Endocrine Medications

A nurse is teaching a client who has a prescription for Glipizide therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include?

Avoid drinking alcohol

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?

Beta Blockers (-LOL)

A nurse is providing teaching to a client who is about to begin Levothyroxine therapy to help with hypothyroidism. Which of the following instruction should the nurse include?

Expect life-long therapy with this drug.

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

Glucagon

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

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 This is a lump of fatty tissue under your skin caused by repeated injections in the same place.

A nurse is providing teaching to a client about taking fludrocortisone to treat adrenocortical insufficiency. Which of the following instruction should the nurse include? (Select all that apply.)

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

Intermediate-Acting Insulin (NPH or Humulin N)

Onset: 1 - 2 hrs Peak: 4 - 14 hrs Duration: 14 - 24 hrs

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 import which of the following adverse effects? (Select all that apply)

Sore throat Joint pain Bradycardia Rash

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

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 educating the parents of a child who has a new diagnosis of Prader-Willi Syndrome (PWS) and has been prescribed Somatropin. Which of the following statements by a parent indicates an understanding of the teaching?

"We will use a different spot for injection each time to give medication."

Premixed insulins include:

70% Intermediate & 30% Regular 75% Intermediate & 25% Rapid NEVER LONG-ACTING INSULIN.

Rapid-Acting Insulin (Lispro or Humalog)

Onset: 15 - 30 mins Peak: 0.5 - 3 hrs Duration: 3 - 5 hrs

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 in direction between Metformin and the IV contrast dye increases the client's risk for which of the following conditions?

Acute renal failure

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.)

Alanine aminotransferase (ALT) LDL This is a liver function lab.

Long-Acting Insulin (Glargine/Lantus)

Onset: 1 - 4 hrs Peak: NONE :) Duration: 24 hrs

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 nurse is caring 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?

Hypothyroidism

Short-Acting Insulin (Regular or Humulin R)

Onset: 1 - 2 hrs Peak: 4 - 14 hrs Duration: 6 - 10 hrs

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?

Perform a fingerstick blood glucose test.

A nurse is assessing a client who has a new prescription for Levothyroxine. The nurse should identify which of the following findings is a contraindication for this drug?

Recent myocardial infarction

A nurse should recognize that a provider will prescribe a lower dose of Sitagliptin for a client who has type two diabetes mellitus and who always has which of the following?

Renal impairment

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.)

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