Questions and Answers
Which of the following findings should the nurse identify as an indication the provider might need to increase the client's dosage of HydroCortisone?
Which of the following instructions should the nurse include for a client starting exenatide therapy? (Select all that apply)
Which laboratory values should the nurse explain monitoring for clients starting pioglitazone? (Select all that apply)
Which adverse effects should the nurse instruct the client about when taking propylthiouracil (PTU)? (Select all that apply)
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What should the client do to prevent lipohypertrophy when self-administering regular insulin?
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What condition is increased risk when metformin is taken with iodine-containing contrast dye?
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Which instructions should the nurse include for a client taking fludrocortisone? (Select all that apply)
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When will a provider prescribe a lower dose of sitagliptin?
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What should a client expect regarding levothyroxine therapy?
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What adverse reaction should be suspected in a client taking propylthiouracil (PTU) who reports weight gain, drowsiness, and depression?
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What should a client do if they skip a meal but take repaglinide?
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When should pramlintide be administered for managing type 1 diabetes?
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What should be available for a client experiencing insulin toxicity?
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What adverse reaction should be suspected in a client taking metformin if they report muscle pain?
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What is the most appropriate assessment for evaluating desmopressin's effectiveness?
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Which drug will providers likely choose for a client with chronic adrenocortical insufficiency?
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At what time should the nurse expect pramlintide to reach its peak action if administered at 0800?
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What finding should be monitored in a client taking pioglitazone?
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Study Notes
HydroCortisone and Adrenal Insufficiency
- Hypotension may indicate a need for increased dosage in clients using HydroCortisone for adrenal insufficiency.
- Fatigue and feeling overwhelmed can be common symptoms experienced by clients.
Exenatide Therapy for Type 2 Diabetes
- Administer exenatide via subcutaneous injection.
- Expect peak effects approximately 2 hours post-injection.
- Use exenatide as an adjunct to oral hypoglycemics.
Monitoring for Pioglitazone
- Monitor levels of Alanine aminotransferase (ALT) for liver function.
- Keep an eye on LDL cholesterol levels as part of treatment for type 2 diabetes.
Propylthiouracil (PTU) Adverse Effects
- Clients should be informed to watch for sore throat, joint pain, bradycardia, and rash as potential adverse effects of PTU in hyperthyroidism treatment.
Regular Insulin Administration
- Rotate injection sites to prevent lipohypertrophy when self-administering regular insulin.
Metformin and Contrast Dye
- Combining metformin with iodine-containing contrast dye increases the risk of acute renal failure; exercise caution.
Fludrocortisone Therapy for Adrenocortical Insufficiency
- Instruct clients to obtain daily weight measurements.
- Advise to report any feelings of weakness or palpitations.
- Regular blood pressure monitoring is crucial.
Sitagliptin Dosage Consideration
- Expect a lower dose of sitagliptin will be prescribed for clients with renal impairment.
Levothyroxine for Hypothyroidism
- Patients should anticipate lifelong therapy with levothyroxine to manage hypothyroidism.
Adverse Reactions to Propylthiouracil
- Weight gain, drowsiness, and depression in a client taking PTU may indicate hypothyroidism.
Responding to Hypoglycemia on Glipizide
- Clients should perform a fingerstick blood glucose check if experiencing shakiness, hunger, or fatigue while on glipizide.
Contraindications for Levothyroxine
- Recent myocardial infarction is a contraindication for starting levothyroxine therapy.
Somatotropin for Prader-Willi Syndrome
- Parents should rotate injection sites for somatotropin to ensure effective treatment.
Alcohol and Glipizide
- Advising clients to avoid drinking alcohol while on glipizide is important to prevent adverse interactions.
Acarbose Therapy Instructions
- Increase intake of iron-rich foods while taking acarbose to manage potential dietary deficiencies.
Insulin Glargine and Beta Blockers
- Additional precautions are necessary for clients taking insulin glargine along with beta blockers due to risk of hypoglycemia.
Monitoring for Somatropin
- It is important to monitor urine calcium and blood glucose levels while a client is on somatropin.
Repaglinide Use and Meal Skipping
- Instruct clients to skip their repaglinide dose if a meal is missed to avoid hypoglycemia.
Pramlintide Administration for Type 1 Diabetes
- Administer pramlintide before meals for optimal effectiveness in managing type 1 diabetes.
Glucagon Availability for Insulin Toxicity
- Ensure glucagon is available for clients experiencing insulin toxicity.
Metformin and Muscle Pain Risk
- Muscle pain in clients using metformin may indicate development of lactic acidosis.
Desmopressin Effectiveness Assessment
- Evaluate effectiveness of desmopressin therapy by monitoring urine output.
Hydrocortisone for Chronic Adrenocortical Insufficiency
- Recognize hydrocortisone as the standard replacement therapy for clients with chronic adrenocortical insufficiency.
Peak Action Timing for Pramlintide
- Expect pramlintide to exert peak action approximately 20 minutes after administration.
Monitoring Pioglitazone Effects
- Weight gain is a significant side effect to monitor in clients taking pioglitazone for type 2 diabetes.
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Description
This quiz focuses on the Endocrine System as part of the Pharm Made Easy 4.0 study materials. It covers topics such as medication assessments and nursing responsibilities related to endocrine disorders. Perfect for nursing students preparing for pharmacology tests.
