Pharm Made Easy 4.0 The Endocrine System

A nurse at a provider’s office is assessing a client who has been taking Hydro Cortisone 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 clients dosage? - Hypotension A nurse is providing teaching to a client who is about to begin exenatide therapy to treat type two diabetes mellitus. Which of the following instruction should the nurse include? (Select all that apply.) – Inject the drug subcutaneously Expect the peak effect in 2 hours Use to drug as a supplement to an oral hypoglycemic A nurse is caring for a client who is about to begin taking pioglitazone to treat type two 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 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 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 A nurse is caring for a client who is taking metformin and is scheduled to undergo angiograpy using iodine containing contrast dye. The nurse should identify that in in direction between metformin and the IV contrast dye increases the clients risk for which of the following conditions? - Acute renal failure 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 measurement daily. Report weakness or palpitations. Have blood pressure checked regularly. 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 providing teaching to a client who is about to begin levothyroxine therapy to help hypothyroidism. Which of the following instruction should the nurse include? - Expect life-long therapy with the drug 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 A nurse is speaking with a client who is taking glipizide to treat Type two diabetes mellitus and has called to report feeling shaky, hungry, and fatigue. Which of the following actions should the nurse instruct the client to take? - Perform a fingerstick blood glucose check A nurse is assessing a client who has a new prescription for levothyroxine. The nurse should identify which of the following findings as a contraindication for this drug? - Recent myocardial infarction A nurse is educating the parents of a child who has a new diagnosis of Prader-Willi Syndrome (PWS) and has been prescribed somatotropin. Which of the following statements by a parent indicates understanding of the teaching? - "We will use a different spot for injection each time to give medication."