| Medications that Affect Glucose Regulation | Medications that Affect Glucose Regulation | Medications that Affect Gas Exchange | OTC Drugs, Herbal Supplements, and Dietary Supplements |
|---|---|---|---|
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A
Insulin lipodystrophy should be treated in part by:
A. alternating insulin injection sites B. balancing diet and snack routine C. reduction of insulin dose D. adding an oral glycemic medication |
B
The physician orders intravenous (IV) insulin for the client with a blood sugar of 563. The nurse administers insulin lispro (Humalog) intravenously. What does the best evaluation of the nurse reveal?
A. the nurse could have given the insulin subcutaneous |
C
What is the mechanism of action for antitussives?
A. shrink mucosal membranes B. loosen and thin secretions C. suppresses cough center in the CNS D. blocks ACh from binding |
True
T or F: Fifty percent of US adults use some form of dietary supplements
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D
What insulin type can be given by IV?
A. Glipizide (Glucotrol) B. Lispro (Humalog) C. NPH insulin D. Regular Insulin |
D
Which insulins are intermediate acting?
A. Lantus B. Regular (R) C. Humulin D. Insulin isophane suspension (NPH) |
C
What is the most important thing for the nurse to teach a client who is switching allergy medications from Benadryl to Claritin?
A. this medication can potentially cause dysrhythmias B. this medication has increased bronchodilating effects C. this medicat |
False
T or F: Nonprescription drugs do not need to be included in the medication list
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B
When does regular insulin generally have a peak action after application?
A. 1-2 hours B. 2-3 hours C. 45-60 minutes D. 30-45 minutes |
B
Which type of insulin has an onset of fifteen minutes, peak of 80 minutes, and a duration of 3-5 hours?
A. NPH B. Lispro (Humalog) C. Lantus D. Regular (Humulin R) |
B
The client tells the nurse that she has a bad cold, is coughing, and feels like she has "stuff" in her lungs. What should the nurse do?
A. administer dextromethorphan (Robotusin) B. administer Guaifenesin (Mucinex) C. encourage the client to drink fluids |
D
What percentage of patients do not tell their health care providers about dietary supplement use?
A. 10 B. 90 C. 25 D. 70 |
|
B
A client with diabetes and coronary artery disease is being evaluated for treatment. In light of the heart condition, which medication option is more likely to be an issue?
A. Metformin (Glucophage) B. Pioglitazone (Actos) C. Insulin D. Sitagliptin (Januv |
Hypoglycemia, weight gain, and lipodystrophy
What are the adverse effects of insulin? (three)
|
C
What is the indication for taking Theohylline (Caffeine)
A. Bronchospasm B. seasonal allergies C. Bronchospasm that is unrelieved by other medications D. non-productive cough |
-patients can self-treat many minor ailments/illnesses
-financial aspect: many OTC drugs are less expensive than prescription drugs -easy and convenient use for patients
What are two advantages for OTC drugs?
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C
What is the onset, peak, and duration of Lantus?
A. 15 min, 80 minutes, and 3-5 hours B. 30-60 minutes, 2.5 hours, and 6-10 hours C. 1.5 hours, none, >24 hours D. 1-2 hours, 4-8 hours, 10-18 hours |
B: work on the intestinal tract (alpha-glucosidase inhibitor)
What is a contraindication for Acarbose (Precose)?
A. people allergic to sulfonamide antibiotics B. patients with intestinal disorders C. patients with heart failure D. renal disease or renal dysfunction |
B: rebound congestion if taken in frequent and large doses
A client complains of worsening nasal congestion despite the use of oxymetazoline (Afrin) nasal spray every 2 hours. What is the nurse's best response?
A. oxymetazoline is not an effective nasal decongestant B. overuse of nasal decongestants results in re |
-lack of knowledge
-patients unaware of potential toxicity and/or side effect profiles -use of OTC drugs may postpone effective treatment of serious illnesses
What are two disadvantages for OTC drugs?
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