ATI endocrine

A nurse administers pramlintide at 0800 to a client who had type 1 diabetes mellitus. At which of the following times should the nurse expect the drug to exert its peak action?

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?

acute renal failure

A nurse is teaching a client who has a prescription for pranlintide therapy to treat type 1 diabetes mellitus. Which of the following instructions should the nurse include?

administer pramlinitide before meals

a nurse is caring for a client who is about to begin 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?

alanine aminotransferase (ALT) LDL

When talking to a patient who is about to begin glipizide (Glucotrol) therapy to treat type 2 diabetes mellitus, the health care professional should include which of the following instructions?

avoid drinking alcohol

A health care professional is caring for a patient who is about to begin insulin glargine (Lantus) therapy. The health care professional should recognize the need for additional precautions because the patient also takes which of the following types of drugs?

beta blockers

A health care professional is caring for a patient who is about to begin acarbose (Precose) therapy to treat type 2 diabetes mellitus. Which of the following instructions should the health care professional include when talking with the patient about the drug?

eat more iron-rich foods

A health care professional is caring for a patient who is about to begin levothyroxine (Synthroid) therapy to treat hypothyroidism. Which of the following instructions should the health care professional include when talking with the patient about taking the drug?

expect life-long therapy with the drug

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

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?

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

A patient who is taking propylthiouracil (PTU) contacts the health care professional to report weight gain, drowsiness, and depression. The health care professional should suspect which of the following adverse reactions to the propylthiouracil?

hypothyroidism

a nurse is providing teaching to a client who is about to begin eventide therapy to treat type 2 diabetes mellitus. which of the following instructions should the nurse include?

inject the drug subcutaneously expect the peak effect in 2 hr. use the drug as a supplement to an oral hypoglycemic.

A nurse is caring for a client who is taking metformin to treat type 2 diabetes mellitus and resorts muscle pain. Which of the following adverse reactions should the nurse suspect?

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

When talking with a patient about taking fludrocortisone to treat adrenocortical insufficiency, the health care professional should tell the patient to do which of the following to reduce the risk of adverse reactions?

obtain weight measurement daily. report weakness or palpations. have blood pressure checked regularly.

A patient who is taking glipizide (Glucotrol) to treat type 2 diabetes mellitus contacts the health care professional to report feeling shaky, hungry, and fatigued. The health care professional should tell the patient to do which of the following?

perform a finger stick blood glucose check

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 myocardial infarction

A primary care provider should prescribe a lower dose of sitagliptin (januvia) for a patient 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 to 30 min before each meal to treat type two diabetes mellitus. The client asks, "If i skip a meal, what should i do?" Which of the following responses should the nurse make?

skip the dose

a nurse is caring for a client who is 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

A health care professional is caring for a patient who is about to begin taking somatropin (Genotropin). The health care professional should explain the need to monitor which of the following laboratory tests?

urine calcium blood glucose

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

urine output

a nurse is educating the parents of a child who has a new diagnosis of Prader-Willi syndrome and has been prescribed somatotropin. which of the following statements by the parents indicates 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 pioglitazone to treat type 2 diabetes mellitus. The nurse should monitor for which of the following findings?

weight gain