Endocrine System (ATI)

When considering replacement therapy options for a client who has chronic adrenolcorticol insufficiency, a nurse should recognize that the provider will choose which of the following drugs?

a. somatropin b. hydrocortisone c. glucagon d. desmopressin b.

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 finding should the nurse identify as indication the provider may need to increase the client's dosage?

A. Hypotension B. Hyperglycemia C. Weight gain D. Fat redistribution A. hypotension

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

A. Mix pramlintide with insulin in the syringe B. Administer pramlintide before meals C. Take pramalintide once daily D. Inject pramalintide in the upper arm B. Administer pramlintide before meals

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

A. drink 16 oz of water B. Perform a finger stick glucose check C. Take another glipizide tablet D. Lie down and rest B. Perform a finger stick glucose check

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 parent indicates understanding of the teaching

a. "we will use a different spot for injection each time we give the medication b. "we'll give the shot in the thigh muscle rather than the fatty tissue to decrease injection pain c. "we'll watch our child for signs of low blood sugar d. "we should stop the meds if our child loses weight a

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

a. 0820 b. 0900 c. 1030 d. 1100 a

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

a. Naloxone b. Diphenhydramine c. acetylcysteine d. Glucagon d. glucagon

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)

a. Obtain weight measurement daily. b. Report weakness or palpitations. c. Have blood pressure checked regularly. d. Eat more iron-rich foods. e. Avoid drinking grapefruit juice. a,b,c

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?

a. avoid drinking alcohol b. sit or stand for 30 mins after taking the drug c. urinate every 4 hrs d. take the drug 2 hr after taking meal a

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?

a. bacterial skin infections b. diabetes insipidus c. immunosupressions d. recent myocardial infarction d

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 lab values (select all that apply)

a. blood amylase b. creatine clearance c. urine calcium d. blood glucose e. CBC c, d Urine calcium is correct. Somatropin can cause hypercalciuria. The nurse should monitor the client's urine calcium and instruct the client to report flank pain, urinary frequency, or hematuria.Blood glucose is correct. Somatropin can cause hyperglycemia. The nurse should monitor the client's blood glucose levels and instruct the client to report polyphagia, polydipsia, and polyuria.

A nurse is caring for a client who takes repaglinide 15 to 30 mins 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?

a. double the dose for the next meal b. talk half the dose c. skip the dose d. take the usual dose c.

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

a. eat more iron rich foods b. avoid drinking grapefruit juice c. increase fiber intake d. avoid drinking green tea a.

A nurse is caring for a client who is taking metformin and is scheduled to undergo angiography using iodine-contaning contrast dye. The nurse should identify that an interaction between metformin and IV contrast dye increases the client risk for which of the following conditions?

a. hypokalemia b. hyperglycemia c. acute renal failure d. acute pancreatitis c.

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

a. inject the drug subq b. expect the peak effect in 2 hr c. use a drug as a supplement for oral hyperglycemic d. inject the drug 1 hr after a meal e. discrad used pens 10 days after the first use a,b,c

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

a. joint pain b. constipation c. weight gain d. dilated pupils c

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 reaction should the nurse expect?

a. lactic acidosis b. antichlonergic effects c. extrapyramidal effects d. hypophosphatemia a

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 drug types

a. oral contraceptives b. calcium supplements c. beta blockers d. iron supplements c. beta blockers

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

a. peripheral impulses b. urine output c. skin intergrity d. blood glucose b

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?

a. rabid absorption b. intradermal injection c. injection pain d. lipohypertrophy c. Lipohypertrophy is a proliferation of fat at the sites of repeated insulin injections. It affects skin sensitivity and appearance. To prevent it, the client should rotate injection sites, keeping them at least 2.5 cm (1 in) apart, and avoid using the same spot within the same month.

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)

a. sore throat b. joint pain c. insomnia d. bradycardia e. rash a, b, d, e

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?

a. take with food to increase absorption b. take with an antacid to reduce GI effects c. expect life-long therapy of drug d. carry a carbohydrate snack at all times c

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?

a. thyroid disease b. bronchitis c. heart failure d. renal impairment d.

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 lab values (select all that apply)

a. thyroid-stimulating hormone (TSH) b. alanine aminotransferase c. LDL d. CBC e. creatine clearance b,c Alanine aminotransferase (ALT) is correct. Pioglitazone can cause liver injury. The nurse should monitor ALT at the start of therapy and then every 3 to 6 months thereafter. The nurse should tell the client to report jaundice, dark-colored urine, or abdominal pain.LDL is correct. Pioglitazone can cause elevations in both high-density lipoproteins, which is a beneficial effect, and LDLs, which is a detrimental effect. The nurse should monitor the client's plasma lipid levels at baseline and periodically throughout drug therapy.

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?

a. thyrotoxicosis b. hypothyroidism c. lactic acidosis d. radiation sickness b. hypothyroidism