Endocrine Medications
A client informs the nurse that she has been taking acarbose as prescribed. The nurse determines that a therapeutic effect of the medication has occurred if which laboratory value is noted? 1.A serum lipase of 100 units/L 2.A sodium level of 140 mEq/L 3.A blood urea nitrogen (BUN) level of 15 mg/dL 4.A 2-hour postprandial serum glucose of 120 mg/dL
A 2-hour postprandial serum glucose of 120 mg/dL
The nurse is monitoring a client receiving glipizide. Which outcome indicates an ineffective response from the medication? 1.A decrease in polyuria 2.A decrease in polyphagia 3.A glycosylated hemoglobin level of 12% 4.A fasting plasma glucose of 100 mg/dL (5.7 mmol/L)
A glycosylated hemoglobin level of 12%
When discussing the rationale for levothyroxine with a client with hypothyroidism, the nurse should emphasize that the client can anticipate which primary expected outcome? 1.Alleviating depression 2.Increasing energy levels 3.Increasing blood glucose levels 4.Achieving normal thyroid hormone levels
Achieving normal thyroid hormone levels
A hospitalized client with severe seborrheic dermatitis is receiving treatments of topical glucocorticoid applications followed by the application of an occlusive dressing. The nurse monitors the client for which systemic effect that can occur as a result of this treatment? 1.Local infection 2.Thinning of the skin 3.Adrenal suppression 4.Adrenal hyperactivity
Adrenal suppression
Glimepiride is prescribed for a client with diabetes mellitus. The nurse reinforces instructions for the client and tells the client to avoid which while taking this medication? 1.Alcohol 2.Organ meats 3.Whole-grain cereals 4.Carbonated beverages
Alochol
Prednisone is prescribed for a client with diabetes mellitus who is taking Humulin neutral protamine Hagedorn (NPH) insulin daily. Which prescription change does the nurse anticipate during therapy with the prednisone? 1.An additional dose of prednisone daily 2.A decreased amount of daily Humulin NPH insulin 3.An increased amount of daily Humulin NPH insulin 4.The addition of an oral hypoglycemic medication daily
An increased amount of daily Humulin NPH insulin
A client with an exacerbation of chronic obstructive pulmonary disease (COPD) has been on oral glucocorticoids and is being weaned to triamcinolone by inhalation. The nurse determines that the client understands the potential adverse effects to watch for during this medication change when the client states to monitor for which? 1.Chills, fever, generalized rash 2.Blurred vision, headache, and insomnia 3.Anorexia, nausea, weakness, and fatigue 4.Vomiting and diarrhea and increased thirst
Anorexia, nausea, weakness, and fatigue
A client is admitted with chest pain related to atrial fibrillation. Based on her blood glucose reading, metformin is prescribed for the client. As the nurse reviews the client's chart and prescriptions, which finding would require the nurse to verify the metformin prescription? Refer to chart. 1.Blood pressure 2.Creatinine result 3.Hemoglobin A1c 4.Migraines headaches
Creatinine result
A client is diagnosed with hypothyroidism, and levothyroxine is prescribed. The nurse notes that the client is presently taking warfarin sodium and anticipates that the primary health care provider will alter which medication dosage? 1.Decrease the dosage of levothyroxine. 2.Increase the dosage of levothyroxine. 3.Increase the dosage of warfarin sodium. 4.Decrease the dosage of warfarin sodium.
Decrease the dosage of warfarin sodium.
The nurse is collecting data from a client seen in the health care clinic for the first time. When the nurse asks the client about current prescribed medications, the client tells the nurse that metformin is taken daily. Based on this finding, the nurse elicits data from the client regarding the presence of which condition? 1.Asthma 2.Emphysema 3.Chronic bronchitis 4.Diabetes mellitus
Diabetes mellitus
The nurse is preparing to administer an injection of regular insulin. The vial of the regular insulin has been refrigerated. On inspection of the vial, the nurse finds that the medication is frozen. Which action should the nurse take? 1.Discard the insulin and obtain another vial. 2.Wait for the insulin to thaw at room temperature. 3.Check the temperature settings of the refrigerator. 4.Rotate the vial between the hands until the medication becomes liquid.
Discard the insulin and obtain another vial.
A client newly diagnosed with diabetes mellitus is instructed by the primary health care provider to obtain glucagon hydrochloride for emergency home use. The client asks the nurse about the purpose of the medication. The nurse tells the client that the purpose of the medication is to treat which aspect of diabetes? 1.Lipoatrophy from insulin injections 2.Hypoglycemia from insulin overdose 3.Hyperglycemia from insufficient insulin 4.Lipohypertrophy from inadequate insulin absorption
Hypoglycemia from insulin overdose
Levothyroxine sodium is prescribed for a client with hypothyroidism. When should the nurse encourage the client to take the medication? 1.At bedtime 2.At lunchtime 3.At dinnertime 4.In the morning
In the morning
The nurse needs to mix Regular insulin (clear) and NPH insulin (cloudy) in the same syringe. Arrange the actions in the order that they should be performed. All options must be used.
Inject air into the NPH insulin vial. Inject air into the regular insulin vial. Draw up the regular insulin into the syringe. Draw up the NPH insulin into the syringe.
The nurse is reinforcing instructions to a client regarding the administration of lypressin. The nurse instructs the client that the medication will be taken by which routes? 1.Oral 2.Intranasal 3.Subcutaneous 4.Intramuscular
Intranasal
A client with diabetes mellitus visits a healthcare clinic. The client's diabetes mellitus previously had been well controlled with glyburide daily, but recently the fasting blood glucose level has been 180 mg/dL to 200 mg/dL (10.2 mmol/L to 11.4 mmol/L). Which medication, added to the client's regimen, may have contributed to the hyperglycemia? 1.Atenolol 2.Prednisone 3.Phenelzine 4.Allopurinol
Prednisone
The nurse preparing a client for surgery reviews the client's medication record. The client is to receive nothing by mouth (NPO) after midnight. Which medication noted on the client's record should the nurse question? 1.Allopurinol 2.Prednisone 3.Alendronate 4.Cyclobenzaprine
Prednisone
The nurse assists with creating a plan of care for a client with hyperparathyroidism receiving calcitonin-human. Which outcome has the highest priority regarding this medication? 1.Relief of pain 2.Absence of side effects 3.Reaching normal serum calcium levels 4.Verbalization of appropriate medication knowledge
Reaching normal serum calcium levels
The homecare nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse should 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.
Refrigerate the insulin.
The nurse is reinforcing instructions to a client regarding intranasal desmopressin acetate. The nurse should tell the client that the medication has which side effect? 1.Headache 2.Vulval pain 3.Runny nose 4.Flushed skin
Runny nose
The nurse is assisting in reinforcing a teaching plan for a client given a prescription for pioglitazone. The nurse plans to reinforce instructions to the client about which information related to this medication? 1.Signs of anemia 2.Signs of hypoglycemia 3.Increasing the daily intake of calories by 750 4.Taking the medication 1 hour following a meal
Signs of hypoglycemia
A client diagnosed with hyperthyroidism will be taking propylthiouracil. The nurse reinforces medication instructions and determines that the client understands the information if the client states that it is most important to report which symptoms to the primary health care provider? 1.Sore throat 2.Excitability 3.Weight loss 4.Muscle aches
Sore throat
A client is scheduled for subtotal thyroidectomy. Potassium iodide is prescribed. The nurse understands that which outcome is the therapeutic effect of this medication? 1.Replace thyroid hormone. 2.Prevent the oxidation of iodide. 3.Increase thyroid hormone production. 4.Suppress thyroid hormone production.
Suppress thyroid hormone production.
A client is newly diagnosed with hypothyroidism. Levothyroxine is prescribed. The nurse should reinforce to the client which instructions about the medication? 1.Take with milk. 2.Take with food. 3.Take with fruit juice. 4.Take on an empty stomach.
Take on an empty stomach
The nurse reinforces instructions to a client who is taking levothyroxine. Which instruction should the nurse give the client? 1.Take the medication with food. 2.Take the medication at lunchtime. 3.Take the medication on an empty stomach. 4.Take the medication at bedtime with a snack.
Take the medication on an empty stomach.
A client with a partial right adrenalectomy is placed on corticosteroid replacement therapy. Which data would indicate that the client is experiencing an adverse effect related to the pharmacological treatment? 1.Dry mouth 2.Tarry stools 3.Hypotension 4.Hypoglycemia
Tarry stools
A client who exhibits fatigue, lack of energy, constipation, and depression is diagnosed with hypothyroidism. The primary health care provider prescribes levothyroxine. To increase the likelihood of medication compliance in the early course of treatment, the nurse plans to reinforce which information? 1.The full therapeutic effect may take 1 to 3 weeks. 2.The full therapeutic effect may take up to 4 months. 3.Diarrhea as an early side effect diminishes with time. 4.Weight gain or edema formation is greatest in the first month.
The full therapeutic effect may take 1 to 3 weeks.
A client is seen in the clinic for complaints of thirst, frequent urination, and headaches. Following diagnostic studies, diabetes insipidus is diagnosed. Desmopressin acetate is prescribed for the client. What would the nurse explain to the client as the purpose of the medication? 1.To relieve the headaches 2.To increase water reabsorption 3.To stimulate the production of aldosterone 4.To decrease production of the antidiuretic hormone
To increase water reabsorption
Somatrem is administered to a client with pituitary dwarfism. Which is the expected therapeutic effect of this medication? 1.To promote weight gain 2.To increase bone density 3.To stimulate linear growth 4.To decrease the mobilization of fats
To stimulate linear growth
The nurse reinforces medication instructions to a client who is taking levothyroxine. The nurse instructs the client to notify the primary health care provider (PHCP) if which sign/symptom occurs? 1.Fatigue 2.Tremors 3.Cold intolerance 4.Excessively dry skin
Tremors
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? 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
Withdraws the NPH insulin first
The nurse reinforces instructions to a client with myxedema about the dosage, method of administration, and side effects of levothyroxine sodium. Which statement by the client indicates an understanding of the nurse's instructions? 1."I should apply the topical patch to a nonhairy area." 2."I will report any episodes of palpitations, chest pain, or dyspnea." 3."I can expect to have diarrhea, insomnia, and excessive sweating." 4."If I feel nervous or have tremors, I should only take half the dose."
"I will report any episodes of palpitations, chest pain, or dyspnea."
Thyroid replacement therapy is prescribed for a client diagnosed with hypothyroidism. The client asks the nurse when the medication will no longer be needed. Which response by the nurse would be accurate? 1."You will need to ask your primary health care provider." 2."It depends on the results of the laboratory values." 3."The medication will need to be continued for life." 4."Most clients require medication therapy for about 1 year."
"The medication will need to be continued for life."
The client plans to give his lispro insulin injection at 0800 right before eating breakfast. The nurse knows that the client understood the education provided when the client states which time presents the greatest risk for hypoglycemia? 1.0815 2.0930 3.1045 4.1200
0930
The home care nurse is visiting a client who was recently diagnosed with type 2 diabetes mellitus. The client, prescribed repaglinide and metformin, asks the nurse to explain these medications. The nurse should 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 metformin and may be treated with acetaminophen. 6.Metformin increases hepatic glucose production to prevent hypoglycemia associated with repaglinide.
1, 2, 3, 4
Fludrocortisone is prescribed for a client with Addison's disease. The primary health care provider needs to be notified if the client experiences which conditions? Select all that apply. 1.Edema 2.Chest pain 3.Weight loss 4.Muscle cramps 5.Abnormal lung sounds
1, 2, 4
The nurse is caring for a client with Paget's disease who has an elevated serum calcium level of 12.3 mEq/L. The nurse should expect the primary health care provider to prescribe which? Select all that apply. 1.Vitamin D 2.Calcitonin 3.Furosemide 4.Assist to ambulate PRN 5.Restrict oral fluids to 1000 mL per day
2, 3, 4
Which instruction should the nurse reinforce to the client with diabetes mellitus receiving acarbose? Select all that apply. 1."Take the medication at bedtime." 2."Take the medication with each meal." 3."Take the medication on an empty stomach." 4."Side effects include abdominal bloating and flatus." 5."Take some form of glucose if hypoglycemia occurs." 6."Report symptoms such as shortness of breath or tiredness."
2, 4, 5, 6
A client has been prescribed acarbose for treatment of diabetes mellitus. Client teaching regarding this medication should include which instructions? Select all that apply. 1.Fatty stools are common. 2.Dizziness should be expected. 3.Abdominal cramping is common. 4.Side effects include excessive flatulence. 5.The medication should be taken with each meal. 6.The medication should be taken with a full glass of water only.
3, 4, 5
A client is taking Humulin NPH insulin daily every morning. The nurse reinforces instructions to the client and should 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
6 to 14 hours after administration
Insulin glargine is prescribed for a client with diabetes mellitus. The nurse tells the client that which is the best time to take the insulin? 1.1 hour after each meal 2.Once daily at the same time each day 3.15 minutes before breakfast, lunch, and dinner 4.Before each meal on the basis of the blood glucose level
Once daily at the same time each day
The nurse is asked to prefill syringes containing NPH and regular insulin for a diabetic client who lives at home alone and has difficulty with seeing and accurately preparing dosages. Considering the stability of insulin, which number of prefilled syringes should the nurse prepare for the client? 1.A 3-day supply 2.A 5-day supply 3.A 7-day supply 4.A 1-month supply
A 7-day supply
A licensed practical nurse (LPN) is assisting in the care of a client who is receiving oxytocin to induce labor. The LPN plans to notify the registered nurse immediately if which signs and symptoms are noted? Select all that apply. 1.Contractions increasing in intensity 2.Contractions increasing in frequency 3.Decreased blood pressure, increased pulse 4.Contractions greater than 1 minute in duration 5.Early decelerations on the fetal heart rate monitor
3, 4
A client received 20 units of NPH insulin subcutaneously at 8:00 am. The nurse should check the client for a potential hypoglycemic reaction at which time? 1.9:00 am 2.12:00 Noon 3.1:00 pm 4.5:00 pm
5:00 pm
Prednisone 10 mg orally daily has been prescribed for a client. The nurse provides instructions to the client regarding the medication. Which statement by the client indicates that further teaching is needed? 1."I need to take the medication every day at the same time." 2."I need to avoid coffee, tea, cola, and chocolate in my diet." 3."If I gain more than 5 pounds a week, I will call my doctor." 4."I can take acetylsalicylic acid (aspirin) or my antihistamine if I need it."
"I can take acetylsalicylic acid (aspirin) or my antihistamine if I need it."
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 client 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."
"I can take aspirin or my antihistamine if I need it."
The client with Cushing's syndrome had bilateral adrenalectomies and is now on corticosteroid therapy. The client also has a history of seizures. The nurse giving discharge instructions concerning corticosteroid therapy realizes there is a need for further teaching when the client makes which statement? 1."I will take it every morning with my breakfast." 2."I will never stop taking it abruptly. It will be tapered off." 3."I will wear a Medic Alert bracelet marked steroid therapy." 4."I know my doctor can now decrease my dosage of phenytoin."
"I know my doctor can now decrease my dosage of phenytoin."
The nurse is monitoring a client receiving levothyroxine sodium for hypothyroidism. Which findings indicate the presence of a side effect associated with this medication? Select all that apply. 1.Insomnia 2.Weight loss 3.Bradycardia 4.Constipation 5.Mild heat intolerance
1, 2, 5
The nurse realizes that the client taking metformin needs further teaching when the client makes which statement? 1."Metformin may cause flatulence and diarrhea." 2."Metformin will help decrease the glucose production by my liver." 3."I should treat hypoglycemic episodes due to metformin with glucose tablets only." 4."I should not take my metformin for 48 hours after certain diagnostic tests that use dye."
"I should treat hypoglycemic episodes due to metformin with glucose tablets only."
The nurse is reinforcing instructions to the client about insulin glargine. The nurse determines that the client understands the action of the medication if the client makes which statement? 1."I will add this medication to my insulin pump." 2."I will take this medication 30 minutes before each meal." 3."I will give myself this medication subcutaneously once each night before bed." 4."I will only need to monitor my blood glucose every other day with this medication."
"I will give myself this medication subcutaneously once each night before bed."
Which statement indicates that a client with Addison's disease knows how to safely manage a medication regimen that consists of daily doses of glucocorticoids? 1."The medication I am taking is very safe and does not cause side effects." 2."I should stop my medication if I begin to experience any unpleasant side effects." 3."If I'm nauseated and can't take my medicine for a few days, I can do without them." 4."I will need to call my doctor for an increase in medication dose when I'm experiencing a lot of stress."
"I will need to call my doctor for an increase in medication dose when I'm experiencing a lot of stress."
Cortisone acetate is prescribed for a client with adrenal insufficiency, and the nurse reinforces instructions to the client regarding the medication. Which statement by the client would indicate a need for further teaching? 1."I will limit my sodium intake." 2."I will avoid people with colds." 3."I will eat a good breakfast every day." 4."I will stop the medication when I feel better."
"I will stop the medication when I feel better."
Lispro insulin is prescribed three times a day, with the amount based on blood glucose levels. The nurse determines that the client understands teaching regarding lispro insulin if which statement is made? 1."The medication should be administered 1 hour after each meal." 2."I should spread the three daily doses evenly throughout the 24-hour day." 3."Lispro should be taken at least 1 hour before each of my three meals." 4."I will take the lispro 10 to 15 minutes before I eat breakfast, lunch, and dinner."
"I will take the lispro 10 to 15 minutes before I eat breakfast, lunch, and dinner."
An adult client with hypothyroidism is admitted to the hospital. When reviewing the client's health record, the nurse notes that the client is taking a maintenance dose of levothyroxine. The nurse is also reviewing instructions concerning taking levothyroxine with the client. There is a need for further teaching when the client makes which statement? 1."I will monitor my pulse every day." 2."I will always get the same brand every refill." 3."I will take the pill in the morning when I get up." 4."I will take the pill with milk to keep from upsetting my stomach."
"I will take the pill with milk to keep from upsetting my stomach."
A client received a dose of regular insulin this morning at 7:00 am. At which time should the nurse likely anticipate the potential for a hypoglycemic reaction to occur? 1.8:00 am 2.10:00 am 3.12:00 noon 4.2:00 pm
10:00 am
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? 1.7:30 am 2.11:00 am 3.2:30 pm 4.7:00 pm
11:00 am
Potassium iodide is prescribed for a client. The nurse reinforces instructions to the client that the primary health care provider should be notified if the client experiences which symptom? Select all that apply. 1.Gastric upset 2.A burning in the mouth 3.A bitter taste in the mouth 4.A brassy taste in the mouth 5.Soreness of the gums and teeth
2, 4, 5
A client with myasthenia gravis verbalizes complaints of feeling much weaker than normal. The primary health care provider plans to implement a diagnostic test to determine if the client is experiencing a myasthenic crisis and administers edrophonium. Which data would indicate that the client is experiencing a myasthenic crisis? 1.Increasing weakness 2.No change in the condition 3.An increase in muscle spasms 4.A temporary improvement in the condition
A temporary improvement in the condition
A client with diabetes mellitus calls the clinic and tells the nurse that she has been nauseated during the night. The client asks the nurse if the morning insulin should be administered. Which is the appropriate nursing response? 1.Omit the insulin. 2.Administer the full dose as prescribed. 3.Administer half of the prescribed dose. 4.Wait until noon before making a decision.
Administer the full dose as prescribed.
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? 1.Effects of underdosing 2.Allergy to the medication 3.Medication-food interaction 4.Adverse medication effects
Adverse medication effects
A client is suspected of having myasthenia gravis, and the primary health care provider administers edrophonium to determine the diagnosis. After administration of this medication, which sign/symptom would indicate the presence of myasthenia gravis? 1.Joint pain 2.A decrease in muscle strength 3.An increase in muscle strength 4.Dizziness, hypotension, and flushing
An increase in muscle strength
Prednisone is prescribed for a client with diabetes mellitus who is taking NPH insulin daily. Which prescription should the nurse anticipate during therapy with the prednisone? 1.An additional dose of prednisone daily 2.A decreased amount of daily NPH insulin 3.An increased amount of daily NPH insulin 4.Addition of an oral hypoglycemic medication daily
An increased amount of daily NPH insulin
The nurse is collecting data from a client receiving pioglitazone 30 mg orally daily. Which finding indicates that the client is experiencing the expected result of the action of this medication? 1.Increased blood pressure and decreased hypoxia 2.Increased urinary output and reduced proteinuria 3.Reduced serum ammonia and improved level of consciousness 4.Decreased fasting blood glucose and reduced hemoglobin A1c (HbA1c)
Decreased fasting blood glucose and reduced hemoglobin A1c (HbA1c)
Desmopressin acetate is prescribed for the treatment 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
Decreased urinary output
A client who has sustained an eye injury has been prescribed corticosteroid eye drops. The nurse should most carefully monitor for side effects of this medication if the client has which health problem listed on the medical record? 1.Cirrhosis 2.Hypertension 3.Diabetes mellitus 4.Chronic constipation
Diabetes mellitus
A glucocorticoid is prescribed for a client with adrenal insufficiency, and the nurse reinforces medication instructions to the client. The nurse determines that the client needs further teaching if the client states which action is necessary? 1.Eat breakfast each day. 2.Limit intake of sodium. 3.Stay away from people with infections. 4.Discontinue the medication when symptoms subside.
Discontinue the medication when symptoms subside.
The nurse is monitoring a client receiving desmopressin acetate for adverse effects to the medication. Which sign/symptom indicates the presence of an adverse effect? 1.Insomnia 2.Drowsiness 3.Weight loss 4.Increased urination
Drowsiness
A daily dose of prednisone is prescribed for a client. The nurse reinforces instructions to the client regarding administration of the medication and instructs the client to take this medication at which time? 1.Noon 2.Bedtime 3.Early morning 4.Anytime, at the same time, each day
Early Morning
A client diagnosed with hypothyroidism is taking levothyroxine. The client returns to the clinic 1 week after beginning the medication and tells the nurse that the medication has not helped. The appropriate nursing response to the client is based on which information? 1.A higher dosage is required. 2.The medication may need to be changed. 3.Full therapeutic effect may take 1 to 3 weeks. 4.Full therapeutic effect may take up to 4 months.
Full therapeutic effect may take 1 to 3 weeks
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? 1.Weight gain 2.Hypoglycemia 3.Flushing and palpitations 4.Gastrointestinal (GI) disturbances
Gastrointestinal (GI) disturbances
The nurse performs an admission assessment on a client who visits a health care clinic for the first time. The client tells the nurse that propylthiouracil is taken daily. The nurse continues to collect data from the client, suspecting that the client has a history of which disorder? 1.Myxedema 2.Graves' disease 3.Addison's disease 4.Cushing's syndrome
Graves' disease
A client has a fasting blood glucose of 268 mg/dL at 7:30 am. The sliding scale prescriptions are blood glucose 151 to 200 mg/dL, administer 3 units Humalog insulin; 201 to 250, administer 6 units Humalog insulin; 251 to 300 mg/dL, administer 9 units Humalog insulin; over 300 mg/dL contact the primary health care provider. Therefore, at 7:30 am, how many units of Humalog should be administered? 1.Humalog 3 units 2.Humalog 6 units 3.Humalog 9 units 4.Humalog 10 units
Humalog 9 units
The nurse is teaching a client, newly diagnosed with diabetes mellitus, to mix 24 units NPH and 12 units regular insulin in the same syringe. Which instructions should the nurse give to the client to take after wiping the vials with an alcohol wipe? 1.Inject 24 units of air into the NPH insulin vial. 2.Inject 12 units of air into the regular insulin vial. 3.Draw up the NPH insulin first without injecting any air. 4.Draw up the regular insulin first without injecting any air.
Inject 24 units of air into the NPH insulin vial.
A client diagnosed with diabetes insipidus is beginning medication therapy with lypressin. The nurse realizes the client understands instructions if the client comments the medicine will be taken in which manner? 1.Intranasally to promote water reabsorption 2.Orally to stimulate the production of aldosterone 3.Orally to relieve headaches that accompany the disorder 4.Intranasally to decrease the production of antidiuretic hormone
Intranasally to promote water reabsorption
An oral hypoglycemic medication, a sulfonylurea, is prescribed for a client with type 2 diabetes mellitus. The nurse is reviewing the medical record and needs to contact the primary health care provider if there is a history of which condition? 1.Acidosis 2.Liver disease 3.Heart failure 4.Inflammatory bowel disease
Liver disease
Potassium iodide is prescribed for a client. The client calls the nurse at the clinic and complains of a brassy taste and burning sensations in the mouth. How should the nurse respond? 1.Continue with the medication. 2.Notify the primary health care provider. 3.Take half of the prescribed dose for the next 24 hours. 4.Stop the medication for the next 24 hours and then continue as prescribed.
Notify the primary health care provider
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 about this type of insulin? 1.Onset of 1 hour from injection time, peak of 30 to 90 minutes later, and duration time of 5 hours 2.Onset of 15 to 30 minutes from injection time, peak of 2 to 4 hours later, and duration time of 4 to 8 hours 3.Onset of 2 to 6 hours from injection time, peak of 4 to 14 hours later, and duration time of 14 to 20 hours 4.Onset of 6 to 14 hours from injection time, peak of 10 to16 hours later, and duration time of 20 to 24 hours
Onset of 15 to 30 minutes from injection time, peak of 2 to 4 hours later, and duration time of 4 to 8 hours
A client who will undergo thyroidectomy at a later date has been started on medication therapy with potassium iodide As the licensed practical nurse (LPN) prepares to administer a scheduled dose, the client states that there is a burning sensation and a brassy taste in the mouth. Which action should the LPN take? 1.Stop the medication for 24 hours. 2.Continue to administer the medication. 3.Withhold the medication and notify the RN. 4.Give half the prescribed dose and notify RN.
Withhold the medication and notify the RN.
