Endocrine Medications

A client with hyperthyroidism has been given methimazole (Tapazole). Which nursing considerations are associated with this medication? SELECT ALL THAT APPLY.

Administer methimazole with food; Assess the client for unexplained bruising or bleeding; Instruct the client to report side/adverse effects such as sore throat, fever, or headaches

Glimepiride (Amaryl) is prescribed for a client with diabetes mellitus. The nurse instructs the client to avoid consuming which food while taking this medication?

Alcohol

Prednisone is prescribed for a client with diabetes mellitus who is taking Humulin NPH insulin daily. Which prescription change does the nurse anticipate during therapy with the prednisone?

An increased amount of daily Humulin NPH insulin

The home health care nurse is visiting a client who was recently diagnosed with type 2 diabetes mellitus. The client is prescribed repaglinide (Prandin) and metformin (Glucophage) and asks the nurse to explain these medications. The nurse should provide which instructions to the client? SELECT ALL THAT APPLY.

Diarrhea may occur secondary to the metformin; the repaglinide is not taken if a meal is skipped; the repaglinide is taken 30 minutes before eating; a simple sugar food item is carried and used to treat mild hypoglycemia episodes

A daily dose of prednisone is prescribed for a client. The nurse provides instructions to the client regarding administration of the medication and should instruct the client that which time is BEST to take this medication?

Early morning

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 (PTU) is taken daily. The nurse continues to collect data from the client, suspecting that the client has a history of which condition?

Graves' disease

A client is taking Humulin NPH insulin and regular insulin every morning. The nurse should provide which instructions to the client? SELECT ALL THAT APPLY.

Hypoglycemia may be experienced before dinnertime; The insulin should be administered at room temperature

The nurse is monitoring a client receiving levothyroxine sodium (Synthroid) for hypothyroidism. Which findings indicate the presence of a side effect associated with this medication? SELECT ALL THAT APPLY.

Insomnia; Weight loss; Mild heat intolerance

The nurse provides instructions to a client who is taking levothyroxine (Synthroid). The nurse should tell the client to take the medication at which time?

On an empty stomach

A client with diabetes mellitus visits a health care clinic. The client's diabetes mellitus previously had been well controlled with glyburide (DiaBeta) daily, but recently the fasting blood glucose level has been 180 to 200 mg/dL. Which medication, if added to the client's 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 should tell the client to take which action?

Refrigerate the insulin

The nurse is instructing a client regarding intranasal desmopressin (DDAVP). The nurse should tell the client that which occurrence is a side effect of the medication?

Runny nose

The nurse provides medication instructions to a client who is taking levothyroxine (Synthroid) and should tell the client to notify the health care provider (HCP) if which problem occurs?

Tremors

Sildenafil (Viagra) is prescribed to treat a client with erectile dysfunction. The nurse reviews the client's medical record and should question the prescription if which data is noted in the client's history?

Use of nitroglycerin

The nurse is teaching a client how to mix regular insulin and NPH insulin in the same syringe. Which action, if performed by the client, indicates the NEED FOR FURTHER TEACHING?

Withdraws the NPH insulin first

The health care provider (HCP) prescribes exenatide (Byetta) for a client with type 1 diabetes mellitus who takes insulin. The nurse should plan to take which most appropriate intervention?

Withhold the medication and call the HCP, questioning the prescription for the client

The community health nurse visits a client at home. Prednisone, 10 mg orally daily, has been prescribed for the client and the nurse teaches the client about the medication. Which statement, if made by the client, indicates that FURTHER TEACHING IS NECESSARY?

"I can take aspirin or my antihistamine if I need it."