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ATI – Endocrine System Essay

question

When talking with a patient who is about to begin exenatide (Byetta) therapy to treat type 2 diabetes mellitus, the health care professional should include which of the following instructions? (Select all that apply)
answer

1. Inject the drug subcutaneously 2.Expect the peak effect in two hours 3. Use the drug as a supplement to an oral hypoglycemic
question

A health care professional administers pramlintide (Symlin) at 0800 to a patient who has type 1 diabetes mellitus. At which of the following times should the patient expect the drug to exert its peak action?
answer

0820
question

A patient who is taking propylthiouracil (PTU) contacts the health care professional to report weight gain, drowsiness, and depression. The health care professional should suspect which of the following adverse reactions to the propylthiouracil?
answer

Hypothyroidism
question

When talking with a patient who is about to begin repaglinide (Prandin) therapy to treat type 2 diabetes mellitus, the health care professional should include which of the following instructions?
answer

Do not drink more than 1 L of grapefruit juice per day
question

A health care professional is caring for a patient who is about to begin taking pioglitazone (Actos) to treat type 2 diabetes mellitus. The health care professional should explain to the patient the need to monitor which of the following laboratory tests? (Select all that apply)
answer

1. Alanine aminotransferase (ALT) 2. LDL
question

When considering replacement therapy options for a patient who has chronic adrenocortical insufficiency, the primary care provider should chose which of the following drugs?
answer

Hydrocortisone (Cortef)
question

A health care professional is caring for a patient who is taking regaglinide (Prandin) 15 to 30 minutes before each meal to treat type 2 diabetes mellitus. The patient asks the health care professional what to do if he skips a meal. Which of the following is the appropriate response?
answer

Skip the dose
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Which of the following drugs should a health care professional have available for a patient who is experiencing an insulin overdose?
answer

Glucagon (GlucaGen)
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A patient who is taking metformin (Glucophage) to treat type 2 diabetes mellitus plans to undergo angiography using iodine-containing contrast dye. The health care professional should recognize that an interaction between metformin and the IV contrast dye can increase the patient’s risk for which of the following?
answer

Acute renal failure
question

A health care professional is caring for a patient who is about to begin taking propylthiouracil (PTU) to treat hyperthyroidism. The health care professional should tell the patient to report which of the following adverse effects? (Select all that apply)
answer

1. Sore throat 2. Muscle pain 3. Bradycardia 4. Rash
question

When talking with a patient about taking fludrocortisone to treat adrenocortical insufficiency, the health care professional should tell the patient to do which of the following to reduce the risk of adverse reactions? (Select all that apply)
answer

1. Weigh yourself daily 2. Report weakness or palpitations 3. Have your blood pressure checked regularly
question

A health care professional is caring for a patient who is about to begin taking radioactive iodine-131 (Iodotype) to treat Grave’s disease. Which of the following instructions should the health care professional include when talking with the patient about this drug?
answer

Expect full effects in 2 to 3 months
question

A patient who is taking glipizide (Glucotrol) to treat type 2 diabetes mellitus contacts the health care professional to report feeling shaky, hungry, and fatigued. The health care professional should tell the patient to do which of the following?
answer

Perform a fingerstick blood glucose check
question

A primary care provider should prescribe a lower dose of sitagliptin (januvia) for a patient who has type 2 diabetes mellitus and who also has which of the following?
answer

Renal impairment
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When talking to a patient who is about to begin glipizide (Glucotrol) therapy to treat type 2 diabetes mellitus, the health care professional should include which of the following instructions?
answer

Avoid drinking alcohol
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A patient who is taking metformin (Glucophage) to treat type 2 diabetes mellitus contacts the health care professional to report muscle pain. The health care professional should suspect which of the following adverse reactions?
answer

Lactic acidosis
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A health care professional is caring for a patient who is about to begin taking somatropin (Genotropin). The health care professional should explain the need to monitor which of the following laboratory tests? (Select all that apply)
answer

1. Urine calcium 2. Blood glucose
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A health care professional is caring for a patient who is about to begin acarbose (Precose) therapy to treat type 2 diabetes mellitus. Which of the following instructions should the health care professional include when talking with the patient about the drug?
answer

Eat more iron rich foods
question

A health care professional is caring for a patient who is taking pioglitazone (Actos) to treat type 2 diabetes mellitus. The health care professional should monitor for which of the following findings that indicates an adverse effect?
answer

Weight gain
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A health care professional is caring for a patient who is about to begin insulin glargine (Lantus) therapy. The health care professional should recognize the need for additional precautions because the patient also takes which of the following types of drugs?
answer

Beta blockers
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To determine the effectiveness of desmopressin (DDAVP), a health care professional should monitor a patient’s
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Urine output
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A health care professional is caring for a patient who is about to begin pramlintide (Symlin) therapy to treat type 1 diabetes mellitus. Which of the following instructions should the health care professional include when talking with the patient about using the drug?
answer

Inject pramlintide before meals
question

A health care professional is talking to a patient about self-injecting Regular insulin (Humulin). The health care professional should tell the patient to rotate injection sites to prevent which of the following?
answer

Lipohypertrophy
question

A health care professional is caring for a patient who is about to begin levothyroxine (Synthroid) therapy to treat hypothyroidism. Which of the following instructions should the health care professional include when talking with the patient about taking the drug?
answer

Expect life-long therapy with the drug
question

A health care professional should question the use of levothyroxine (Synthroid) for a patient who has
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A myocardial infarction