ATI Pharm Endocrine System Test

0820

A nurse administers pramlintide at 0800 to a client who has type 1 DM. At which of the following times should the nurse expect the drug to exert its peak action?

Hypotension

A nurse at a provider's 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 client's dosage?

Recent myocardial infarction

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?

Beta blockers

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?

ALT, LDL

A nurse is caring for a client who is about to begin taking pioglitazone to treat type 2 DM. The nurse should explain to the client about the need to monitor which of the following laboratory values?

Sore throat, joint pain, bradycardia, and rash

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?

Urine calcium and blood glucose

A nurse is caring for a client who is about to begin taking somatropin. The nurse should explain the need to monitor which of the following laboratory values?

Hypothyroidism

A nurse is caring for a client who is taking 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?

Urine output

A nurse is caring for a client who is taking desmopressin. The nurse should make which of the following assessments to evaluate the drug's effectiveness?

Acute renal failure

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?

Lactic acidosis

A nurse is caring for a client who is taking metformin to treat type 2 DM and reports muscle pain. Which of the following adverse reactions should the nurse suspect?

Weight gain

A nurse is caring for a client who is taking pioglitazone to treat type 2 DM. The nurse should monitor for which of the following findings?

Skip the dose

A nurse is caring for a client who takes repaglinide 15 to 30 min before each meal to treat type 2 DM. The client asks, "If I skip a meal, what should I do?" Which of the following responses should the nurse make?

"We will use a different spot for injection each time we give the medication."

A nurse is educating the parents of a child who has a new diagnosis of Prader-Willi Syndrome (PWS) and has been prescribed somatropin. Which of the following statements by a parent indicates understanding of the teaching?

Obtain weight measurements daily Report weakness or palpitations Have blood pressure checked regularly

A nurse is providing teaching to a client about taking fludrocortisone to treat adrenocortical insufficiency. Which of the following instructions should the nurse include?

Inject the drug subcutaneously Expect the peak effect in 2 hr Use the drug as a supplement to an oral hypoglycemic

A nurse is providing teaching to a client who is about to begin exenatide therapy to treat type 2 DM. Which of the following instructions should the nurse include?

Expect life-long therapy with the drug

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?

Perform a fingerstick blood glucose check

A nurse is speaking with a client who is taking glipizide to treat type 2 DM and has called to report feeling shaky, hungry, and fatigued. Which of the following actions should the nurse instruct the client to take?

Eat more iron rich foods

A nurse is teaching a client about acarbose therapy to treat type 2 DM. Which of the following instructions should the nurse include?

Lipohypertrophy

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?

Avoid drinking alcohol

A nurse is teaching a client who has a prescription for glipizide therapy to treat type 2 DM. Which of the following instructions should the nurse include?

Administer pramlintide before meals

A nurse is teaching a client who has a prescription for pramlintide therapy to treat type 1 DM. Which of the following instructions should the nurse include?

Renal impairment

A nurse should recognize that a provider will prescribe a lower dose of sitagliptin for a client who has type 2 DM and who also has which of the following?

Hydrocortisone

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?

Glucagon

Which of the following drugs should a nurse have available for a client who is experiencing insulin toxicity?