66. A client with diabetes mellitus visits a health care clinic. The client's diabetes
mellitus previously had been well controlled with glyburide daily, but recently the
fasting blood glucose level has been 180 to 200
...
66. A client with diabetes mellitus visits a health care clinic. The client's diabetes
mellitus previously had been well controlled with glyburide daily, but recently the
fasting blood glucose level has been 180 to 200 mg/dL (10.2 to 11.4 mmol/L). Which
medication, if added to the client's regimen, may have contributed to the
hyperglycemia?
1. Prednisone
2. Atenolol
3. Phenelzine
4. Allopurinol
67. Acarbose is prescribed to treat a client with type 2 diabetes mellitus. Which
instruction should the nurse provide when teaching the client about this medication?
1. Take the medication at bedtime.
2. Take the medication with the first bite of each regular meal.
3. The medication will be used to treat symptoms of hypoglycemia.
4. Headache and dizziness are the most common side effects of this
medication.
68. The nurse should tell the client, who is taking levothyroxine, to notify the health
care provider (HCP) if which problem occurs?
1. Fatigue
2. Tremors
3. Cold intolerance4. Excessively dry skin
69. The health care provider (HCP) prescribes exenatide for a client with type 1 diabetes
mellitus who takes insulin. The nurse should plan to take which most
appropriate intervention?
1. Withhold the medication and call the HCP, questioning the prescription
for the client.
2. Administer the medication within 60 minutes before the morning and
evening meal.
3. Monitor the client for gastrointestinal side effects after administering the
medication.
4. Withdraw the insulin from the prefilled pen into an insulin syringe to
prepare for administration.
70. The nurse in the health care clinic is reviewing the record of a client with diabetes
mellitus who was just seen by the health care provider (HCP). The nurse notes that the
HCP has prescribed metformin. What preexisting disorder, if noted in the client's record,
would indicate a need to collaborate with the HCP before instructing the client to take
the medication?
1. Foot ulcer
2. Emphysema
3. Hypertension
4. Hypothyroidism
71. The nurse is preparing to administer an intravenous (IV) insulin injection. The vial of
regular insulin has been refrigerated. On inspection of the vial, the nurse finds that the
medication is frozen. Which should the nurse do?
1. Discard the insulin and obtain another vial.
2. Wait for the insulin to thaw at room temperature.
3.
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