Endocrine Medications Sanders NCLEX PN Book

Desmopressin acetate is prescribed for the treat- ment of diabetes insipidus. The nurse monitors the client after medication administration for which therapeutic response? 1. Decreased urinary output 2. Decreased blood pressure 3. Decreased peripheral edema 4. Decreased blood glucose level

1

Glimepiride is prescribed for a client with diabetes mellitus. The nurse reinforces instructions for the client and tells the client to avoid which while tak- ing this medication? 1. Alcohol 2. Organ meats 3. Whole-grain cereals 4. Carbonated beverages

1

The home care nurse visits a client at home who has been prescribed prednisone 5 mg orally daily. The nurse reinforces teaching for the client about the medication. Which statement made by the cli- ent indicates a need for further teaching? 1. "I can take aspirin or my antihistamine if I need it." 2. "I need to take the medication every day at the same time." 3. "I need to avoid coffee, tea, cola, and chocolate in my diet." 4. "If I gain more than 5 pounds a week, I will call my doctor."

1

The nurse is reinforcing teaching for a client re- garding how to mix regular insulin and NPH insulin in the same syringe. Which action per- formed by the client indicates the need for fur- ther teaching? 1. Withdraws the NPH insulin first 2. Withdraws the regular insulin first 3. Injects air into NPH insulin vial first 4. Injects an amount of air equal to the desired dose of insulin into the vial

1

The home care nurse is visiting a client who was re- cently diagnosed with type 2 diabetes mellitus. The client, prescribed repaglinide and metformin, asks the nurse to explain these medications. The nurse would reinforce which instructions to the client? Select all that apply. 1. Diarrhea can occur secondary to metformin. 2. The repaglinide is not taken if a meal is skipped. 3. The repaglinide is taken 30 minutes before eating. 4. Candy or another simple sugar is carried and used to treat mild hypoglycemia episodes. 5. Muscle pain is an expected side effect of met- formin and may be treated with acetaminophen. 6. Metformin increases hepatic glucose produc- tion to prevent hypoglycemia associated with repaglinide.

1, 2, 3, 4

The nurse is monitoring a client receiving levo- thyroxine sodium to treat hypothyroidism. Which findings indicate the presence of a side effect as- sociated with this medication? Select all that apply. 1. Insomnia 2. Weight loss 3. Bradycardia 4. Constipation 5. Mild heat intolerance

1, 2, 5

A client is taking Humulin NPH insulin daily every morning. The nurse reinforces instructions to the cli- ent and would tell the client that which is the most likely time for a hypoglycemic reaction to occur? 1. 2 to 4 hours after administration 2. 6 to 14 hours after administration 3. 16 to 18 hours after administration 4. 18 to 24 hours after administration

2

A client with diabetes mellitus visits a healthcare clinic. The client's diabetes mellitus has been previ- ously well controlled with glyburide daily, but re- cently the fasting blood glucose level has been 180 mg/dL to 200 mg/dL. Which medication, added to the client's regimen, may have contributed to the hyperglycemia? 1. Atenolol 2. Prednisone 3. Phenelzine 4. Allopurinol

2

The homecare nurse visits a client recently diag- nosed with diabetes mellitus who is taking Humu- lin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse would provide which information? 1. Freeze the insulin. 2. Refrigerate the insulin. 3. Store the insulin in a dark, dry place. 4. Keep the insulin at room temperature.

2

The primary health care provider (PHCP) prescribes exenatide for a client with type 1 diabetes mellitus who takes insulin. The nurse prepares for which most appropriate intervention? 1. The medication is administered within 60 min- utes before the morning and evening meal. 2. The medication is withheld and the PHCP is called to question the prescription for the client. 3. The client is monitored for gastrointestinal (GI) side effects after administration of the medica- tion. 4. The insulin is withdrawn from the Penlet into an insulin syringe to prepare for administration.

2