The Endocrine System

Glucagon

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

Obtain weight measurements daily Report weakness or palpitations Have blood pressure checked regularly

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.)

Eat more iron-rich foods, such as red meat, spinach, and grains. The nurse should also monitor the client's CBC.

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

Lipohypertrophy - a proliferation of fat at sites of repeated insulin injections; keep injection sites at least 2.5 cm (1 in) apart.

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?

Administer pramlintide before meals.

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?

renal impairment - the provider should prescribe a lower dose for this client or prescribe a different hypoglycemic drug

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?

Hydrocortisone

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?

0820 - pramlintide peaks 20 mins after administration

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?

Hypotension - findings of adrenal insufficiency

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?

Recent myocardial infarction - Levothyroxine is a thyroid replacement that can cause tachycardia, palpitations, and hypertension

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?

Beta Blockers - mask symptoms such as tachycardia and tremors

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?

Alanine aminotransferase (ALT) LDL

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.)

Sore throat Joint pain Bradycardia Rash

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.)

Urine calcium Blood glucose

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.)

We'll use a different spot for injection each time we give the medication - to avoid atrophy of the tissue

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?

Urine output - desmopressin is an antidiuretic hormone

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

Acute renal failure - can also cause lactic acidosis. The nurse should withhold metformin for 48 hrs prior to and following the procedure. The nurse should also monitor the client for indications: reduced urine output, hyperventilation, and abdominal pain.

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?

Lactic acidosis - a life-threatening complication that manifests as muscle aches, sleepiness, malaise, and hyperventilation. The client should stop taking the drug and seek medical care immediately

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?

Weight gain - pioglitazine can cause fluid retention. The nurse should also monitor the client for heart failure, including dyspnea, crackles, and wheezing

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?

Skip the dose - to avoid a sudden and serious drop in blood glucose level, the client should skip the dose of repaglinide whenever skipping a meal. The nurse should also instruct the client to try to avoid skipping meals.

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?

Inject the drug subcutaneously Expect the peak effect in 2 hr Use the drug as a supplement to an oral hypoglycemic

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.)

Expect life-long therapy with the drug.

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?

Perform a fingerstick blood glucose check - if it indicated hypoglycemia, to consume a snack of 15-20g (0.5-0.7 oz) of carbohydrates retest in 15-20 min, and repeat if their blood glucose level is still low.

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?

Avoid drinking alcohol - alcohol can interact with glipizide causing nausea, palpitations, and flushing

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?

Hypothyroidism - manifests as drowsiness, depression, weight gain, edema, and cradycardia. The nurse should request that the provider prescribe a lower dosage of the drug for the client.

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?