The endocrine system – ATI PHARM – Flashcards
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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) A.) Inject the drug subcutaneously B.) Expect the peak effect in 2 hr C.) Use the drug as a supplement to an oral hypoglycemia D.) Inject the drug 1 hr after a meal E.) Discard used pens 10 days after the first use
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A.) Inject the drug subcutaneously B.) Expect the peak effect in 2 hr C.) Use the drug as a supplement to an oral hypoglycemia
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A health care professional administer pralintide (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? A.) 0820 B.) 0900 C.) 1000 D.) 1100
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A.) 0820
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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? A.) Thyrotoxicosis B.) Hypothyroidism C.) Lactic acidosis D.) Radiation sickness
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B.) Hypothyroidism
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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? A.) Do not drink more than 1 L of grapefruit juice per day. B.) Carry a high-protein snack at all times C.) Drink 16 oz of water after taking the drug D.) Use ginseng to reduce nausea
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A.) Do not drink more than 1 L of grapefruit juice per day
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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) A.) Thryoid-stimulating hormone (TSH) B.) Alanine aminotransferase (ALT) C.) LDL D.) CBC E.) Creatinine cleareance
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B.) Alanine aminotransferase (ALT) C.) LDL
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When considering replacement therapy options for a patient who has chronic adrenocortical insufficiency, the primary care provider should choose which of the following drugs? A.) Somatropin (Genotropin) B.) Hydrocortisone (Cortef) C.) Glucagon (GlucaGen) D.) Desmopression (DDAVP)
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B.) Hydrocortisone (Cortef)
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A health care professional is caring for a patient who is taking repaglinide (Prandid) 15 to 30 min 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? A.) Double the dose before the next meal B.) Take half the dose C.) Skip the dose D.) Take the usual dose
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C.) 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? A.) Naloxone B.) Diphenhydramine C.) Acetylcysteine (Acetadote) D.) Glucagon (GlucaGen)
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D.) 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? A.) Hypokalemia B.) Hyperglycemia C.) Acute renal failure D.) Acute pancreatitis
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C.) Acute renal failure
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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) A.) Sore throat B.) Muscle pain C.) Insomnia D.) Bradycardia E.) Rash
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A.) Sore throat B.) Muscle pain D.) Bradycardia E.) Rash
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When talking with a patien 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) A.) Weigh yourself daily B.) Report weakness or palpitations C.) Have your blood pressure checked regularly D.) Eat more iron-rich foods E.) Avoid drinking grapefruit juice
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A.) Weigh yourself daily B.) Report weakness or palpitations C.) Have your blood pressure checked regularly
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A health care professional is caring for a patient who is about to begin taking radioactive iodine0131 (Iodotope) to treat Graves' disease. Which of the following instructions should the health care professional include when talking with the patient about the drug? A.) Take the drug once daily for 5 days B.) Expect a bitter, acid-like taste C.) Restrict fluid intake after taking the drug D.) Expect full effects in 2 to 3 months
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D.) Expect full effects in 2 to 3 months
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A patient who is taking glipizide (Glucotrol) to treat type 2 diabetes mellitus contact 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? A.) Drink 16 oz of water B.) Perform a fingerstick blood glucose check C.) Take another glipizide tablet D.) Lie down and rest
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B.) Perform a fingerstick blood glucose check
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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? A.) Thyroid disease B.) Bronchitis C.) Heart failure D.) Renal impairment
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D.) 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? A.) Avoid drinking alcohol B.) Sit or stand for 30 min after taking the drug C.) Urinate every 4 hr D.) Take the drug 2 hr after a meal
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A.) 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? A.) Lactic acidosis B.) Anticholinergic effects C.) Extrapyramidal symptoms D.) Hypophosphatemia
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A.) Lactic acidosis
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A health care professional is caring for a patient who is about to begin taking somatropin (Gentropin). The health care professional should explain the need to monitor which of the following laboratory tests? (Select all that apply) A.) Blood amylase B.) Creatinine clearance C.) Urine calcium D.) Blood glucose E.) CBC
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C.) Urine calcium D.) 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? A.) Eat more iron-rich foods. B.) Avoid drinking grapefruit juice C.) Increase fiber intake D.) Avoid drinking green tea
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A.) Eat more iron-rich foods.
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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? A.) Joint pain B.) Constipation C.) Weight gain D.) Dilated pupils
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C.) 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 precautious because the patient also takes which of the follow types of drugs? A.) Oral contraceptives B.) Calcium supplements C.) Beta blockers D.) Iron supplements
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C.) Beta blockers
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To determine the effectiveness to desmopression (DDAVP), a health care professional should monitor a patient's A.) Peripheral pulses B.) Urine output C.) Skin integrity D.) Blood glucose
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B.) 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? A.) Mix pramlintide with insulin B.) Inject pramlintide before meals C.) Take pramlintide at bedtime D.) Inject pramlintide into the upper arm
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B.) Inject pramlintide before meals
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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? A.) Rapid absorption B.) Intradermal injection C.) Injection pain D.) Lipohypertrophy
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D.) Lipohypertrophy
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A health care professional is caring for a patient who is about to begin levothyroxine (Synthroid) therapy to treat hypothyroidism. Which of the following isntructions should the health care professional include when talking with the patient about taking the drug? A.) Take levothyroxine with food to increase absorption B.) Take levothyroxine with an antacid to reduce GI effects C.) Expect life-long therapy with the drug D.) Carry a carbohydrate snack at all times
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C.) Expect life-long therapy with the drug
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A health care professional should question the use of levothyroxine (Synthroid) for a patient who has A.) bacterial skin infections B.) diabetes insipidus C.) immunosuppression D.) a myocardia infarction
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D.) a myocardia infarction
