as a
short-acting insulin. It can be given IV with an onset of
action of less than 30 min. This is the insulin that is most
appropriate in emergency situations of severe
HYPERglycemia and DKA.
A nurse is providing teaching for a client who is newly
diagnosed type 2 DM and has a prescription for glipizide.
Which of the following statements made by the nurse best
describes glipizide?✔✔ANSWER➖"Glipizide stimulates
your pancreas to release insulin." It is an oral antidiabetic
medication that is classified as a sulfonylurea agent.
These medications help to lower blood glucose levels in
clients who have type 2 DM using several methods
including reducing glucose output by the liver, increasing
sensitivity to insulin, and stimulating the release of insulin
form the functioning beta cell in the pancreas.
A nurse is preparing to administer 10 units of regular
insulin and 20 units of NPH insulin to a client who has
DM. When mixing the 2 types of insulin, which of the
actions should the nurse take first?
✔✔ANSWER➖Inject 20 units of air into the NPH
insulin vial because his insulin is the intermediate-acting
insulin which will be drawn up last in order to avoid
contaminating the regular insulin with the NPH insulin.
A nurse is preparing to administer 10 units of regular
insulin and 20 units of NPH insulin to a client. What is
the sequence of events the nurse should follow?
1 - Inject air into NPH insulin vial
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