Pharm Test 2 Practice questions endocrine med-math GI
The 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
When talking with a patient who is about to begin repaglinide (Prandin) therapy to treat type 2 diabetes mellitus, the health care professional should include which of the following instructions?
Do not drink more that 1 L of grapefruit juice per day
The nurse is teaching a patient who is newly diagnosed with type 1 diabetes mellitus about insulin administration. Which statement by the patient indicates a need for further teaching?
"I will not be concerned about a raised knot under my skin from injecting insulin"
A patient asks the nurse about using loperamide (Immodium) to treat infectious diarrhea. Which response will the nurse give?
"Loperamide can be used to treat diarrheal symptoms but may also slow the exit of the infectious organisms from the GI tract"
A health care professional is caring for a patient who is about to begin taking pioglitazone (Actos) to treat type 2 diabetes mellitus. The health care professional should explain to the patient the need to monitor which of the following laboratory test?
ALT LDL
A patent who is taking metformin (Glugophage) to treat type 2 diabetes mellitus plans to undergo angiography using iodine-containing contrast dye. The health care professional should recognize that an interaction between metformin and the IV contrast dye can increase the patients risk for which of the following
Acute renal failure
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 levthyroxine (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 a long life therapy with this drug
A health care professional is caring for a patient who is about to begin taking radioactive iodine -131 (Iodotope) to treat Graves' disease. Which of the following instructions should the health care professional include when talking with the patient about the drug?
Expect full effects in 2 to 3 months
A female patient with a peptic ulcer asks the nurse if misoprostol would be a good option for her because it works well for her mother. Upon review of her medication list it is noted that she takes a prenatal vitamin daily. What will the nurse do?
Explain to the patient that misoprostol is contraindicated during pregnancy and for women of childbearing age.
A patient was administered regular insulin 30 minutes ago, but has not received a breakfast tray. The patient is experiencing nervousness and tremors. What is the nurses first action?
Give the patient orange juice
Which of the following drugs should a health care professional have available for a patient who is experiencing an insulin overdoes
Glucagon (Glucagon)
A patient reports that they are taking a rapid-acting insulin with meals, but can't remember the name. Which of the following products is a rapid-acting insulin?
Insulin lispro (Humalog)
A patient who is taking metformin (Glucophage) to treat type 2 diabetes mellitus contacts the health care professional to report muscle pain. The health care professional should suspect which of the following adverse reactions?
Lactic acidosis
A patient who is taking glipizide (Glucotrol) to treat type 2 diabetes mellitus contracts the health care professional to report feeling shaky, hungry, fatigued. The health care professional should tell the patient to do which of the following
Prefer a fingerstick blood glucose check
A primary care provider should prescribe a lower does of sitagliptin (Januvia) for a patient who has type 2 diabetes mellitus and who also has which of the following?
Renal impairment
A health care professional is caring for a patient who is taking repaglinide (Prandin) 15 to 30 minutes before each meal to treat type 2 diabetes mellitus. The patient asks the health care professional what to do if he skips a meal. Which of the following is the appropriate response?
Skip the dose
A health care professional is caring for a patient who is about to begin taking propylthiouracil (PTU) to treat hyperthyroidism. The health care professional should tell the patient to report which of the following adverse effects?
Sore throat Muscle pain Bradycardia Rash
A woman who is two months pregnant reports having morning sickness every day and asks if she can take any medications to treat this problem. The nurse will recommned that the patient try which intervention first?
Use nonpharmacological measures, such as eating crackers or dry toast
A health care professional is caring for a patient who is taking pioglitazone (Actos) to treat type 2 diabetes mellitus. The health care professional should monitor for which of the following findings that indicates an adverse effect?
Weight gain
Canagliflozin mao
limits rise of postprandial glucose excretes glucose through urine promotes weight loss
a nurse is caring for four clients who have peptic ulcer disease. The nurse should recognize misoprostol is contraindicated for which of the following clients
a client who is pregnant
sucralfate
adheres to an ulcer as jelly like protective barrier
a nurse is teaching a client who is taking sucralfate PO for peptic ulcer disease has a new prescription for phenytoin to control seizures. Which of the following instructions should the nurse include
allow a 2 hr interval between these medications
what neutralizes or reduces the acidity of gastric acid
aluminum hydroxide
A heath 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 talking to a patient about self-injecting regular insulin (Humulin). The health care professional should tell the patient to rotate injection sites to prevent which of the following ?
lipohypertrophy
glucophage is a
biguanide prototype
famotidine
blocks h2 receptors in the stomach suppressing the secretion of stomach acid
metoclopramide
blocks serotonin and dopamine in the brain increases peristalsis
this blocks H2 receptors in the stomach
cimetidine
NPH is
cloudy insulin that may be mixed with regular insulin
Rosiglitazone mao
decreases insulin resistance increases glucose uptake decreases glucose production in the liver
diphenoxylate with atropine is used to treat
diarrhea
acarbose is a
drug that blocks breakdown of carbs
glucagon is a
drug used to increase blood glucose
levothyroxine is a
drug used to treat hypothyroidism
ondansetron is used to treat
emesis
sitagliptin mao
enhances the action of incretins lowers fasting and postprandial BG
radioactive iodide destroys
follicular cells that create thyroid hormone
sitagliptin is a
gliptin prototype brand name januvia
A patient who is unconscious and has a pulse is brought to the emergency department. The patient is wearing a Medic-Alert bracelet indicating type I diabetes mellitus. The nurse will anticipate an order to administer:
glucagon
A patient who has diabetes will be taking levothyroxine (Synthroid). The nurse will teach this patient to monitor for?
hyperglycemia High BG
alcohol severely interacts with
ide drugs
psyllium mucilloid (Metamucil)
increases bulk and softens fecal mass
when giving nursing education to a patient taking acarbose the nurse should
indicate that in case the patient misses a meal they have to wait for the nest meal
canagliflozin will
limit postprandial rise in blood sugar
glargine is a
long acting insulin that can not be mixed with other types of insulin
docusate sodium
lowers surface tension of stool to allow penetration of water
a prokinetic agent that promotes gastric emptying
metoclopramide
A health care professional should question the use of levothyroxine (Synthroid) for a patient who has
myocardial infarction
long tern use of this may lead to osteoporosis
omeprazole
pioglitazone is an
optimal therapeutic effect that may take 3-4 months to achieve
glipizide is an
oral hypoglycemic that may cause disulfiram like reaction when pt consumes alcohol
bisacodyl stimulates
peristalsis
propylthiouracil has a
potential complication of agranulocytosis
misoprosiol is a
pregnancy category X
this has potential side effects of dry mouth tachycardia sedation and arrhythmias
prochlorperazine
may slightly lower some patients cholesterol levels and must be taken with a minimum of one glass of water
psyllium
metformin mao
reduces glucose production in the liver and glucose uptake in the GI tract
a nurse is providing a client who has peptic ulcer disease with instructions about managing his condition. Which of the following instructions should the nurse include (select all that apply)
seek measure to reduce stress avoid smoking
acarbose mao
slows carbohydrate absorption and digestion
drugs ending with Ide
stimulate insulin release from pancreas
glipizide mao
stimulates insulin release from the pancreas
bisacodyl
stimulates peristalsis increases the amount of water in the bowel
docusate sodium is a
stool softener
this drug creates a gel like substance to coat a stomach ulcer
sucralfate
What is the classification of oral diabetics that acts by helping the pancreas to release more insulin? It also helps to increase the tissue sensitivity or tissue response to insulin over time
sulfonylureas
misoprostol mao
suppresses gastric acid increases protective mucus
a nurse is teaching a client who has a new prescription for omeprazole for management of heartburn. Which of the following information should the nurse include in the teaching
this medication decreases the production of gastric acid
regular insulin is a
type of insulin with onset of 30 min-1hr and peaks at 1-5 hours
lispro is a
type of insulin with the most rapid onset