Chapter 32: Antidiabetic Drugs

Chapter 32: Antidiabetic Drugs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is administering insulin lispro (Humalog) and will keep in mind that this insulin will start to have an effect within which time frame?

a.	15 minutes
b.	1 to 2 hours
c.	80 minutes
d.	3 to 5 hours

 

 

ANS:  A

The onset of action for insulin lispro is 15 minutes. The peak plasma concentration is 1 to 2 hours; the elimination half-life is 80 minutes; and the duration of action is 3 to 5 hours.

 

DIF:    COGNITIVE LEVEL: Remembering (Knowledge)           REF:   p. 516

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. When teaching about hypoglycemia, the nurse will make sure that the patient is aware of the early signs of hypoglycemia, including:

a.	hypothermia and seizures.
b.	nausea and diarrhea.
c.	confusion and sweating.
d.	fruity, acetone odor to the breath.

 

 

ANS:  C

Early symptoms of hypoglycemia include the central nervous system manifestations of confusion, irritability, tremor, and sweating. Hypothermia and seizures are later symptoms of hypoglycemia. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 514

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Health Promotion and Maintenance

 

3. The nurse is teaching a group of patients about self-administration of insulin. What content is important to include?

a.	Patients need to use the injection site that is the most accessible.
b.	If two different insulins are ordered, they need to be given in separate injections.
c.	When mixing insulins, the cloudy (such as NPH) insulin is drawn up into the syringe first.
d.	When mixing insulins, the clear (such as regular) insulin is drawn up into the syringe first.

 

 

ANS:  D

If mixing insulins in one syringe, the clear (regular) insulin is always drawn up into the syringe first. Patients always need to rotate injection sites. Mixing of insulins may be ordered.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 516

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. When monitoring a patient’s response to oral antidiabetic drugs, the nurse knows that which laboratory result would indicate a therapeutic response?

a.	Random blood glucose level 180 mg/dL
b.	Blood glucose level of 50 mg/dL after meals
c.	Fasting blood glucose level between 92 mg/dL
d.	Evening blood glucose level below 80 mg/dL

 

 

ANS:  C

The American Diabetes Association recommends a fasting blood glucose level of between 80 and 130 mg/dL for diabetic patients. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 504

TOP:   NURSING PROCESS: Evaluation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation