This type of insulin is administered 30 to 60 minutes before meals to control postprandial (after meals) hyperglycemia?
What is short-acting insulin (regular insulin)? ATI page 529
100
This is important education for a diabetic client taking an oral hypoglycemia.
What is take the medication at the same time each day?
100
This lab test is the best indicator of the average blood glucose level for the past 120 days.
What is HbA1C (glycosylated hemoglobin)? (ATI page 528)
100
These are signs and symptoms of hyperglycemia.
What is hot, dry skin, and fruity breath? (ATI page 529)
100
When blood glucose levels are consistently higher than 250-300 and/or if ketones are present for more than 24 hours the client needs to do this.
What is notify their healthcare provider? (From PP)
200
This type of insulin is administered once daily, anytime during the day but always at the same time each day.
What is long-acting insulin (insulin glargine, insulin detemir)?
200
A client is taking metformin and scheduled for a procedure with contrast. The nurse provides this education to the client.
What is stop the metformin 48 hours before the procedure with contrast dye and restart the medication 48 hours after the procedure? (From ATI page 530).
200
This is how often the HbA1C (glycosylated hemoglobin) should be checked in a diabetic client.
What is every 3 months? (From PP)
200
These are signs and symptoms of hypoglycemia.
What is CONFUSION, sweating, palpitations, headache, mild shakiness, blurred vision, lack of coordination, seizures, and coma? (ATI page 529)
200
The nurse is educating a client on how to check urine for ketones. This information is provided to the client.
What is to check urine with first morning void or 2 hours after eating (post-prandial)?
It is also ok for the client to check urine every 4 hours while sick for ketones.
300
This is how to draw up rapid or short-acting insulin with a longer-acting insulin.
What is draw up the shorter-acting insulin first and then the longer-acting insulin. ATI page 530.
300
A client is taking Pioglitazone (Actos). The nurse knows which lab values should be monitored with this medication?
What is liver function tests? (FROM ATI page 530)
The client should have liver function tests at baseline and every 3-6 months thereafter.
300
The client had a 2 hour oral glucose tolerance test of 165. The nurse knows this means.....
What is the client has pre-diabetes? (From PP)
300
Hypoglycemia is classified as a blood glucose less than this.
What is 70 mg/dL or less? (ATI page 529)
300
A diabetic client is having vomiting, diarrhea, and fever. The nurse instructs the client to do this.
What is consume liquids every half-hour to an hour to prevent dehydration? (From PP)
If persistent nausea and vomiting then they need to call their healthcare provider.
400
This type of short-acting insulin is prescribed for most clients and may be administered IV?
What is U-100? (From ATI page 529)
400
The client is taking Glyburide for diabetes. The nurse educates the client that this medication should be taken......
What is 30 minutes before meals and to monitor for hypoglycemia? (From ATI page 530).
400
The client had a fasting blood sugar of 126 and an A1C of 6.6. The nurse knows that this means......
What is the client has diabetes? (ATI page 528)
400
Hyperglycemia is classified as blood levels greater than this.
What is 250 or greater? (ATI page 529)
400
The diabetic client has not had any food or fluids for 4 hours. The nurse instructs the client to do this.
What is notify the healthcare provider. (From PP)
500
This insulin is administered for glycemic control between meals and at night. NOT administered before meals to control postprandial rise in blood glucose.
What is intermediate-acting insulin (NPH insulin)
500
The client is taking metformin for diabetes. The nurse provides this education to the client regarding metformin.
What is monitor for GI effects, take with Vitamin B12 and folic acid, if symptoms of lactic acidosis (myalgia, sluggishness, somnolence, and hyperventilation) occur to notify the healthcare provider? (FROM ATI page 530)
500
The client had a fasting glucose of 90. The nurse knows this means.....
What is this is a normal finding? Fasting blood glucose of 100-125 indicates pre-diabetes. (ATI page 527)
500
The client has hypoglycemia and is able to eat and drink. The nurse provides this to the client.
What is 15grams of a readily absorbable carbohydrate (4-6 ounces of fruit juice or regular soft drink, 6-10 hard candies, or 1 tbsp. of honey) every 15 minutes x 2 then if blood sugar is sustained to administer a more complex carbohydrate such as milk (if the client isnot going to be eating a meal within 60 minutes)? (ATI page 529)
500
The diabetic client is sick and cannot follow the usual meal plan. The nurse instructs the client to do this.
What is eat soft foods six to eight times a day. (From PP)