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ATI PHARM unit 11

chapter questions - Meds affecting the endocrine system

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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