Author Question: The nurse is reviewing data collected from a patient with a predisposition to developing insulin ... (Read 148 times)

c0205847 · **on:** Jun 25, 2018

The nurse is reviewing data collected from a patient with a predisposition to developing insulin resistance. Which medications should the nurse identify as potentially causing this patient to develop diabetes?

Select all that apply.
1. nicotinic acid (Niacor)
2. acetaminophen (Tylenol)
3. levothyroxine (Synthroid)
4. furosemide (Lasix)
5. phenytoin (Dilantin)

Question 2

The nurse is concerned that a patient with type 1 diabetes mellitus is at risk for developing diabetic ketoacidosis. What did the nurse assess to come to this conclusion?

1. reports of anxiety
2. pale, cool skin
3. serum glucose level of 325 mg/dL
4. ulcer on plantar aspect of right foot

Bigfoot1984 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 3, 4, 5
Many drugs impair insulin secretion, precipitating DM in people with predisposing insulin resistance. Examples are nicotinic acid, thyroid hormone, thiazides, and phenytoin. Acetaminophen (Tylenol) does not impair insulin secretion and precipitate diabetes mellitus in people with predisposing insulin resistance.

Answer to Question 2

Correct Answer: 3

Anxiety and pale, cool skin are symptoms of hypoglycemia. In diabetic ketoacidosis, the blood glucose level is above 250 mg/dL. An ulcer is not a symptom of diabetic ketoacidosis.