A type 2 diabetic patient is receiving education on the meglitinide, repaglinide for treatment of hyperglycemia. Which statement below demonstrates the patient understands the pharmacologic action of this drug?

"This medication works exactly like insulin does and will actively reduce blood glucose after meals”

"if I combine this drug with a sulfonylurea, I am at an increased risk for hyperglycemia”

"This medication only works if my pancreas still produces insulin since it stimulates my pancreas to secrete more insulin”

"Once I start on this medication, I won't have to change much since the medication will keep my blood glucose levels down for me”

Answer and Explanation

The Correct Answer is C

A. "This medication works exactly like insulin does and will actively reduce blood glucose after meals": Repaglinide does not act as exogenous insulin. It stimulates pancreatic beta cells to release insulin, rather than directly lowering blood glucose. The mechanism depends on endogenous insulin production.

B. "If I combine this drug with a sulfonylurea, I am at an increased risk for hyperglycemia": Combining repaglinide with a sulfonylurea increases the risk of hypoglycemia, not hyperglycemia, because both drugs stimulate insulin secretion.

C. "This medication only works if my pancreas still produces insulin since it stimulates my pancreas to secrete more insulin": Repaglinide is an insulin secretagogue that requires functioning pancreatic beta cells to increase insulin release. This statement reflects the pharmacologic action of the drug and shows correct patient understanding.

D. "Once I start on this medication, I won't have to change much since the medication will keep my blood glucose levels down for me": Lifestyle modifications, including diet and exercise, remain essential. Repaglinide assists with postprandial glucose control but does not replace comprehensive diabetes management.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. "Go to the emergency room and your provider will meet you there.":Black stools can be a sign of gastrointestinal bleeding, but in the absence of pain, cramping, or other symptoms, emergency evaluation is not necessary. This response may cause unnecessary anxiety.

B. "Come to the office and we will check things out.":Routine office evaluation is not required for black stools caused by iron supplements when the patient is otherwise asymptomatic.

C. "This is expected because of the way iron is broken down during digestion.":
Oral iron commonly causes dark or black stools due to oxidation of iron in the gastrointestinal tract. This is a harmless and expected side effect, and the patient can be reassured while continuing therapy.

D. "What else have you been eating?":While diet can affect stool color, in this context the most likely cause is iron supplementation. Asking about diet is not necessary unless additional symptoms suggest an alternative cause.

A. Acetaminophen B. Morphine C. Allopurinol D. Toradol

Correct Answer is B

Explanation

A. Acetaminophen:Acetaminophen is an over-the-counter analgesic suitable for mild pain. It is not potent enough to manage moderate to severe pain effectively, especially when rapid or strong relief is needed.

B. Morphine:Morphine is a strong opioid analgesic used for moderate to severe pain. It acts on central opioid receptors to provide potent pain relief and is appropriate when non-opioid medications are insufficient.

C. Allopurinol:Allopurinol is used to prevent gout attacks by lowering uric acid levels. It has no analgesic effect for acute pain management and is not indicated for immediate pain relief.

D. Toradol:Toradol (ketorolac) is a nonsteroidal anti-inflammatory drug (NSAID) effective for short-term moderate pain. However, it is less potent than morphine for severe pain and is limited by duration of use and risk of bleeding or renal issues.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A type 2 diabetic patient is receiving education on the meglitinide, repaglinide for treatment of hyperglycemia. Which statement below demonstrates the patient understands the pharmacologic action of this drug?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is speaking on the phone to a client on the phone who is pregnant and taking iron supplements for iron-deficiency anemia. The client reports that her stools are black but she has no abdominal pain or cramping. Which of the following responses by the nurse is appropriate?

Correct Answer is C

Explanation

A patient is experiencing moderate to severe pain. Which medication from the list below would the nurse anticipate the doctor ordering based on the pain level?

Correct Answer is B

Explanation

A nurse is educating a client who has inflammatory bowel disease (IBD) about managing their condition with corticosteroids. Which of the following statements by the nurse accurately describes the primary action of corticosteroids in treating IBD

A37-year-old female patient who smokes 20 cigarettes a day is prescribed oral contraceptives. Which nursing action is the priority based on the patient's history and medication?

During medication administration, which of the following practices demonstrates adherence to patient rights?

Your patient has been taking the stimulant laxative Bisacodyl to treat frequent bouts of constipation. Which statement made by the nurse reflects appropriate education to reduce the instances of constipation?

A nurse is caring for a client with a suspected wound infection. Before administering the prescribed antibiotic, the nurse obtains a wound culture. Which rationale best explains this nursing action?

A nurse is caring for a client with bipolar disorder who is prescribed fluoxetine, an SSRI. The client has recently started taking St. John's wort on a friend's recommendation. Which nursing action is the priority to prevent a serious adverse effect?

A nurse is assessing a client following administration of an opioid narcotic. Which of the following findings indicates a decrease in the client's pain?

What should a nurse do first when a client expresses concern about a newly prescribed medication?