After the nurse instructs a client prescribed insulin glargine ...

[sjones]

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]

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.

[sjones]

TYSM

[Alyson.hiatt@yahoo.com]

Thanks for the timely response, appreciate it