The nurse understands that all of her clients with Type 1 Diabetes will need insulin because:

being sick increases the need for insulin.

people with Type 1 Diabetes produce no insulin at all.

healthcare providers can manage diabetes better with insulin when the client is in the hospital

all people with diabetes need insulin

Answer and Explanation

The Correct Answer is B

A. being sick increases the need for insulin: Illness can elevate blood glucose levels and increase insulin requirements, but this is a temporary condition. It does not explain the fundamental need for insulin in clients with Type 1 Diabetes.

B. people with Type 1 Diabetes produce no insulin at all: Type 1 Diabetes is characterized by autoimmune destruction of pancreatic beta cells, leading to absolute insulin deficiency. These clients are entirely dependent on exogenous insulin to regulate blood glucose and sustain life.

C. healthcare providers can manage diabetes better with insulin when the client is in the hospital: While insulin is often used during hospitalizations for tight glucose control, this does not explain why all Type 1 diabetics require insulin therapy continuously, not just during hospital stays.

D. all people with diabetes need insulin: Not all individuals with diabetes require insulin. Many people with Type 2 Diabetes can manage their condition with oral medications, lifestyle changes, or non-insulin injectables.

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Correct Answer is C

Explanation

A. By coating my stomach, this medication will reduce my upset stomach: Metoclopramide does not act by coating the gastric lining. That mechanism is characteristic of gastrointestinal protectants like sucralfate. Metoclopramide works as a prokinetic and antiemetic.

B. I'll be able to go right back to work as a truck driver as soon as I start the medication: Metoclopramide can cause central nervous system side effects such as drowsiness, dizziness, and extrapyramidal symptoms. This may impair ability to operate heavy machinery or drive.

C. This medication will increase the motility of the GI tract: Metoclopramide enhances gastric and intestinal motility by sensitizing tissues to acetylcholine and antagonizing dopamine receptors. It is commonly used to treat gastroparesis and promote gastric emptying.

D. This medication will decrease stomach acid production: Metoclopramide does not reduce acid secretion. Acid suppression is achieved by PPIs or H2 blockers. Metoclopramide’s role is primarily in enhancing GI motility and reducing nausea and vomiting.

A. PPIs can not be crushed. B. Famotidine is a common proton pump inhibitor C. Given to treat gastric ulcers D. You can take PPIs daily indefinitely E. PPIs have numerous adverse effects

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

Explanation

A. PPIs cannot be crushed: Proton pump inhibitors are often enteric-coated to prevent degradation by stomach acid and ensure proper absorption in the small intestine. Crushing them disrupts this protective coating, reducing effectiveness and possibly leading to gastrointestinal irritation.

B. Famotidine is a common proton pump inhibitor: Famotidine is not a PPI but an H2-receptor antagonist. While both drug classes reduce gastric acid secretion, they work via different mechanisms and are not interchangeable in classification or pharmacological action.

C. Given to treat gastric ulcers: PPIs are commonly prescribed for gastric ulcers due to their potent acid suppression, which promotes mucosal healing. By inhibiting the H+/K+ ATPase enzyme in gastric parietal cells, they effectively reduce acid levels and facilitate ulcer recovery.

D. You can take PPIs daily indefinitely: Long-term daily use of PPIs is not recommended due to risks such as nutrient malabsorption, bone fractures, and increased susceptibility to infections like C. difficile. They should be used for the shortest effective duration, with regular reassessment.

E. PPIs have numerous adverse effects: Adverse effects associated with PPIs include headaches, diarrhea, vitamin B12 deficiency, hypomagnesemia, and increased risk of osteoporosis-related fractures.

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The nurse understands that all of her clients with Type 1 Diabetes will need insulin because:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a client about metoclopramide (Reglan) therapy. Which client statement indicates to the nurse that the client has a correct understanding of the therapy?

Correct Answer is C

Explanation

The following statements are true regarding proton pump inhibitors. Select all that apply.

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

Explanation

When caring for a client who has been diagnosed with a peptic ulcer, the nurse administers omeprazole and amoxicillin. What diagnostic finding indicates therapeutic effects of this drug regimen?

The nurse administers metoclopramide to the client with what condition?

A client diagnosed with type 1 diabetes has been prescribed 12 units of regular insulin and 34 units of NPH insulin in the morning. How should the nurse explain why two different types of insulin are required to control the client's blood glucose?

The nurse administers psyllium to a client diagnosed with constipation. What outcome best demonstrates therapeutic effects?

A client with a history of peptic ulcer disease has responded well to treatment with a histamine-2 antagonist. What effect will this nurse explain to the client this drug has?

Antiemetics mostly work at which site of action?

The nurse admits a client who reports taken a proton pump inhibitor for more than a decade. What question will the nurse ask this client?

The nurse administers loperamide to a client. The nurse expects to decrease the client's number and liquidity of stool by what mechanism?