The Endocrine System ATI
A nurse administers pramlintide at 0800 to a client who has type 1 diabetes mellitus. At which of the following times should the nurse expect the drug to exert its peak action? 0820 0900 1030 1100
0820
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? Hypokalemia Hyperglycemia Acute renal failure Acute pancreatitis
Acute renal failure
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? Oral contraceptives Calcium supplements Beta blockers Iron supplements
Beta Blockers
A nurse is teaching a client about acarbose therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include? Eat more iron-rich foods. Avoid drinking grapefruit juice. Increase fiber intake. Avoid drinking green tea.
Eat more iron-rich foods.
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? Take levothyroxine with food to increase absorption. Take levothyroxine with an antacid to reduce gastrointestinal effects. Expect life-long therapy with the drug. Carry a carbohydrate snack at all times.
Expect life-long therapy with the drug.
Which of the following drugs should a nurse have available for a client who is experiencing insulin toxicity? Naloxone Diphenhydramine Acetylcysteine Glucagon
Glucagon
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? Somatropin Hydrocortisone Glucagon Desmopressin
Hydrocortisone
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 findings should the nurse identify as an indication the provider might need to increase the client's dosage? Hypotension Hyperglycemia Weight gain Fat redistribution
Hypotension
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 Anticholinergic effects Extrapyramidal effects Hypophosphatemia
Lactic acidosis
A nurse is teaching a client about self-administering regular insulin. The nurse should instruct the client to rotate injection site to prevent which of the following? Rapid absorption Intradermal injection Injection pain Lipohypertrophy
Lipohypertrophy
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.) Obtain weight measurement daily. Report weakness or palpitations. Have blood pressure checked regularly. Eat more iron-rich foods. Avoid drinking grapefruit juice.
Obtain weight measurements daily Report weakness or palpitations Have blood pressure checked regularly
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? Drink 16 oz of water. Perform a fingerstick blood glucose check. Take another glipizide tablet. Lie down and rest.
Perform a fingerstick blood glucose check
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 laboratory values? (Select all that apply.) Blood amylase Creatinine clearance Urine calcium Blood glucose CBC
Urine calcium Blood glucose
A nurse is caring for a client who is taking desmopressin. The nurse should make sure which of the following assessments to evaluate the drug's effectiveness? Peripheral pulses Urine output Skin integrity Blood glucose
Urine output
A nurse is educating the parents of a child who has a new diagnosis of Prader-Will syndrome (PWS) and has been prescribed somatropin. Which of the following statements by a parent indicates understanding of the teaching? "We will use a different spot for injection each time we give the medication." "We'll give the shot in the thigh muscle rather than fatty tissue to decrease injection pain." "We'll watch our child for signs of low blood sugar while using somatropin." "We should stop the medication if our child loses weight."
We'll use a different spot for injection each time we give the medication
A nurse is caring for a client who is taking pioglitazone to treat type 2 diabetes mellitus. The nurse should monitor for which of the following findings? Joint pain Constipation Weight gain Dilated pupils
Weight gain
A nurse is teaching a client who has a prescription of pramlintide therapy to treat type 1 diabetes mellitus. Which of the following instructions should the nurse include? Mix pramlintide with insulin in the syringe. Administer pramlintide before meals. Take pramlintide once daily at bedtime. Inject pramlintide into the upper arm.
Administer pramlintide before meals.
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 which of the following laboratory values? (Select all that apply.) Thyroid-stimulating hormone (TSH) Alanine aminotransferase (ALT) LDL CBC Creatinine clearance
Alanine aminotransferase (ALT) LDL
A nurse is teaching a client who has a Rx for glipizide therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include? Avoid drinking alcohol. Sit or stand for 30 min after taking the drug. Urinate every 4 hr. Take the drug 2 hr after a meal.
Avoid drinking alcohol.
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? Bacterial skin infections Diabetes insipidus Immunosuppression Recent myocardial infarction
Recent myocardial infarction
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? Thyroid disease Bronchitis Heart failure Renal impairment
Renal impairment
A nurse is caring for a client who takes repaglinide 15-30 min before each meal to treat type 2 diabetes mellitus. The client asks, "If I skip a meal, what should I do?" Which of the following responses should the nurse make? Double the dose before the next meal. Take half the dose. Skip the dose. Take the usual dose.
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? (Select all that apply.) Sore throat Joint pain Insomnia Bradycardia Rash
Sore throat Joint pain Bradycardia Rash
A nurse i scaring 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? Thyrotoxicosis Hypothyroidism Lactic acidosis Radiation sickness
Hypothyroidism
A nurse is providing teaching to a client who is about to begin exenatide therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include? (Select all that apply.) Inject the drug subcutaneously. Expect the peak effect in 2 hr. Use the drug as a supplement to an oral hypoglycemic. Inject the drug 1 hr after a meal. Discard used pens 10 days after the first use.
Inject the drug subcutaneously Expect the peak effect in 2 hr Use the drug as a supplement to an oral hypoglycemic
