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ATI PHARM unit 11
chapter questions - Meds affecting the endocrine system
| Question | Answer |
|---|---|
| Nurse is providing teaching to a clt w/type 2 diabetes mellitus who is starting the oral hypoglycemic agt repaglinide (Prandin). What statement indicates understanding of administration of med? | "I'll take this medicine 15 minutes before I eat." (Med causes a rapid, short-lived release of insulin. Client should take this med 15-30 mins before each meal so that insulin is available when food is present. |
| Clts taking metformin (Glucophage) should be monitored for | lactic acidosis. (rare side effect, but if it occurs, it can result in 50% mortality. |
| A clt taking lispro insulin should be instructed to eat how soon after administering the injection? | 5 to 15 minutes. (rapid-acting insulin that has an onset of 15 to 30 minutes. Eating 5 to 15 mins after admin will ensure that glucose is present at time of insulin onset.) |
| Clt taking glipizide (Glucotrol) for control of type 2 diabetes mellitus should be cautioned against the use of | alcohol. can result in a disulfiram-like reaction. experience intense n/v, flushing, and palpitations. |
| What should be included in a teaching plan for a clt newly diagnosed w/diabetes? | Always carry a fast-acting glucose source. Be sure to eat enough before exercising. Inspect all feet surfaces daily. |
| Clt tells a nurse that she has been taking her levothyroxine (synthroid)every day for 9 days. She asks why there has been no improvement in her condition. The nurse's best response it | "It may take several weeks for you to notice a therapeutic effect from the drug." |
| Propranolol (Inderal) may be prescribed to clts w/hyperthyroidism to | decrease tachycardia and tremors.(a beta adrenergic antagonist that decreases heart rate and controls tremors) |
| Clt is starting on levothyroxine (synthroid) for long-standing hypothyroidism. Which of the following dosage schedules can the nurse expect to administer? | The clt will start on a low dose and dose will be gradually increased.(clt very sensitive to thyroid replacement med) |
| What clt would radioactive iodine(131I) be contraindicated? | A clt who is pregnant(cat risk X) |
Created by:
krislynn
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