Exam 17: Drug Therapy for Diabetes

How does acarbose (Precose) prevent blood glucose levels from rising too high?

A young, female patient with diabetes mellitus who is taking an oral antidiabetic drug comes in for a regularly scheduled clinic appointment. She tells you that is currently taking an oral contraceptive agent for birth control. What is your best response?

Which precaution is most important to teach patients who have any type of diabetes about alcohol use?

You are about to give miglitol (Glyset) to a patient with diabetes mellitus type 2. Which nursing action is most important for this patient?

Which condition is the most dangerous adverse effect of insulin?

A patient has been admitted to the hospital with a potential hypoglycemic reaction to an insulin stimulator. What symptoms would you expect to observe in this patient? (Select all that apply.)

Which hormone has an action opposite to the action of insulin?

A patient taking metformin (Glucophage) is scheduled for a radiographic scan with contrast dye. What instructions should you provide to this patient?

Which of the following conditions are associated with poorly controlled diabetes? (Select all that apply.)

A patient is taking a sodium-glucose cotransport inhibitor for the treatment of diabetes. Which of the following laboratory values should you monitor in this patient?

For which patient would a biguanide antidiabetic drug be contraindicated?

Which oral antidiabetic drug belongs to the biguanide class?

Which complaint by a patient taking a DPP-4 inhibitor would alert you to a potential complication from this drug?

You are taking the history of a new clinic patient whom you suspect of having undiagnosed diabetes. Which of the following symptoms would you expect this patient to report? (Select all that apply.)

A patient is taking insulin each morning. When the insulin peaks, the patient should be observed for which signs of hypoglycemia?

You are teaching a patient prescribed rosiglitazone about this drug. Which statement should you include in the patient's teaching plan?

You are preparing to discuss a newly prescribed insulin stimulator with a patient. What condition would need to be present for this drug to work effectively for a diabetic patient?

What is the main reason that insulin is needed as drug therapy for people who have type 1 diabetes?

A patient who is taking dapagliflozin (Farxiga) for diabetes mellitus type 2 has also been prescribed furosemide (Lasix) for another condition. What potential risk should you monitor for on this patient?

You are teaching a patient who has been prescribed a sodium-glucose cotransport inhibitor for the treatment of diabetes mellitus type 2. The patient asks you to explain how this drug works. What is your best response?