WorksheetsDM Drugs Quiz 12G
Total questions: 20
Worksheet time: 20mins
Which type of diabetes mellitus has the highest prevalence?
Type 1 diabetes mellitus
Type 2 diabetes mellitus
Diabetes insipidus
Gestational diabetes
A patient was prescribed with an antidiabetic drug. Which assessment finding would indicate the therapeutic effect of the medicine?
Decrease in blood glucose
Increase of fat storage
Increase glycogen production
Decrease protein mobilization
Hypoglycemia is the most common side effect of insulin administration. What assessment findings would indicate the patient is experiencing hypoglycemia?
Decreased pulse and respiratory rates and flushed skin
Increased pulse rate and a fruity, acetone breath odor
Irritability, sweating, and confusion
Increased urine output and edema
Which statement best describes the pharmacodynamics of insulin?
Insulin causes the pancreas to secrete glucose into the bloodstream.
Insulin is metabolized by the liver and muscle and excreted in the urine.
Insulin is needed to maintain colloidal osmotic pressure in the bloodstream.
Insulin lowers blood glucose by promoting use of glucose in the body cells
What health teaching should the nurse emphasize to a client who has just been diagnosed with diabetes mellitus and was prescribed to take antidiabetic drugs?
Teach family members how to administer glucagon by injection when the patient has a hyperglycemic reaction.
Instruct the patient about the necessity lifestyle changes and compliance with prescribed drug therapy.
Teach the patient that hypoglycemic reactions are more likely to occur at the onset of action time.
Instruct the patient in the care and handling of the insulin container and syringe.
You are teaching a patient regarding oral hypoglycemic agents. Which statement made by the patient indicates correct understanding of the drug therapy? (Select all that apply.)
“I will limit my alcohol consumption and modify my lifestyle.”
“I will report symptoms of fatigue and loss of appetite.”
“I will take the medication before meals.”
“I can eat all of the food I want as long as I regularly exercise and drink my medication.”
“I will monitor my blood sugar daily.”
These drugs stimulate pancreatic beta cells to secrete more insulin and reduces glucose output by the liver and usually preferred for patients with poor kidney function.
Sulfonylureas
Thiazolidinediones
Biguanides
DPP4 inhibitors
These drugs decrease hepatic glucogenesis and increase insulin-dependent muscle glucose uptake. It does not induce hypoglycemic reactions if taken alone.
Sulfonylureas
Thiazolidinediones
Biguanides
DPP4 inhibitors
A diabetic patient who is taking insulin is asking Nurse Betty about the occurrence of hypoglycemia. Nurse Betty is correct when he tells the patient all of the following statements (Select all that apply).
When the patient eats too little food
When the insulin dose is incorrectly measured and is greater than that prescribed
When the patient drastically increases physical activity
When too little or no insulin is used
When the patient eats too much food
All of the following increases the hypoglycemic effect of insulin, EXCEPT? Select all that apply.
Sulfonamides
Tetracycline
Estrogens
Diuretics
Clonidine
The patient asks the nurse how the pancreas is able to decrease the level of glucose in the blood. As a knowledgeable nurse which of the following information should you tell the patient?
It is due to the alpha cells that secrete glucagon
It is due to the beta cells that secrete glucagon
It is due to the delta cells that secrete somatostatin
It is due to the alpha cells that secrete insulin
It is due to the beta cells that secrete insulin
You are taking care of a patient with diabetes type 1. All of the following are major symptoms of DM type 1, EXCEPT? Select all that apply
Hypoglycemia
Polydipsia
Polyphagia
Polyuria
Weight gain
You are giving a health teaching to Danillo who is DM type 2. All of the following information about DM type 2 are correct, EXCEPT?
They must have insulin supplementation to survive.
Approximately 90% - 95% of adults with diabetes have type 2.
They have decreased production of insulin by the b cells of the pancreas.
They have decreased sensitivity of the cells to insulin.
The disease occur most often after the age of 40.
You are taking care of Leonardo Semmi who is DM type 1. As a medicating nurse you know that which of the following insulin can be given intravenously?
Humulin R
Humulin N
Apidra
Levemir
Novolog 70/30
You are taking care of a patient with hypoglycemia. All of the following situation may have caused hypoglycemia, EXCEPT?
When the patient eats too little food
When the insulin dose is incorrectly measured and is greater than that prescribed
When the patient drastically increases physical activity
When the patient experiences emotional stress, infection, surgery, pregnancy, or an acute illness
None of the options
Gino came to the Emergency room due to hypoglycemia. All of the following are methods of ending a hypoglycemia reaction, EXCEPT?
Provide the Gino with Orange juice or other fruit juice
Give Gino Hard candy or honey
Provide Gino with Commercial glucose products
Administer Glucagon by the subcutaneous, intramuscular, or
intravenous route
Administer Insulin by the subcutaneous route
You are taking care of Ninya who is DM type 2. She is currently taking Metformin. Which of the following is the mode of action of this drug?
Acts by reducing hepatic glucose production and increasing insulin sensitivity in muscle and fat cells
Stimulates the b-cells of the pancreas to release insulin
Inhibits an enzyme in the body that breaks down incretin hormones
Prevents the kidneys from reabsorbing glucose back into the blood which allows the kidneys to lower blood glucose levels
Decrease insulin resistance and increase insulin sensitivity
Which of the following medications can cause exacerbate congestive heart failure?
Pioglitazone
Metformin
Glimepiride
Sitagliptin
Forxiga
The doctor explains to the patient that the mode of action of the drug is to stimulates the b-cells of
the pancreas to release insulin. Which of the following medication is the doctor referring?
Biguanides
Sulfonylureas
Thiazolidinediones
DPP-4 inhibitor
Sodium-glucose Co-tansporter 2 inhibitor
You are taking care of Sugar who is a DM type 1 patient and you are monitoring the patient’s blood glucose level. Which of the following result is normal?
45mg/dl
50mg/dl
60mg/dl
100mg/dl
110mg/dl
