The nurse is teaching a group of patients about self-administration of insulin. What content is important to include?

Correct Answer: C

Rationale: It is important to inform patients that if they are prescribed two different types of insulin, they should be administered in separate injections. This is to ensure the effectiveness and stability of each type of insulin. Mixing different insulins in the same syringe can alter their properties and affect their efficacy. Therefore, it is crucial for patients to administer each insulin separately to avoid any issues with dosing or effectiveness.

Correct Answer: B

Rationale: The nurse should hold the drug and verify the order with the prescriber because the patient has a documented allergy to sulfa drugs, and glipizide is a sulfonylurea, which has a similar chemical structure to sulfa drugs. While not all patients with a sulfa drug allergy will be allergic to sulfonylureas, it is important to err on the side of caution and confirm the safety of administering the medication with the prescriber. It is crucial to prevent a potentially severe allergic reaction in the patient.

Correct Answer: C

Rationale: Octreotide is a long-acting synthetic analogue of somatostatin. Somatostatin is a naturally occurring hormone that inhibits the secretion of several other hormones, including growth hormone, insulin, glucagon, and others. Octreotide is often used in the management of conditions like acromegaly (excess growth hormone production), carcinoid syndrome, and some forms of diarrhea associated with hormonal imbalances. By mimicking the actions of somatostatin, octreotide helps to regulate hormone levels in the body and manage symptoms related to hormone excess.

Correct Answer: A

Rationale: Growth hormone used for therapeutic purposes is obtained through a process called recombinant DNA technology. This method involves inserting the gene that codes for human growth hormone into a bacterial or yeast cell, which then produces the hormone in large quantities. This synthetic growth hormone is identical to the naturally occurring hormone in the body and is safe and effective for therapeutic use. Harvesting growth hormone from human cadaver pituitaries poses a risk of disease transmission, while obtaining it from porcine pituitaries raises concerns about potential immune reactions. Chemical synthesis may not yield a biologically active form of the hormone. Therefore, the most reliable and safe source of therapeutic growth hormone is through the recombinant DNA technique.

Correct Answer: C

Rationale: Menotropins is a preparation of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) obtained from the urine of menopausal women. Menopausal women have a higher concentration of FSH and LH in their urine compared to menstruating or pregnant women. This preparation is commonly used to induce ovulation in women undergoing fertility treatments. The combination of FSH and LH in menotropins helps stimulate the development of ovarian follicles and triggers ovulation.