Diabetes Medication NCLEX style questions

Diabetes Medication NCLEX style questions sphynxsimmer Save Diabetes Mellitus NCLEX Style Ques...Teacher 36 terms ssandholmPreview Diabetes Drugs 54 terms fukitol17Preview Pharmacology Made Easy 4.0 - Intr...25 terms jennifer_johnson145 Preview Diabet Teacher pjo 1. How does acarbose effect blood glucose levels?

• Slow absorption of carbohydrates
• Speeds up the absorption of carbohydrates
• Causes simple sugars to form complex sugars
• Decrease glucose absorption in the gastrointestinal tract

Ans: A

• Which symptom should the nurse expect when administering acarbose to a patient?
• Hypoactive bowel sounds
• Nausea and vomiting
• Abdominal distention
• Headache

Ans: C

• Which lab tests should the nurse expect when a patient is taking acarbose? (select all that apply)
• ALT
• Cholesterol
• Hgb
• BUN
• CBC

Ans: A, C

• The nurse should question a new order of acarbose for which patient?
• A 68-year-old male with a hemoglobin of 17.0 g/dL
• A 48-year-old female with a history of IBS
• A 52-year-old male with diabetes
• A 81-year-old female with heart disease

Ans: B

• The nurse should understand more education is needed when a client taking acarbose states which of the following?
• I will take with the first bite of food
• I will take this medication three times a day
• I should take this medication 1 hour before I am going to eat
• If I forget a dose, I will just take my next dose with my next meal, not doubling up.

Ans: C

• A client takes acarbose with glimepiride, a sulfonylurea. Which of the following adverse effects should the nurse expect?
• Hypertension
• Kussmaul respirations
• Temperature of 100.2 degrees Fahrenheit
• Slurred speech

Ans: D

What is the expected action of glipizide?

• Pain relief
• Lowered heart rate
• Release of insulin
• Reduction of fever
• Glipizide works to release insulin from the pancreas and increase tissue sensitivity to insulin over time.

Which of the following is a potential complication of glipizide?

• Weight loss
• Hypoglycemia
• Hyperglycemia
• Dyspnea
• Glipizide may cause hypoglycemia and weight gain.

Which of the following should you educate the client to avoid when taking glipizide?

• Whole grains
• Citrus fruits
• Tomatoes
• Alcohol
• This can result in a disulfiram-like reaction.

When is the best time to administer glipizide?

• 30 minutes before breakfast
• Before bed
• Before lunch
• Mid-morning
• Glipizide is best to administer 30 minutes before breakfast.

Ingesting which of the following can cause an additive hypoglycemic effect when taking glipizide?

• Grapefruit juice
• NSAIDs
• Sodium
• Caffeine
• NSAIDs can cause additive hypoglycemic effect.

Which is a contraindication to taking glipizide?

• Obesity
• Diabetes
• Pregnancy
• Hyperglycemia
• Glipizide is a Category C pregnancy risk. Terms (12)

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