Author Question: The patient asks the nurse how sulfonylureas normalize glucose levels. Which response by the nurse ... (Read 59 times)

ss2343 · **on:** Jul 24, 2018

The patient asks the nurse how sulfonylureas normalize glucose levels. Which response by the nurse is correct?

a. By stimulating pancreatic secretion of insulin
b. By inhibiting secretion of insulin by the pancreas
c. By increasing glucose production in the liver
d. By increasing insulin metabolism in the liver

Question 2

Which instruction by the nurse is accurate to include when providing teaching to a patient recently diagnosed with diabetes who has been prescribed insulin?

a. Beta blockers can mask symptoms of hypoglycemia.
b. Lipodystrophy increases the absorption of insulin.
c. Infection will decrease the need for insulin.
d. Excessive exercise will increase the need for insulin.

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

Answer to Question 1

ANS: A
Sulfonylureas stimulate the pancreas to secrete more insulin. They also diminish glucose production and metabolism of insulin by the liver. The net effect is a normalization of insulin and glucose levels. Sulfonylureas decrease glucose production and hepatic metabolism of insulin.

Answer to Question 2

ANS: A
Beta-adrenergic blocking agents (e.g., propranolol, timolol, nadolol, pindolol) may mask many symptoms of hypoglycemia. Lipodystrophy does not increase the absorption of insulin. Infection does not decrease the need for insulin. Excessive exercise does not increase the need for insulin.