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Quiz 4 Last One

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jennraq2u's version from 2016-10-12 03:35

Section

Question Answer
Synthroid (hypothyroidism)C/I w/ MI/Hyperthyroidism (s/e=angina/menstruation d/o,heat intolerance)
Synthroid (nsg imp) w/h20 30-60min b4 breakfastTake 4hrs apart from other Rx; (Report Wt loss to PCP)
Rapid-Acting Insulins (l-a-g)Humalog (lispro), Apidra (glulisine), and Novolog (aspart) are rapid-acting insulin analogs
VasopressinPress my kidney to give more H20
(Synthroid). risk of adverse effects when administering an IV dose of what medication?A benzodiazepine
What disorder will contraindicatethe use of tadalafil (Cialis) ? Retinopathy
prescribed finasteride (Proscar) the nurse should be sure to tell the patient what?Report the planned useof dietary supplements to the physician.
lunch tray will arrive at 11:45, when should the nurseadminister the patient's insulin?11:15
inhibit the production of glucose by the liver andthereby aid in the control of blood glucose. What typeA biguanide
What guideline applies to periods of illness in a diabetic patient?Do not eliminate insulin when nauseated and vomiting.
The nurseshould teach the patient to do which of the following?Avoid using the same injection site more than once in 2 to 3 weeks.
metformin (Glucophage). Following an ordered increase in the patient's daily doseReviewing the patient's creatinine and BUN levels
how long a vial of insulin can be stored at room temperature before it ìgoes bad.If you are going to use up the vial within 1 month it can be kept at roomtemperature
indicates good understanding of the nurse’s teaching about administration of aspart (NovoLog) insulin?The patient cleans the skin with soap and water before insulin administration.
aspart (NovoLog) insulin at 8:00 AM. Which time will it be most important for the nurse to monitor for symptoms of hypoglycemia?10:00 AM
Which type of insulin will the nurse discuss using for mealtime coverage? Lispro (Humalog)
nurse include when teaching a 50-year-old patient who has type 2 diabetes about glyburide (Micronase, DiaBeta, Glynase)?Glyburide stimulates insulin production and release from the pancreas.
taking glipizide (Glucotrol). Which patient statement indicates a need for additional teaching?My diabetes won’t cause complications because I don’t need insulin.
takes metformin (Glucophage) to manage type 2 diabetes develops allergic rash the health care provider prescribes prednisone (Deltasone). The nurse will anticipate have rashes caused by metformin-prednisone interactions.
level of 210 mg/dL despite taking her usual glargine (Lantus) and lispro (Humalog) insulin. The nurse advises the patient tomonitor blood glucose every 4 hours and notify the clinic if it continues to rise.
teaching about glargine and regular insulin has been successful? The patient disposes of the open vials of glargine and regular insulin after 4 weeks
receives rosiglitazone (Avandia) . most important for the nurse to report immediately to the health care provider?The patient has chest pressure when walking.
(Byetta), which patient statement indicates that the teaching has been effective?“I should take my daily aspirin at least an hour before the Byetta.”
metformin (Glucophage) therapy, Which finding by the nurse is most important to discuss with the health care provider?Glomerular filtration rate is decreased.
prescribed glipizide (Glucotrol). Which statement should the nurse include in this client’s teaching?“Avoid taking nonsteroidal anti-inflammatory drugs (NSAIDs).”
nateglinide (Starlix), the nurse assesses the client’s understanding. Which statement indicates a correct understanding of the prescribed therapy?“I will take this medicine immediately before I eat.”
(Actos). After 6 months of therapy, urine has become darker since starting the medication. Which action should the nurse take?Review the client’s liver function study results
finasteride (Proscar) forpatient who has (BPH). When teaching the patient about the drug, the nurse informs him that his interest in sexual activity may decrease while he is taking the medication.
contact the health care provider before administering levothyroxine (Synthroid)?Increased thyroxine (T4) level
levothyroxine (Synthroid) for hypothyroidism. Which finding should alert the nurse that the medication therapy is effective?Heart rate is 70 beats/min and regular.
amoxicillin (Amoxil) for a urinary tract infection. Which statement should the nurse include in this client’s teaching?Use a second form of birth control while on this medication.”
finasteride (Proscar) and doxazosin (Cardura) to a 67-year-old client withBPH. What side effects of these medications?Assessing for blood pressure changes when lying, sitting, and arising from the bed
finasteride (Proscar) and doxazosin (Cardura) to a 67-year-old client withBPH. What side effects of these medications?Immediately reporting any change in the alanine aminotransferase laboratory test
finasteride (Proscar) and doxazosin (Cardura) to a 67-year-old client withBPH. What side effects of these medications?Asking the client to report any weakness, light-headedness, or dizziness
“Why do I need to administer more than one injection of insulin each day?” How should the nurse respond? A single dose of insulin each day would not match your blood insulin levels and your food intake patterns.
A nurse assesses a client with diabetes mellitus and notes the client only responds to a sternal rub Administer 1 mg of intramuscular glucagon.
A nurse teaches a client who is prescribed an insulin pump.Change the needle every 3 days.”
6 units of regular insulin and 10 units of NPH insulin at 0700. At which time should the nurse assess the client for potential problems related to the NPH insulin?1600
spongy, swelling area at the site the client uses most frequently for insulin injection. Which action should the nurse take?Instruct the client to rotate sites for insulin injection.
client recovering from a computed tomography (CT) scan with IV contrast. Which medication should alert the nurse to contact the provider and withhold the prescribed dose? Metformin (Glucophage)
medication administration record, which action should the nurse take?Draw up and inject the insulin glargine first, and then draw up and inject the regular insulin.
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