Endocrine Medication

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A client is taking humulin NPH insulin daily every morning .the nurse reinforces instructions to the client and would tell the client that which is the most likely time for a hypoglycemic reaction to occur?

6 to 14 hours after administration

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?

Alcohol

Desmopressin acetate is prescribed for the treatment of diabetes insipidus .the nurse monitors the clients after medication administration for which therapeutic response?

Decreased urinary output

The home care nurse visits a client at home who has been prescribed prednisone 5mg orally daily ,the nurse reinforces teaching for the client about the medication ,which statement made by the client indicates a need for further teaching?

I can take aspirin or my antihistamine if i need it

A client with diabetes mellitus visits a healthcare clinic .the clients diabetes mellitus has been previously well controlled with glyburide daily ,but recently the fasting blood glucose level has been 180 mg to 200 mg ,which medication ,added to the client regimen may have contributed to the hyperglycemia?

Prednisone

The home care 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 would provide which information?

Refrigerate the insulin.

The primary health care provider prescribes exenatide for a client with type 1 diabetes mellitus who takes insulin .the nurse prepares for which most appropriate intervention?

The medication is withheld and the PHCP is called to question the prescription for the client

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?

Withdraws the NPH insulin first

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 would reinforce which instructions to the client? SATA

*Diarrhea can occur secondary to metformin *The repaglinide is not taken if a meal is skipped *The repaglinide is taken 30 mins, before eating *Candy or another simple sugar is carried and used to treat mild hypoglycemia episodes.

The nurse is monitoring a client receiving levo-thyroxine soduim to treat hypothyrodism.which findings indicate the presence of a side effect associated with this medication?SATA

*iNSOMIA *weight loss *mild heat intolerance


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