a client is receiving insulin lispro the nurse should explain to the client that this insulin should be administered at which time

HESI LPN

Pharmacology HESI 2023 Quizlet

1. When should a client receiving insulin lispro administer this medication?

A. Before meals
B. After meals
C. At bedtime
D. Before sleep

Correct answer: A

Rationale: Insulin lispro is a rapid-acting insulin that should be administered shortly before meals. This timing helps to synchronize the peak action of insulin with the rise in blood glucose levels after eating, effectively managing blood glucose levels in the body.

2. What action should the nurse implement for a female client taking the bisphosphonate medication ibandronate for osteoporosis?

A. Ask the client to describe how she takes the medication
B. Reassure the client that the heartburn is temporary
C. Explain that the use of antacids might be helpful
D. Encourage the client to increase her calcium intake

Correct answer: A

Rationale: Ensuring correct administration of bisphosphonates, like ibandronate, is essential to maximize effectiveness and minimize potential side effects. By asking the client to describe how she takes the medication, the nurse can assess the client's understanding and adherence to the prescribed regimen, ultimately promoting optimal therapeutic outcomes.

3. A client with rheumatoid arthritis is prescribed methotrexate. The nurse should monitor for which common side effect of this medication?

A. Liver toxicity
B. Skin rash
C. Hair loss
D. Abdominal pain

Correct answer: A

Rationale: The correct answer is A: Liver toxicity. Methotrexate is known to cause liver toxicity, making regular monitoring of liver function essential. Monitoring liver function tests helps detect any signs of liver damage early, allowing for appropriate interventions to be implemented promptly.

4. How does omeprazole work in treating a peptic ulcer?

A. Increasing the production of gastric acid
B. Neutralizing stomach acid
C. Coating the stomach lining
D. Reducing gastric acid secretion

Correct answer: D

Rationale: Omeprazole is a proton pump inhibitor that works by reducing gastric acid secretion. By inhibiting the enzyme responsible for pumping acid into the stomach, omeprazole helps decrease the acidity level in the stomach, providing relief from peptic ulcers. Option A is incorrect because omeprazole does not increase gastric acid production; instead, it decreases it. Option B is incorrect as omeprazole does not neutralize existing stomach acid but rather reduces its secretion. Option C is incorrect as omeprazole does not coat the stomach lining but acts on reducing acid secretion.

5. A client with chronic kidney disease is prescribed sevelamer. The nurse should monitor for which potential side effect?

A. Hypercalcemia
B. Hypocalcemia
C. Hyperkalemia
D. Hypokalemia

Correct answer: B

Rationale: When a client with chronic kidney disease is prescribed sevelamer, the nurse should monitor for hypocalcemia. Sevelamer works by binding dietary phosphorus in the gastrointestinal tract, which can lead to decreased calcium absorption and potentially cause hypocalcemia.