The nurse explains to a client that an oral antihypoglycemic agents are not effective in Type I diabetes because people with Type I diabetes:

would need so much of an oral antihypoglycemic agent that it would cost too much.

are allergic to oral antihypoglycemic agents.

would have more episodes of hypoglycemia with oral antihypoglycemic agents.

have little or none of their own insulin that can be released.

Answer and Explanation

The Correct Answer is B

A.   The effectiveness of oral antihypoglycemic agents does not depend on dosage amounts that would make them cost-prohibitive. Instead, these medications work by stimulating insulin production or enhancing insulin sensitivity, which is not relevant for Type 1 diabetes.
B.   While some individuals may have allergies to certain medications, this is not the reason oral antihypoglycemic agents are ineffective for those with Type 1 diabetes. The ineffectiveness is not related to allergy but rather to the underlying pathology of the disease.
C.   While it is true that the risk of hypoglycemia exists with all glucose-lowering therapies, this is not the primary reason why oral antihypoglycemics are ineffective in Type 1 diabetes. The use of these agents may increase hypoglycemia risk in a broader context, but the fundamental issue is related to insulin deficiency.
D.   In Type 1 diabetes, the pancreas produces little to no insulin due to autoimmune destruction of insulin-producing beta cells. Oral antihypoglycemic agents typically rely on the presence of some endogenous insulin to be effective.

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Correct Answer is B

Explanation

This is the correct time to start monitoring for hypoglycemia. The insulin would have started working by this time, and the nurse can assess for any signs of low blood sugar, such as sweating, shakiness, or confusion.

A. notify the prescriber about the current dose of heparin the patient is receiving B. ask the nurse leaving to place a second IV & anticipate an order for IV 0.9 saline C. assess the patient's site for manifestations of infiltration D. read the pt's lab result back to the lab technician confirming the pt's name & date of birth E. notify the prescriber & anticipate an order to give protamine sulfate

Correct Answer is ["A","C"]

Explanation

A. The nurse should notify the prescriber about the current dose (7 mL/hr) because the patient is ordered 1600 units of heparin per hour. The current infusion rate needs to be assessed in relation to the aPTT result, especially if the aPTT indicates that the patient may be at risk for bleeding.
B. While having a second IV may be useful for administering fluids or medications in case of a bleeding emergency, there is no immediate indication for IV 0.9 saline in this scenario. The priority is to assess the heparin dosage and aPTT before making additional IV arrangements.
C. It’s important to assess the IV site for signs of infiltration, especially since the patient is on heparin therapy. Infiltration can affect the effectiveness of the medication and cause complications, so this assessment is vital.
D. While it is important to verify lab results, the nurse should primarily focus on addressing the current situation regarding the heparin infusion and the patient’s anticoagulation status rather than confirming lab results with the lab technician at this moment.
E. While protamine sulfate is an antidote to heparin, it is not warranted based solely on the aPTT result of 37 seconds. The normal aPTT range is typically around 30-40 seconds, depending on the laboratory standards, and the aPTT may not indicate that the patient requires reversal of heparin at this time.

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The nurse explains to a client that an oral antihypoglycemic agents are not effective in Type I diabetes because people with Type I diabetes:

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Correct Answer is ["A","C"]

Explanation

A client receives 20 units of isophane insulin suspension (NPH) insulin at 0730. The nurse teaches the client that signs of hypoglycemia are most likely to occur at what time?

A nurse is teaching a client with diabetes mellitus about chronic complications associated with the disease. Which information should be included in the teaching?

The nurse is teaching a client who is diagnosed with peripheral arterial disease about the benefits of walking to exercise. What information should the nurse reinforce with this client?

The client diagnosed with Type I diabetes calls the clinic with a blood glucose level of 285 mg/dL and symptoms of a sore throat, cough, and fever. The clinic triage nurse advises the client to:

A client screened for diabetes has a fasting plasma glucose level of 120 mg/dl. The nurse will plan to teach the client about

A client's insulin dosage is 16 units of regular insulin in the morning. The client should be taught to expect the insulin peak within:

The client, on an intensified insulin regimen, consistently has a fasting blood glucose between 70 and 80 mg/dl, a post prandial blood glucose level below 200 mg/dl, and a hemoglobin A1c level of 4.5%. What is the nurse's interpretation of these findings? The client is: