which information will the nurse include when teaching a 50 year old patient who has type 2 diabetes about glyburide micronase diabeta glynase

ATI RN

ATI Leadership Proctored

1. Which information will the nurse include when teaching a 50-year-old patient who has type 2 diabetes about glyburide (Micronase, DiaBeta, Glynase)?

A. Glyburide decreases glucagon secretion from the pancreas.
B. Glyburide stimulates insulin production and release from the pancreas.
C. Glyburide should be taken even if the morning blood glucose level is low.
D. Glyburide should not be used for 48 hours after receiving IV contrast media.

Correct answer: B

Rationale: The correct answer is B: Glyburide stimulates insulin production and release from the pancreas. Glyburide belongs to the sulfonylurea class of antidiabetic medications, which work by stimulating the pancreas to produce and release more insulin. This helps to lower blood glucose levels. Choice A is incorrect because glyburide does not decrease glucagon secretion; instead, it acts on insulin. Choice C is incorrect because taking glyburide when blood glucose is low can lead to hypoglycemia. Choice D is incorrect as there is no specific interaction between glyburide and IV contrast media that requires avoiding its use for 48 hours.

2. An RN enters a patient�s room to place an indwelling urinary catheter, as ordered by the health-care professional. The client is alert and oriented and tells the RN he wants to leave the hospital now and not receive further treatment. Which of the following actions by the RN would be considered false imprisonment?

A. The RN tells the client he is not allowed to leave until the physician has released him.
B. The RN asks the client why he wishes to leave.
C. The RN asks the client to explain what he understands about his medical diagnosis.
D. The RN asks the client to sign an against medical advice discharge form.

Correct answer: A

Rationale: The RN tells the client he is not allowed to leave until the physician has released him would be considered false imprisonment.

3. A 54-year-old patient is admitted with diabetic ketoacidosis. Which admission order should the nurse implement first?

A. Infuse 1 liter of normal saline per hour.
B. Give sodium bicarbonate 50 mEq IV push.
C. Administer regular insulin 10 U by IV push.
D. Start a regular insulin infusion at 0.1 units/kg/hr.

Correct answer: A

Rationale: In a patient admitted with diabetic ketoacidosis, the initial priority is to address dehydration and electrolyte imbalances. Infusing 1 liter of normal saline per hour helps correct hypovolemia and restore electrolyte balance, making it the first essential step in managing diabetic ketoacidosis. Sodium bicarbonate is not routinely recommended in treating diabetic ketoacidosis and should not be given routinely as it may worsen the acidosis. Administering regular insulin and starting an insulin infusion are important but should come after fluid resuscitation to stabilize the patient's condition.

4. The nurse manager needs to buy six new hospital beds for the unit. What type of budget will be used for this expenditure?

A. Operating budget
B. Capital budget
C. Salary budget
D. Revenue budget

Correct answer: B

Rationale: The correct answer is B: Capital budget. The capital budget is used for expenditures related to physical renovations, new construction, and new equipment, such as hospital beds. Operating budget (choice A) focuses on day-to-day expenses like supplies and staffing. Salary budget (choice C) pertains specifically to personnel compensation. Revenue budget (choice D) deals with projected income and financial goals, not capital expenditures like purchasing new hospital beds.

5. Which of the following best describes the role of a nurse leader?

A. Managing patient care directly
B. Enforcing healthcare policies
C. Inspiring and motivating the healthcare team
D. Ensuring regulatory compliance

Correct answer: C

Rationale: The correct answer is C: 'Inspiring and motivating the healthcare team.' Nurse leaders play a crucial role in fostering a positive and collaborative work environment by motivating and inspiring their team members. Choice A is incorrect because managing patient care directly is typically the responsibility of staff nurses, while nurse leaders focus on leadership and coordination. Choice B is incorrect as enforcing healthcare policies is usually a function of compliance officers or administrators. Choice D is also incorrect as ensuring regulatory compliance is important but is usually overseen by compliance officers or regulatory affairs specialists, not specifically the role of a nurse leader.