Endocrine Medications

The nurse is teaching a client with diabetes mellitus how to mix regular insulin and NPH insulin in the same syringe. Which action, if performed by the client, indicates the need for further teaching?

The home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse should tell the client to take which action?

Glimepiride is prescribed for a client with diabetes mellitus. The nurse instructs the client that which food items are most acceptable to consume while taking this medication? Select all that apply.

1. Alcohol
2. Red meats
3. Whole-grain cereals
4. Low-calorie desserts
5. Carbonated beverages

The nurse is providing discharge teaching for a client newly diagnosed with type 2 diabetes mellitus who has been prescribed metformin. Which client statement indicates the need for further teaching?

The primary health care provider (PHCP) prescribes exenatide for a client with type 1 diabetes mellitus who takes insulin. The nurse should plan to take which most appropriate intervention?

A client with diabetes mellitus is taking Humulin NPH insulin and regular insulin every morning. The nurse should provide which instructions to the client? Select all that apply.

1. Hypoglycemia may be experienced before dinnertime.
2. The insulin dose should be decreased if illness occurs.
3. The insulin should be administered at room temperature.
4. The insulin vial needs to be shaken vigorously to break up the precipitates.
5. The NPH insulin should be drawn into the syringe first, then the regular insulin.

The home health care nurse is visiting a client who was recently diagnosed with type 2 diabetes mellitus. The client is prescribed repaglinide and metformin. The nurse should provide which instructions to the client? Select all that apply.

1. Diarrhea may occur secondary to the metformin.
2. The repaglinide is not taken if a meal is skipped.
3. The repaglinide is taken 30 minutes before eating.
4. A simple sugar food item is carried and used to treat mild hypoglycemia episodes.
5. Muscle pain is an expected effect of metformin and may be treated with acetaminophen.
6. Metformin increases hepatic glucose production to prevent hypoglycemia associated with repaglinide.

The nurse is teaching the client about his prescribed prednisone. Which statement, if made by the client, indicates that further teaching is necessary?

A client with hyperthyroidism has been given methimazole. Which nursing considerations are associated with this medication? Select all that apply.

1. Administer methimazole with food.
2. Place the client on a low-calorie, low-protein diet.
3. Assess the client for unexplained bruising or bleeding.
4. Instruct the client to report side and adverse effects such as sore throat, fever, or headaches.
5. Use special radioactive precautions when handling the client’s urine for the first 24 hours following initial administration.

The nurse is monitoring a client receiving levothyroxine sodium for hypothyroidism. Which findings indicate the presence of a side effect associated with this medication? Select all that apply.

1. Insomnia
2. Weight loss
3. Bradycardia
4. Constipation
5. Mild heat intolerance

The nurse provides instructions to a client who is taking levothyroxine. The nurse should tell the client to take the medication in which way?

The nurse should tell the client who is taking levothyroxine to notify the primary health care provider (PHCP) if which problem occurs?

The nurse is providing instructions to the client newly diagnosed with diabetes mellitus who has been prescribed pramlintide. Which instruction should the nurse include in the discharge teaching?

The nurse teaches the client who is newly diagnosed with diabetes insipidus about the prescribed intranasal desmopressin. Which statements by the client indicate understanding? Select all that apply.

1. “This medication will turn my urine orange.”
2. “I should decrease my oral fluids when I start this medication.”
3. “The amount of urine I make should increase if this medicine is working.”
4. “I need to follow a low-fat diet to avoid pancreatitis when taking this medicine.”
5. “I should report headache and drowsiness to my doctor since these symptoms could be related to my desmopressin.”

A daily dose of prednisone is prescribed for a client. The nurse provides instructions to the client regarding administration of the medication and should instruct the client that which time is best to take this medication?

The client with hyperparathyroidism is taking alendronate. Which statements by the client indicate understanding of the proper way to take this medication? Select all that apply.

1. “I should take this medication with food.”
2. “I should take this medication at bedtime.”
3. “I should sit up for at least 30 minutes after taking this medication.”
4. “I should take this medication first thing in the morning on an empty stomach.”
5. “I can pick a time to take this medication that best fits my lifestyle as long as I take it at the same time each day.”

A client with diabetes mellitus visits a health care clinic. The client’s diabetes mellitus previously had been well controlled with glyburide daily, but recently the fasting blood glucose level has been 180 to 200 mg/dL (10 to 11.1 mmol/L). Which medication, if added to the client’s regimen, may have contributed to the hyperglycemia?