ATI Week 12

Question 1

The client will self-inject 8 units of NPH insulin and 4 units of regular insulin each day before breakfast. As you show the client how to self- administer insulin, you should include which of the following instructions?

Answer 1

1. Draw the regular insulin into the syringe first, then the NPH insulin
2. Use 1 syringe to reduce the number of injections

Question 2

You instructed the client to watch for and report which of the following indications of an A/E to insulin?

Answer 2

Palpations

Question 3

As you continue to talk with the client about managing her diabetes with regular insulin (Humulin R), you should include which of the following instructions?

Answer 3

1. Carry a carbohydrate snack
2. Rotate injection sites
3. Wear a medical alert bracelet
4. Expect to adjust the dosage during illness

Question 4

You give the client 5 units of lispro insulin (Humalog) and 10 units of insulin glargine SQ at 1400. Based on your instructions, the client should expect her BG level to be at the lowest at which of the following times?

Answer 4

1500

Question 5

2 hours after self-administering regular insulin SQ, the client contacts you at the providers office to report that she is sweating, shaky, and has a rapid pulse. Which of the following actions should you advise her to take?

Answer 5

1. Drink 4 oz of orange juice

2. Check her BG level

Question 6

You are caring for a client who is taking exenatide (Byetta) to treat Type 2 diabetes mellitus. The client reports severe abdominal pain. You suspect which of the following A/E to the drug?

Answer 6

Pancreatitis

Question 7

You are caring for a client who take acarbose (Precose) and sulfonylurea to treat Type 2 Diabetes Mellitus. Which of the following is an indication of an A/E to this drug combination?

Answer 7

Tremors

Question 8

Therapeutic use for: Glipizide (Glucotrol)

Answer 8

Type 2 diabetes mellitus

Question 9

Therapeutic use for: Radioactive Iodine - 131 (Idotope)

Answer 9

Thyroid cancer

Question 10

Therapeutic use for: Glucagon (GlucaGen)

Answer 10

Hypoglycemia

Question 11

Therapeutic use for: Desmopressin (DDVAP)

Answer 11

Diabetes Insipidus

Question 12

A client is about to start taking a sustained release glipizide to treat type 2 diabetes mellitus. Which of the following instructions should you include when talking with the client about taking this drug?

Answer 12

Take it once a day, 30 min before breakfast

Question 13

You are caring for a client who is taking levothyroxine (Synthroid) to treat hypothyroidism. The client reports palpations, weight loss, and diarrhea. You suspect which of the following A/E of this drug?

Answer 13

Hyperthyroidism

Question 14

A client is about to start taking somatropin (Genotropin). You plan to evaluate the effectiveness of this drug therapy with which of the following assessments?

Answer 14

Height and weight

Question 15

A client is about to start taking hydrocortisone (Cortef) to treat adrenocortical insufficiency. You should instruct the client to do which of the following to help reduce the risk for A/E of this drug?

Answer 15

1. Increase her calcium and vitamin D intake.
2. Take the drug with food.
3. Record weight regularly
4. Report increased stress

Question 16

Therapeutic use for: Somatropin

Answer 16

Turner’s Syndrome

Question 17

Therapeutic use for: Levonthyroxine

Answer 17

Hypothyroidism

Question 18

Therapeutic use for: Propylthiouracil

Answer 18

Thyrotoxic crisis

Question 19

Therapeutic use for: Hydrocortisone

Answer 19

Addison’s Disease

Question 20

When talking with a client about self-administering regular insulin (Humulin R) you should include which of the following instructions?

Answer 20

Inject the insulin subcutaneously

Question 21

When talking with a 30 YO woman who will rx radioactive iodine - 131 (Idotope) to treat Graves disease, you should include which of the following instructions?

Answer 21

1. Report weight gain and edema
2. Use effective contraception
3. Allow 2 -3 months for full effects
4. Expect periodic blood sampling