A nurse is caring for a client who has diabetes and plans to administer his regular insulin subcutaneously before he eats breakfast at 0800. After checking the client's morning glucose level, which of the following actions should the nurse take?

Give the insulin at 0700.

Give the insulin when the breakfast tray arrives.

Give the insulin 30 min after breakfast with the client's Other routine medicines.

Give the insulin at 0730.

Answer and Explanation

The Correct Answer is D

The regular insulin should be administered subcutaneously about 30 mins before the client take their meals. This is because the insulin has a short onset of action. The peak time (30 mins after injection) should match the eating time provide optimum sugar control

B Arrival of the tray does not provide an exact time account to help match the peak time with meal time

C regular insulin should be given before meals

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Correct Answer is C

Explanation

Rationale- Glipizide is an oral hypoglycemic agent. It belongs to a class of drugs referred to as sulfonyl ureas. It acts on the beta cells of the pancreases to stimulate release of insulin. This helps the body in lowering blood glucose levels appropriately.
A. Glipizide help in lowering blood sugars after carbohydrate metabolism, it does not directly absorb excess carbohydrates in the system.
B. Glipizide has no effect on the liver
D. Glipizide stimulates the pancreas to release more insulin but not to replace- it is not an insulin

A. Palpitations B. Depression C. Blurred Vision D. Constipation

Correct Answer is B

Explanation

Montelukast is a leukotriene receptor antagonist used in the management of asthma and allergic rhinitis. Though rare, montelukast can cause neuropsychiatric adverse effects such as including depression, agitation and suicidal behaviors.
A, C, D- are not typically associated with use of montelukast

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A nurse is caring for a client who has diabetes and plans to administer his regular insulin subcutaneously before he eats breakfast at 0800. After checking the client's morning glucose level, which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes mellitus and has a prescription for glipizide. Which of the following statements by the nurse best describes the action of glipizide?

Correct Answer is C

Explanation

A nurse is providing discharge instructions to a client Who has asthma and a new prescription for montelukast. The nurse should instruct the client to report Which of the following adverse effects to the provider?

Correct Answer is B

Explanation

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