A nurse is caring for a client receiving insulin glargine (Lantus) 20 units at bedtime. Initiation of which of the following drugs may increase the client's insulin requirement? Select all that apply
A) Methylprednisolone (Medrol)
B) Metoprolol (Lopressor)
C) Fenofibrate (Tricor)
D) Estradiol (Estrace)
E) Niacin (Niaspan)
Ans: A, D, E
Feedback:
Corticosteroids (methylprednisolone), estrogens (estradiol), and niacin (Niaspan) are among the drugs can decrease the effect of insulin and require an increase in insulin dosage to control the client's diabetes. Beta blockers and fibrates increase the effect of insulin and thus may require a decrease in the dosage of insulin.
You might also like to view...
2% of 150 = _____
a. 150 b. 3 c. 30 d. 300
Which of the following things does a nurse who is traveling by automobile to make a home visit need? Select all that apply
A) A full gas tank and well-operating vehicle B) A map that includes the geographic location where the home visit will be made C) A cellular telephone D) A bus schedule E) Exact change
The nurse is providing information to a patient with chronic gout arthritis who is prescribed probenecid. Which information by the nurse is accurate regarding the action of this drug?
a. It prevents uric acid crystal formation. b. It promotes uric acid excretion. c. It provides analgesia. d. It treats acute gout attacks.
An elderly couple who lived in the same home for the past 50 years have moved into an adult retirement center in a nearby town. Changes in lifestyle such as this couple is expe-riencing should alert the nurse to the possibility of:
a. Acute grief b. Traumatic grief c. Chronic sorrow d. Adventitious crisis