Pharm, endocrine system
Somatropin
Turners syndrome
Glipizide
Type 2 diabetes mellitus
Radioactive iodine
Thyroid cancer
a nurse is educating a parent of a child who has a new diagnosis of prader-will syndrome (PWS) and has been prescribed somatropin. which of the following statements by a parent indicate understanding of the teaching?
"We will use a different spot for injection each time we give the medication"
A health care professional administers pramlintide (Symlin) at 0800 to a patient who has type 1 diabetes mellitus. At which of the following times should the patient expect the drug to exert its peak action?
0820
You give the client five units of lispro insulin (Humalog) and 10 units of insulin glargine subcutaneously at 1400. Based on your instructions, the client should expect her blood glucose level to be at the lowest at which of the following times?
1500
A nurse is caring for a client who is taking metformin and is scheduled to undergo angiography using iodine-containing contrast dye. The nurse should identify that an interaction between metformin and the IV contrast dye increases the client's risk for which of the following conditions?
Acute renal failure
Hydocortisone
Addisons disease
The nurses station client who is prescribed pramlintide therapy to treat type 1 Diabetes mellitus. which of the following instruction should the nurse include?
Administer pramlintide before peak
a nurse is teaching a client who has a prescription for glipizide therapy to treat type 2 diabetes mellitus. which of the following instructions should the nurse include?
Avoid drinking alcohol
a nurse is caring for a client who is about to begin insulin glargine therapy. The nurse should identify the need for additional precautions because the client also takes which of the following types of drugs?
Beta blockers
A patient who is taking metformin (Glucophage) to treat type 2 diabetes mellitus contacts the health care professional to report muscle pain. The health care professional should suspect which of the following adverse reactions?
Lactic acidosis
A nurse is teaching a client about self-administering regular insulin. The nurse should instruct the client to rotate injection sites to prevent which of the following?
Lipohypertrophy
Desmopressin
Diabetes insipidus
A nurse is teaching a client about acarbose therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include?
Eat more iron-rich foods
A nurse is providing teaching to a client who is about to begin levothyroxine therapy to treat hypothyroidism. Which of the following instructions should the nurse include?
Expect life-long therapy with the drug.
Which of the following drugs should a nurse have available for a client who is experiencing insulin toxicity
Glucagon
A client is about to start taking somatropin (Genotropin). You plan to evaluate the effectiveness of this drug therapy with which of the following assessments?
Height and weight
When considering replacement therapy options for a patient who has chronic adrenocortical insufficiency, the primary care provider should chose which of the following drugs?
Hydrocortisone
You are caring for a client who is taking levothyroxine (Synthroid) to treat hypothyroidism. The client reports palpitations, weight loss, and diarrhea. You suspect which of the following adverse effects of this drug?
Hyperthyroidism
Glucagon (GlucaGen)
Hypoglycemia
A nurse is caring for a client who is taking propylthiouracil (PTU) and reports weight gain, drowsiness, and depression. The nurse should identify that the client is experiencing which of the following adverse reactions to the drug?
Hypothyroidism
Levothyroxine
Hypothyroidism
You instruct the client to watch for and report which of the following indications of an adverse reaction to insulin?
Palpitations
You are caring for a client who is taking exenatide (Byetta) to treat type 2 diabetes mellitus. The client reports severe abdominal pain. You suspect which of the following adverse reactions to this drug?
Pancreatitis
A nurse is speaking with a client who is taking glipizide to treat type 2 diabetes mellitus and has called to report feeling shaky, hungry, and fatigued. Which of the following actions should the nurse instruct the client to take?
Perform a fingerstick blood glucose check.
A nurse is assessing a client who has a new prescription for levothyroxine. the nurse should identify which of the following findings as a contraindication for this drug?
Recent myocardial infarction
A nurse should recognize that a provider will prescribe a lower dose of sitagliptin for a client who has type 2 diabetes mellitus and who also has which of the following?
Renal impairment
A nurse is caring for a patient who is taking regaglinide (Prandin) 15 to 30 minutes before each meal to treat type 2 diabetes mellitus. The patient asks the health care professional what to do if he skips a meal. Which of the following is the appropriate response?
Skip dose
A client is about to start taking sustained release glipizide to treat type 2 diabetes mellitus. Which of the following instructions should you include when talking with the client about taking this drug?
Take it once a day, 30 min before breakfast.
Propylthiouracil
Thyrotoxic crisis
You are caring for a client who takes acarbose (Precose) and a sulfonylurea to treat type 2 diabetes mellitus. Which of the following is an indication of an adverse reaction to this drug combination?
Tremors
A nurse is caring for a patient who is about to begin taking somatropin (Genotropin). The health care professional should explain the need to monitor which of the following laboratory tests? (Select all that apply)
Urine calcium Blood glucose
A health care professional is caring for a patient who is taking pioglitazone to treat type 2 diabetes mellitus. The health care professional should monitor for which of the following findings that indicates an adverse effect?
Weight gain
To determine the effectiveness of desmopressin (DDAVP), a health care professional should monitor a patient's
urine output
A nurse is caring for a client who is about to begin taking pioglitazone to treat type 2 diabetes mellitus. The nurse should explain to the client about the need to monitor which of the following laboratory values? (Select all that apply.)
-Alanine aminotransferase (ALT) -LDL
As you continue to talk with the client about managing her diabetes with regular insulin (Humulin R), you should include which of the following instructions? (Select all that apply.)
-Carry a carbohydrate snack. -Rotate injection sites. -Wear a medical alert bracelet. -Expect to adjust the dosage during illness.
The client will self-inject eight units of NPH insulin and four units of regular insulin each day before breakfast. As you show the client how to self-administer insulin, you should include which of the following instructions? (Select all that apply.)
-Draw the regular insulin into the syringe first, then the NPH insulin. -Use one syringe to reduce the number of injections.
Two hours after self-administering regular insulin subcutaneously, the client contacts you at the provider's office to report that she is sweating, shaky, and has a rapid pulse. Which of the following actions should you advise her to take? (Select all that apply.)
-Drink 4 oz of orange juice. -Check her blood glucose level.
A client is about to start taking hydrocortisone (Cortef) to treat adrenocortical insufficiency. You should instruct the client to do which of the following to help reduce the risk for adverse effects of this drug? (Select all that apply.)
-Increase her calcium and vitamin D intake. -Take the drug with food. -Record weight regularly. -Report increased stress.
A nurse is providing teaching to a client about taking fludrocortisone to treat adrenocortical insufficiency. Which of the following instructions should the nurse include? (Select all that apply.)
-Obtain weight measurement daily. -Report weakness or palpitations. -Have blood pressure checked regularly.
When talking with a 30-year-old woman who will receive radioactive iodine-131 (lodotope) to treat Graves' disease, you should include which of the following instructions? (Select all that apply.)
-Report weight gain and edema. -Use effective contraception. -Allow 2 to 3 months for full effects. -Expect periodic blood sampling.
When talking with a client about self-administering regular insulin (Humulin R), you should include which of the following instructions?
Inject the insulin subcutaneously.
A nurse is caring for a client who is about to begin taking propylthiouracil (PTU) to treat hyperthyroidism. The nurse should instruct the client to report which of the following adverse effects? (Select all that apply.)
-Sore throat -Joint pain -Bradycardia -Rash
