Author Question: After the nurse instructs a client prescribed insulin glargine about her insulin, which comment by ... (Read 62 times)

sjones · **on:** Jul 24, 2018

After the nurse instructs a client prescribed insulin glargine about her insulin, which comment by the client indicates to the nurse that further teaching is needed?

a. This is a long-acting insulin that I inject subcutaneously.
b. This insulin doesn't have a peak, so it won't cause hypoglycemia.
c. I only need to inject this insulin once a day.
d. I can't mix any other insulin with insulin glargine.

Question 2

Clients who take metformin should be aware that:

a. the drug should be withheld for at least 48 hours after the use of IV contrast.
b. they may self-adjust the dosage of the drug as needed.
c. some clients develop respiratory acidosis as an adverse effect of this therapy.
d. the drug acts by decreasing pancreatic glucose production.

javimendoza7 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: B

Feedback
A Incorrect: This indicates client understanding.
B Correct: Although not occurring as often as with regular or NPH insulin, hypoglycemia is an adverse effect of glargine.
C Incorrect: This indicates client understanding.
D Incorrect: This indicates client understanding.

Answer to Question 2

ANS: A

Feedback
A Correct: Because of the risk of lactic acidosis, metformin should not be given within 24 hours after IV contrast is used.
B Incorrect: This medication should only be adjusted by the health care provider.
C Incorrect: Some clients develop lactic (metabolic) acidosis.
D Incorrect: The pancreas does not produce glucose.