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T2DM Pharmacotherapy:
Exam Q&A, Exams of Nursing
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Which of the following patient statements about the diabetic diet regime is correct?* A. "I'll try to consume about 20% carbs and 40% fats on a daily basis." B. "Foods that are high in mono and poly fats are avocados, olives, and nuts." C. "Meats increase the glycemic index; therefore, I should only consume 5% of them on a daily basis." D. "I should completely avoid starchy vegetables like potatoes
and corn." - ANSWERS -B
A patient with diabetes asks you about what type of exercise they should perform throughout the week. The best response is:* A. Lifting weights B. Sprinting C. Swimming
D. Jumping - ANSWERS -C
Which of the following statements are INCORRECT about exercise management for the diabetic patient?*
A. "I will check my blood glucose prior to exercise. If it is less than 200 I will eat a complex carb snack prior to exercising." B. "I plan on exercising for an extended period. So I will check my blood glucose prior, during, and after exercising." C. "My blood glucose is 268 and I have ketones in my urine. Therefore, I will avoid exercising today."
D. All of the options are correct statements. - ANSWERS -A
A patient has a blood glucose of 58 and is sweating, cold, and clammy. The patient is conscious. What is your next nursing intervention?* A. Recheck the blood glucose in 5 minutes. B. Give the patient 15 grams of a complex carbohydrate. C. No intervention is needed because this is a normal blood glucose. D. Give the patient 15 grams of a simple carbohydrate. -
ANSWERS -D
A patient with Type 2 Diabetes is started on the medication Glyburide. Which of the following statements by the patient causes concern?* A. "I will monitor my blood glucose regularly because I know this medication can cause a low blood sugar." B. "I will consume no more than 8 oz. of alcohol per week." C. "I will continue monitoring my diet and participating in exercise while taking this medication."
A patient taking the medication Precose asks when it is the best time to take this medication. Your response is:* A. 1 hour prior to eating B. 1 hour after eating C. With the first bite of food
D. At bedtime - ANSWERS -A
A patient has a blood glucose of 400. Which of the following medications could be the cause of this?* A. Glyburide B. Atenolol C. Bactrim
D. Prednisone - ANSWERS -D
A patient is scheduled to take 5 units of Humulin R and 10 units of NPH. What is the proper way of mixing these insulins?* A. These insulins cannot be mixed, therefore, should be drawn up in different syringes. B. Draw-up the Humulin R insulin first and then the NPH insulin. C. Draw-up 2.5 units of NPH, then 10 units of Humulin R, and then finish drawing up 2.5 units of NPH. D. Draw-up the NPH insulin first and then the Humulin R insulin. -
ANSWERS -B
A patient newly diagnosed with diabetes is about to be discharged home. You are watching the patient administer insulin. Which of the following actions causes you to re-educate them?* A. They massaged the site after administering the insulin. B. They injected into the fat of their thighs. C. They used an opposite side for injection compared to the last insulin injection. D. They engaged the safety after administering the medication. -
ANSWERS -A
A patient with diabetes is experiencing a blood glucose of 275 when waking. What is a typical treatment for this phenomenon?* A. None, this is a normal blood glucose reading. B. The patient may need a night time dose of an intermediate- acting insulin to counteract the morning hyperglycemia. C. A bedtime snack may prevent this phenomenon. D. This is known as the Somogyi effect and requires decreasing
the bedtime dose of insulin. - ANSWERS -B
True or False: The Somogyi effect causes the patient to experience an increase in their blood glucose during the hours of 2-3 am.* True
False - ANSWERS -False
Which of the following insulins has no peak but a duration of 24 hours?*
D. Novolog - ANSWERS -C
