ATI Pharm
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 increase the client's risk for which of the following conditions?
Acute renal failure
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 long life therapy with the drug
which of the following drugs should a nurse have available for a client who is experiencing insulin toxicity?
glucagon
when considering replacement therapy options for a client who has chronic adrenocortical insufficiency, a nurse should recognize that the provider will choose which of the following drugs?
hydrocortisone
a nurse at a providers office is assessing a client who has been taking hydrocortisone for adrenal insufficiency. the client reports fatigue and feeling overwhelmed by personal responsibilities. which of the following findings should the nurse identify as an indication the provider might need to increase the clients dosage?
hypotension
a nurse is caring for a client who is taking propylthiouracil and reports weight gain, drowsiness, and depression. the nurse should identify that the client is experiencing which of the following adverse reaction to the drug?
hypothyroidism
a nurse is providing teaching to a client who is about to begin exenatide therapy to treat to treat type 2 diabetes mellitus. which of the following instructions should the nurse include?
inject the drug subcutaneously expect the peak effect in 2 hours use the drug as a supplement to an oral hypoglycemic
a nurse is caring for a client who is taking metformin to treat type 2 diabetes mellitus and reports muscle pain. which of the following adverse reactions should a nurse suspect?
lactic acidosis
a nurse is teaching a client about self-administering regular insulin. The nurse should instruct the client to rotate injections sites to prevent which of the following?
lipohypertrophy
a nurse is providing teaching to a client about taking fludrocortisone to treat adrenocortical insufficiency. which of the following instructions should the nurse include?
obtain weight measurements daily report weakness or palpitations have blood pressure checked regularly
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 finger 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 client who takes repaglinide 15 to 30 minutes before each meal to treat type 2 diabetes mellitus. the client asks. if i skip a meal what should i do? which of the following responses should the nurse make?
skip the dose
a nurse is caring for a client who is about to begin taking somatropi. the nurse should explain the need to monitor which of the following laboratory values?
urine calcium and blood glucose
a nurse is caring for a client who is taking desmopressin. the nurse should make which of the following assessment to evaluate the drugs effectiveness?
urine output
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 nurse is caring for a client who is taking pioglitazone to treat type 2 diabetes mellitus the nurse should monitor for which of the following findings?
weight pain
a nurse administers pramlintide at 0800 to a client who has type 1 diabetes mellitus. at which of the following times should the nurse expect the drug to exert its peak action?
0820
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 nurse is teaching a client who has a prescription for pramlintide therapy to treat type 1 diabetes mellitus. which of the following instructions should the nurse includes?
administer pramintide before meals
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?
alanine aminotransferase LDL
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 caring for a client who is about to begin taking (PTU) to treat hyperthyroidism. the nurse should instruct the client to report which of the following adverse effect?
sore throat joint pain bradycardia rash
