This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with type I diabetes is taking NPH insulin, 30 units every day. A nurse notes that the ... (Read 27 times)

justinmsk

  • Hero Member
  • *****
  • Posts: 524
on: Jul 23, 2018
A patient with type I diabetes is taking NPH insulin, 30 units every day. A nurse notes that the patient is also taking metoprolol (Lopressor). What education should the nurse provide to the patient?
 
  a. Metoprolol has no effect on diabetes mellitus or on your insulin requirements.
  b. Metoprolol interferes with the effects of insulin, so you may need to increase your insulin dose.
  c. Metoprolol may mask signs of hypoglycemia, so you need to monitor your blood glucose closely.
  d. Metoprolol may potentiate the effects of the insulin, so the dose should be reduced.

Question 2

A patient with pheochromocytoma is admitted for surgery. The surgeon has ordered an alpha-blocking agent to be given preoperatively. What does the nurse understand about this agent?
 
  a. It is ordered to prevent perioperative hypertensive crisis.
  b. It prevents secretion of catecholamines by the adrenal tumor.
  c. It reduces contraction of smooth muscles in the adrenal medulla.
  d. It is given chronically after the surgery to prevent hypertension.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Chelseyj.hasty

  • Sr. Member
  • ****
  • Posts: 319
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Because metoprolol may mask the signs of hypoglycemia, the patient should monitor the blood glucose closely and report changes to the prescriber. Metoprolol does have an indirect effect on diabetes mellitus and/or insulin requirements in that it may mask the signs of hypoglycemia, causing the patient to make a healthcare decision based on the drug-to-drug interaction rather than actual physiologic factors. The patient should not increase the insulin, because metoprolol will cause a decrease in blood glucose, increasing the risk of a hypoglycemic reaction. The patient should not reduce the dose of insulin when taking metoprolol, because this might alter serum glucose levels.

Answer to Question 2

ANS: A
Manipulation of the adrenal tumor in patients with pheochromocytoma can cause a massive catecholamine release. Alpha-adrenergic antagonists are given to reduce the risk of acute hypertension during surgery. These agents do not prevent secretion of catecholamines; they block catecholamine receptor sites. They do not act on the tissue of the adrenal medulla. They are given chronically in patients who have inoperable tumors.


justinmsk

  • Member
  • Posts: 524
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

Dinolord

  • Member
  • Posts: 313
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

Certain rare plants containing cyanide include apricot pits and a type of potato called cassava. Fortunately, only chronic or massive ingestion of any of these plants can lead to serious poisoning.

Did you know?

Medication errors are more common among seriously ill patients than with those with minor conditions.

Did you know?

Patients who cannot swallow may receive nutrition via a parenteral route—usually, a catheter is inserted through the chest into a large vein going into the heart.

Did you know?

About 3.2 billion people, nearly half the world population, are at risk for malaria. In 2015, there are about 214 million malaria cases and an estimated 438,000 malaria deaths.

Did you know?

The average person is easily confused by the terms pharmaceutics and pharmacology, thinking they are one and the same. Whereas pharmaceutics is the science of preparing and dispensing drugs (otherwise known as the science of pharmacy), pharmacology is the study of medications.

The nurse can make observations about the patient's general appearance while talking with the p The nurse can make observations about the patient's general appearance while talking with the p
The skullcap from Trinil, Java is the type specimen for H. erectus and is about 900,000 years old. The skullcap from Trinil, Java is the type specimen for H. erectus and is about 900,000 years old.
Antidiabetic Drugs for Type 2 Diabetes Antidiabetic Drugs for Type 2 Diabetes
A histologic slide showing the sponge-like architecture of a patient with Creutzfeldt-Jakob Disease. A histologic slide showing the sponge-like architecture of a patient with Creutzfeldt-Jakob Disease.
Coolant flow through the impeller and scroll of a coolant pump for a V-type engine. Coolant flow through the impeller and scroll of a coolant pump for a V-type engine.
Insulin Syringes: 100 Unit (A), 50 Unit (B), and 30 Unit (C) Insulin Syringes: 100 Unit (A), 50 Unit (B), and 30 Unit (C)
Video: Oral Hygiene & Braces Animation

For a complete list of videos, visit our video library