Meds Affecting Endocrine System (8/10)

5. Lispro insulin is prescribed for a child with type 1 diabetes mellitus. The nurse is reinforcing a teaching session with the child and mother about the onset, peak, and duration times of the insulin. The nurse provides which information of this type of insulin? Group of answer choices B) Onset of 1 hour from injection time, peak of 30 to 90 minutes later, and duration time of 5 hours. D) Onset of 2 to 6 hours from injection time, peak of 2 to 4 hours later, and duration time of 4 to 8 hours. C) Onset of 6 to 14 hours from injection time, peak of 10 to 16 hours later, and duration time of 20 to 24 hours. A) Onset of 15 to 30 minutes from injection time, peak of 2 to 44 hours later, and duration time of 4 to 8 hours. PreviousNext

A) Onset of 15 to 30 minutes from injection time, peak of 2 to 44 hours later, and duration time of 4 to 8 hours. PreviousNext

3. A client has self-administered his first injection of regular insulin at 7:30 am, before breakfast. This client should be instructed to closely monitor for signs of hypoglycemia at which time? A) 2:30 pm D) 7:30 am C) 7:00 pm B) 11:00 am

B) 11:00 am

8. A client receiving desmopressin begins to complain of a headache. The nurse notes that the client is listless and falls asleep easily. The nurse interprets that the client is most likely experiencing which reaction? B) Adverse medication effects. C) Allergy to the medication. A) Medication-food interactions. D) Effects of underdosing.

B) Adverse medication effects.

1. The nurse is reinforcing teaching for a client regarding how to mix regular insulin and NPH insulin in the same syringe. Which action performed by the client indicates the need for further teaching? B) Withdraws the NPH insulin first. A) Injects air into NPH insulin first. C) Injects an amount of air equal to the desired dose of insulin into the vial. D) Withdraws the regular insulin first.

B) Withdraws the NPH insulin first.

10. The nurse realizes that the client taking metformin needs further teaching when the client makes which statement? C) "I should treat hypoglycemic episodes due to metformin with glucose tablets only." A) "I should not take my metformin for 48 hours after certain diagnostic tests that use dye." B) "Metformin will help decrease the glucose production by my liver." D) "Metformin may cause flatulence and diarrhea." Previous

C) "I should treat hypoglycemic episodes due to metformin with glucose tablets only."

2. A client experiencing an acute exacerbation of multiple sclerosis requests information about prednisone therapy. You explain to the client that prednisone is: B) A corticosteroid used to treat acute infection. A) Administered exclusively to treat cleints. C) An anit-inflammatory agent that reduces muscular rigidity. D) An immunosuppressant that reduces muscular rigidity.

C) An anit-inflammatory agent that reduces muscular rigidity.

4. Metformin is prescribed for a client with type 2 diabetes mellitus. Which should the nurse tell the client is a common side effect of the medication? B) Hypoglycemia D) Flushing and palpitations A) Weight gain C) Gastriointestinal(GI) disturbances PreviousNext

C) Gastriointestinal(GI) disturbances

9. Which of the following is a side effect of long-term steroid therapy? C) Hirsutism B) Decreased blood glucose level A) Nausea D) Edema

C) Hirsutism

7. A client with diabetes awakens from an afternoon nap feeling weak, dizzy and anxious. The nurse observed that the client's skin is cool and clammy. The client complains of a headache. What action is appropriate at this time? C) Obtain a blood glucose level STAT. A) Administer 1/2 cup of fruit juice. B) Start an IV infusion of normal saline. D) Administer insulin as needed(PRN) according to the sliding scale.

C) Obtain a blood glucose level STAT.

6. Somatrem is administered to a client with pituitary dwarfism. Which is the expected therapeutic effects of this medication. B) To increase bone density. A) To promote weight gain. C) To decrease the mobilization of fats. D) To stimulate linear growth.

D) To stimulate linear growth.