Page 1464 - Saunders Comprehensive Review For NCLEX-RN

store the unopened vials of insulin. The nurse should tell the client to take
which action?
1. Freeze the insulin.
2. Refrigerate the insulin.
3. Store the insulin in a dark, dry place.
4. Keep the insulin at room temperature.
514. Glimepiride is prescribed for a client with diabetes mellitus. The nurse
instructs the client that which food items are most acceptable to consume
while taking this medication? Select all that apply.
1. Alcohol

2. Red meats

3. Whole-grain cereals
4. Low-calorie desserts

5. Carbonated beverages

515. The nurse is providing discharge teaching for a client newly diagnosed with
type 2 diabetes mellitus who has been prescribed metformin. Which client
statement indicates the need for further teaching?
1. “It is okay if I skip meals once in a while.”
2. “I need to let my doctor know if I get unusually tired.”
3. “I need to constantly watch for signs of low blood sugar.”
4. “I will be sure to not drink alcohol excessively while on this
medication.”
516. The primary health care provider (PHCP) prescribes exenatide for a client
with type 1 diabetes mellitus who takes insulin. The nurse should plan to
take which most appropriate intervention?
1. Withhold the medication and call the PHCP, questioning the
prescription for the client.
2. Teach the client about the signs and symptoms of hypoglycemia
and hyperglycemia.
3. Monitor the client for gastrointestinal side effects after
administering the medication.
4. Withdraw the insulin from the prefilled pen into an insulin
syringe to prepare for administration.
517. A client with diabetes mellitus is taking Humulin NPH insulin and regular
insulin every morning. The nurse should provide which instructions to the
client? Select all that apply.
1. Hypoglycemia may be experienced before dinnertime.
2. The insulin dose should be decreased if illness occurs.
3. The insulin should be administered at room temperature.
4. The insulin vial needs to be shaken vigorously to break up the
precipitates.
5. The NPH insulin should be drawn into the syringe first, then the
regular insulin.
518. The home health care nurse is visiting a client who was recently diagnosed
with type 2 diabetes mellitus. The client is prescribed repaglinide and

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