The Endocrine System
You give the client 5 units of humalog and 10 units of glargine subQ at 1400. Base on your instructions, the client should expect her blood glucose level to be the lowest at which time?
1500
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 what lab values?
ALT, LDL,
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?
Acute Renal Failure
Exenatide can cause what disease process?
Acute pancreatitis
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?
Administer pramlintide before meals
why can levothyroxine and antacids NOT be taken at the same time?
Antacids decrease absorption and should be taken 4 hours apart.
A nurse is teaching a client who has a prescription for glipizide therapy to treat Type 2. 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 Beta blockers mask the symptoms of hypoglycemia like tachycardia and tremors
A nurse is teaching a client about acarbose to treat type 2. Which of the following instructions should the nurse include?
Eat more iron-rich foods
As you continue to talk with the client about managing her diabetes with regular insulin, you should include which of the following instructions?
Carry a carbohydrate snack Rotate injection sites Wear a medical alert bracelet Expect to adjust the dosage during illness
A nurse is providing teaching to a client about taking fludrocortisone to treat adrenocortical insufficiency. Which of the following instructions should the nurse include?
Daily Weights Report weakness or palpitations Regular Bp
The client will self-inject 8 units of NPH insulin and 4 units of regular insulin each day before breakfast. As you show the client how to self administer insulin you should include which of the following instructions?
Draw the regular insulin into the syringe first, then NPH insulin Use one syringe to reduce the number of injections
Two hours after self-administering regular insulin subQ, the client reports she is sweaty, shaky, and has a rapid pulse. Which of the following actions should you advise her to take?
Drink 4oz of juice Check her blood glucose level
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 life-long therapy with the drug
Which of the following findings should the nurse identify as an indication the provider may need to decrease the clients dose of hydrocortisone for adrenal insufficiency?
Fat redistribution
A nurse is taking care of a patient with a bacterial skin infection, which medication should the nurse question?
Fludrocortisone
Why should levothyroxine be taken on an empty stomach?
Food decreases absorption
Which of the following drugs should the nurse have available for a client who is experiencing insulin toxicity?
Glucagon
Metformin is contraindicated in patients with a hx of?
Heart Failure
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
Glucagon can cause what lab change?
Hyperglycemia
Insulin can cause what lab change?
Hypokalemia
Which of the following findings should the nurse identify as an indication the provider may need to increase the clients dose of hydrocortisone for adrenal insufficiency?
Hypotension, hypoglycemia, weight loss
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?
Hypothyroidism
A nurse is providing teaching to a client who is about to begin exenatide therapy to treat type 2 diabetes. Which of the following instructions should the nurse include?
Injection is subQ Expect the peak effect in 2 hours
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 the nurse suspect?
Lactic Acidosis
A nurse is caring for a patient taking Sitagliptin and is experiencing muscle aches, sleepiness, malaise and hyperventilation. the nurse identifies that the client is experiencing which of the following adverse effects?
Lactic Acidosis
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?
Lipohypertrophy
You instruct the client to watch for and report which of the following indications of an adverse reaction to insulin
Palpitations
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 fingerstick blood glucose check.
What medication is used to treat hyperthyroidism or thyrotoxicosis?
Propylthiouracil (PTU)
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 MI
A nurse if caring for a client who is taking desmopressin. The nurse should make which of the following assessments to evaluate the drug's effectiveness
Urinary output
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 15-30 min before each meal to treat type 2 diabetes. The client asks,"if I skip a meal, what should I do?"
Skip the dose
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?
Sore Throat Joint Pain Bradycardia Rash
Glipizide is an endocrine-system drug that requires cautious use in patients who have?
Thyroid disease
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 labs?
Urine calcium Blood Glucose CBC
A nurse is education the parents of a child who has a new diagnosis of Prader-Willi Syndrome and has been prescribed somatropin. Which of the following statement indicates an 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 pioglotazone to treat type 2. the nurse should monitor for which of the following findings?
Weight Gain
A nurse administers pramlintide at 0800 to a client who has type 1. At which of the following times should the nurse expect peak action?
0820
