ENDOCRINE Flashcards
A nurse is teaching clients in an outpatient facility about the use of insulin to treat type 1 diabetes mellitus. For which of the following types of insulin should the nurse tell the clients to expect a peak effect 1 to 5 hr after administration?
a. Insulin Lispro
b. Regular Insulin
c. Insulin glargine
d. NPH insulin
D. NPH has 4-6 hrs peak effect
Which of the following health teachings must be given by the nurse for clients taking oral anti-diabetic medications to prevent hypoglycemia?
a. Monitor CBG levels once a month
b. Eat light, frequent meals
c. Decrease medication dosage depending on diet
d. Ensure good blood pressure levels
c daw
Which of the following symptoms should the nurse instruct the patient to report regarding peripheral neuropathy?
a. Pinpricks of pain, numbness and tingling
b. Reddish-orange discolorations of secretions
c. Numbness, tingling and chills
d.. Headaches, muscle pain and fever
a daw
A nurse is caring for a patient who has a prescription for metformin (Glucophage). The nurse should monitor the client for which of the following adverse effects?
a. Hyperglycemia
b. Respiratory Alkalosis
c. Hyperlipidemia
d. Lactic Acidosis
d. daw
Which of the following will alert the nurse that the client is experiencing water intoxication due to the drug vasopressin?
a. Drowsy, light-headedness, headache, and convulsions
b. Tremors, sweating, vertigo and headache
c. Pill-rolling tremors, nuchal rigidity and headache
d. Fever, difficulty of breathing, nausea and vomiting
a daw
The nurse was preparing the client’s insulin dose. Another nurse has endorsed to her a mixture of insulin prepared 1 month ago for the client. Which of the following is the most appropriate action by the nurse?
a. Administer the pre-mixed insulin on the correct time
b. Administer the pre-mixed insulin after checking with the current prescription
c. Discard the pre-mixed insulin and mix a new one
d. Withhold the pre-mixed insulin and check the patient’s CBG first.
c daw
Elisa, a 47 yrs old female was diagnosed with diabetes. She was found to have a fasting blood sugar of 156mg/dL and positive glucose on her urinalysis. She was prescribed Miglitol. Based on your understanding, what type of Diabetes is the patient diagnosed with?
a. DM Type I
b. DM Type II
c. Gestational Diabetes
d. Diabetes Insipidus
b daw
Which of the following drugs is useful for pateints with post-partum hemorrhage?
a. Somatrem
b. Nicardipine
c. Oxytocin
d. Magnesium Sulfate
c daw
A nurse is caring for a client who is taking propylthiouracil (PTU). For which of the following adverse effects of this medication should the nurse monitor?
a. Heat intolerance
b. Bradycardia
c. Insomnia
d. Weight loss
a. daw
Which of the following is a contraindication to the administration of somatrem, a medication that mimics growth hormone?
a. A patient aged 37
b. A patient with a decreased functioning of anterior pituitary gland
c. A patient with GI distress
d. All of the above
b daw
