A Patient with Type 1 Diabetes Is Taking NPH Insulin

question 5

Multiple Choice

A patient with type 1 diabetes is taking NPH insulin, 30 units every day. A nurse notes that the patient is also taking metoprolol [Lopressor]. What education should the nurse provide to the patient?

• A) "Metoprolol has no effect on diabetes mellitus or on your insulin requirements."
• B) "Metoprolol interferes with the effects of insulin, so you may need to increase your insulin dose."
• C) "Metoprolol may mask signs of hypoglycemia, so you need to monitor your blood glucose closely."
• D) "Metoprolol may potentiate the effects of the insulin, so the dose should be reduced."

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Definitions:

Infertility

The failure to establish a pregnancy after 12 months of regular, unprotected sexual intercourse. Also referred to as impaired fecundity.

Arthritis

A group of painful and degenerative conditions marked by inflammation in the joints that causes stiffness and pain.

Sexual Activity

Engaging in behaviors involving sexual gratification or sexual pleasure between individuals.

Arthritic Attack

A sudden or severe episode of joint pain and inflammation typically associated with arthritis, affecting one or more joints.