Patho/Pharm exam 3

Term
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what is the peak and onset of rapid acting insulins?
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Terms in this set (27)
what is the peak and onset of rapid acting insulins?
onset: 15 mins
peak: 60-90 mins
what is the peak and onset of short acting insulin?
onset: 30 mins-1hr
peak: 2-3 hrs
what is the peak and onset of intermediate-acting insulin?
onset: 2-4 hrs
peak: 4-10 hrs
what is the peak and onset of long acting insulin?
onset: 1-2 hrs
no peak
what are the types of rapid acting insulin?
Lispro (Humalog)
Aspart (Novolog)
Glulisine (Apidra)
what are the types of short acting insulin?
regular insulin (Humilin R, Novolin R, ReliOn R)
what are the types of intermediate acting insulin?
NPH (Humulin N, Novolin N, ReliOn N)
What are the types of long-acting insulin?
Glargine (Lantus), Detemir (Levemir)
Can long-acting insulin be mixed?
No
What is the only kind of insulin that can be given IV?
regular insulin
When mixing insulins, which type would be drawn into the syringe first?clear then cloudy (NPH (intermediate acting) is cloudy, regular (short acting) is clear)Which type of insulin should the nurse tell the patient to expect a peak effect of 1-5 hours after administration? a. Insulin glargine b. NPH insulin c. Regular insulin d. Insulin lisproc. Regular insulinWhen providing teaching about metformin, which of the following finding should the nurse instruct the client to report as an adverse effect? a. somnolence b. constipation c. fluid retention d. weight gaina. somnolence symptom of lactic acidosis - presents as drowsiness, muscle pain, hyperventilationThe nurse is preparing a client with a new diagnosis of hypothyroidism for discharge. The nurse determines that the client understands discharge instructions if the client states which of the following signs and symptoms are associated with this diagnosis? select all that apply a. tremors b. feeling cold c. weight loss d. loss of body hair e. persistent lethargy f. puffiness of the faceb. feeling cold d. loss of body hair e. persistent lethargy f. puffiness of the faceA nurse is admitting a client for a total hip arthroplasty. The client takes hydrocortisone for Addison's disease. Which of the following nursing actions is the priority? a. administering supplemental dose of hydrocortisone b. instructing the client about coughing and deep breathing c. collecting additional info about history of Addison's disease d. inserting a foleya. administering supplemental dose of hydrocortisone never abruptly stop steroids, illness and injury always require extra (supplemental) steroids, in Addison's body is not producing own steroidsWhen a nurse is teaching about omeprazole what is important to include? a. take at bedtime b. this medication decreases production of gastric acid c. take 2 hours after eating d. this med can cause hypokalemiab. this medication decreases production of gastric acid omeprazole is a proton pump inhibitorWhen caring for a patient experiencing nausea related to gastroparesis, which of the following prescriptions should the nurse expect? a. Lubiprostone b. Metoclopramide c. Bisacodyl d. Loperamideb. Metoclopramide antiemeticA nurse is reviewing the admission laboratory results of a client who has acute pancreatitis. Which of the following findings should the nurse expect? a. decrease blood lipase level b. decrease blood amylase level c. increased blood calcium level d. increased blood glucose leveld. increased blood glucose level acute pancreas injury = production of insulin stops, raising blood sugar levelsA client has a large, deep duodenal ulcer diagnosed by endoscopy. Which sign or symptom indicative of a complication should the nurse look for during the client's post-procedure assessment? a. bradycardia b. nausea and vomiting c. numbness in the legs d. a rigid, board-like abdomend. a rigid, board-like abdomen indicates internal bleedingA nurse is assessing a client who has pancreatitis. Which of the following findings should the nurse identify as a manifestation of pancreatitis? a. generalized cyanosis b. hyperactive bowel sounds c. gray-blue discoloration of the skin around the umbilicus d. wheezing in the lower lung fieldsc. gray-blue discoloration of the skin around the umbilicus called Cullen's sign, trademark of pancreatitisA nurse is assessing a client who has advanced cirrhosis. The nurse should identify which of the following findings as indicated of hepatic encephalopathy? select all that apply a. anorexia b. change in orientation c. asterixis d. ascites e. fetor hapticusb. change in orientation c. asterixis e. fetor hepaticus altered mental status due to high ammonia levels asterixis - "liver flap" hand flapping fetor hepaticus - fruity breath due to high ammonia levelsA patient has been taking docusate sodium (Colace) daily for 1 year. Which statement by the patient indicates a complication associated with use of this drug? a. "My doctor says that I've developed colon polyps" b. "I only have a bowel movement when I take the medicine" c. "The dental hygienist said I was losing the enamel on my teeth" d. "I'm noticing that I'm having tremors now in my left hand"b. "I only have a bowel movement when I take the medicine" if you take laxatives for a long time, you will become dependent on themA nurse is teaching a client who has hepatitis B about home care. Which of the following instructions should the nurse include in the teaching? select all that apply a. limit physical activity b. avoid alcohol c. take acetaminophen for comfort d. wear a mask when in a public place e. eat small frequent mealsa. limit physical activity b. avoid alcohol e. eat small frequent meals patient is so sick that they have limited energy, alcohol goes through the liver no acetaminophen because it goes through the liver no need to wear mask because patient is not immunocomprimisedA home health nurse visits a client with a diagnosis of Type I DM. The client reports a history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24 hours. Which additional statement by the client indicates a need for further teaching? a. I need to stop my insulin b. I need to increase my fluid intake c. I need to monitor my blood glucose every 3-4 hours d. I need to call my PHCP because of these symptomsa. I need to stop my insulin T I diabetics depend on insulin, even with no food in system BG levels will be elevatedA nurse administers which medication to inhibit an enzyme that makes gastric acid in a patient who has a duodenal ulcer? a. Omeprazole (Prilosec) b. Famotidine (Pepcid) c. Misoprostol (Cytotec) d. Ranitidin (Zantac)a. Omeprazole (Prilosec) PPI, proton pump helps secretes gastric acidMedication used to treat thyrotoxic crisis includes: a. Thyroid hormone b. Iodine c. Synthroid d. Epinephrineb. Iodine all other answers are used in hypothyroidism, thyrotoxic crisis indicates hyperthyroidismA patient is diagnosed with a Cushing ulcer. Which assessment finding supports this diagnosis? a. Massive internal trauma as a result of a fall b. severe head trauma resulting from an auto accident c. third-degree burns over 20% of the body d. profound septicemia with high feverb. severe head trauma resulting from an auto accident Cushings - head injury Curlings- burn injury