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ENDOCRINE DIABETES PHARMACOLOGY WITH ANSWERS 100% CORRECT 2023, Exams of Pharmacology

Southern Virginia UniversityPharmacology

ENDOCRINE DIABETES PHARMACOLOGY WITH ANSWERS 100% CORRECT 2023

Typology: Exams

2022/2023

Available from 08/03/2023

Thebiologist.
Thebiologist. šŸ‡ŗšŸ‡ø

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ENDOCRINE DIABETES PHARMACOLOGY WITH ANSWERS 100%
CORRECT 2023
EndocrineDiabetes Pharmocology
1. The nurse is teaching a client 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?
1. Withdraws the NPH insulin first
2. Withdraws the regular insulin first
3. Injects air into NPH insulin vial first
4. Injects an amount of air equal to the desired dose of insulin into each
vial
1.Withdraws the NPH insulin first
2. 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?
1. Freeze the insulin.
2. Refrigerate the insulin.
3. Store the insulin in a dark, dry place.
4. Keep the insulin at room temperature.
2.Refrigerate the insulin.
3. Glimepiride (Amaryl) is prescribed for a client with diabetes
mellitus. The nurse instructs the client to avoid consuming which
food while taking this medication?
1.
Alcohol
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Download ENDOCRINE DIABETES PHARMACOLOGY WITH ANSWERS 100% CORRECT 2023 and more Exams Pharmacology in PDF only on Docsity!

CORRECT 2023

EndocrineDiabetes Pharmocology

1. The nurse is teaching a client 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? 1. Withdraws the NPH insulin first 2. Withdraws the regular insulin first 3. Injects air into NPH insulin vial first 4. Injects an amount of air equal to the desired dose of insulin into each vial 1.Withdraws the NPH insulin first

  1. 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?
    1. Freeze the insulin.
    2. Refrigerate the insulin.
    3. Store the insulin in a dark, dry place.
    4. Keep the insulin at room temperature. 2.Refrigerate the insulin.
  2. Glimepiride (Amaryl) is prescribed for a client with diabetes mellitus. The nurse instructs the client to avoid consuming which food while taking this medication?
    1. Alcohol

CORRECT 2023

  1. Organ meats
  2. Wholegrain cereals
  3. Carbonated beverages
  4. Alcohol
  5. Sildenafil (Viagra) is prescribed to treat a client with erectile dysfunction. The nurse reviews the client's medical record and should question the prescription if which data is noted in the client's history?
  6. Insomnia
  7. Neuralgia
  8. Use of nitroglycerin
  9. Use of multivitamins
  10. Use of nitroglycerin
  11. The health care provider (HCP) prescribes exenatide (Byetta) for a client with type 1 diabetes mellitus who takes insulin. The nurse should plan to take which most appropriate intervention?

CORRECT 2023

repaglinide (Prandin) and metformin (Glucophage) and asks the nurse to explain these medications. 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. Metformin increases hepatic glucose production to prevent hypoglycemia associated with repaglinide.
  6. Muscle pain is an expected effect of metformin and may be treated with acetaminophen (Tylenol). o 1. Diarrhea may occur secondary to the metformin. o 2. The repaglinide is not taken if a meal is skipped. o 3. The repaglinide is taken 30 minutes before eating. o 4. A simple sugar food item is carried and used to treat mild hypoglycemia episodes.
  7. The community health nurse visits a client at home. Prednisone, 10 mg orally daily, has been prescribed for the client and the nurse teaches the client about the

CORRECT 2023

medication. Which statement, if made by the client, indicates that further teaching is necessary?

  1. "I can take aspirin or my antihistamine if I need it."
  2. "I need to take the medication every day at the same time."
  3. "I need to avoid coffee, tea, cola, and chocolate in my diet."
  4. "If I gain more than 5 pounds a week, I will call my health care provider (HCP)."
  5. "I can take aspirin or my antihistamine if I need it." 9. A client with hyperthyroidism has been given methimazole (Tapazole). Which nursing considerations are associated with this medication? Select all that apply.
  6. Administer methimazole with food.
  7. Place the client on a lowcalorie, lowprotein diet.
  8. Assess the client for unexplained bruising or bleeding.
  9. Instruct the client to report side/adverse effects such as sore throat, fever, or headaches.
  10. Use special radioactive precautions when handling the client's urine for the first 24 hours following initial administration. o 1. Administer methimazole with food. o 3. Assess the client for unexplained bruising or bleeding. o 4. Instruct the client to report side/adverse effects such as sore throat, fever, or headaches. 10. The nurse is monitoring a client receiving levothyroxine sodium

CORRECT 2023

  1. On an empty stomach
  2. At bedtime with a snack
  3. On an empty stomach
  4. The nurse provides medication instructions to a client who is taking levothyroxine (Synthroid) and should tell the client to notify the health care provider (HCP) if which problem occurs?
  5. Fatigue
  6. Tremors
  7. Cold intolerance
  8. Excessively dry skin
  9. Tremors
  10. The nurse performs an admission assessment on a client who visits a health care clinic for the first time. The client tells the nurse that propylthiouracil (PTU) is taken daily. The nurse continues to collect data from the client, suspecting that the client has a history of which condition?
  11. Myxedema
  12. Graves' disease
  13. Addison's disease
  14. Cushing's syndrome
  15. Graves' disease
  16. The nurse is instructing a client regarding intranasal desmopressin (DDAVP). The nurse should tell the client that which

CORRECT 2023

occurrence is a side effect of the medication?

  1. Headache
  2. Vulval pain
  3. Runny nose
  4. Flushed skin
  5. Runny nose
  6. 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?
  7. At noon
  8. At bedtime
  9. Early morning
  10. Any time, at the same time, each day
  11. Early morning

CORRECT 2023

high."

  1. "It is for the times when your blood glucose is too low from too much insulin."
  2. "It will help prevent lipoatrophy from the multiple insulin injections over the years."
  3. "It is for the times when your blood glucose is too low from too much insulin."
  4. Levothyroxine (Synthroid) is prescribed for a client diagnosed with hypothyroidism. Upon review of the client's record, the nurse notes that the client is taking warfarin (Coumadin). Which modification to the plan of care should the nurse review with the client's health care provider?
  5. A decreased dosage of levothyroxine
  6. An increased dosage of levothyroxine
  7. A decreased dosage of warfarin sodium
  8. An increased dosage of warfarin sodium
  9. A decreased dosage of warfarin sodium
  10. A client received 20 units of Humulin N insulin subcutaneously at 08:00. At what time should the nurse plan to assess the client for a hypoglycemic reaction?

CORRECT 2023

  1. The nurse teaches a client newly diagnosed with type 1 diabetes about storing Humulin N insulin. Which statement indicates to the nurse that the client understood the discharge teaching?
    1. "I should keep the insulin in the cabinet during the day only."
    2. "I know I have to keep my insulin in the refrigerator at all times."
    3. "I can store the open insulin bottle in the kitchen cabinet for 1 month."
    4. "The best place for my insulin is on the window sill, but in the cupboard is just as good."
    5. "I can store the open insulin bottle in the kitchen cabinet for 1 month."
  2. Metformin (Glucophage) is prescribed for a client with type 2 diabetes mellitus. What is the most common side effect that the nurse should include in the client's teaching plan?
    1. Weight gain
    2. Hypoglycemia
    3. Flushing and palpitations
    4. Gastrointestinal disturbances
    5. Gastrointestinal disturbances

CORRECT 2023

  1. It stimulates the production of aldosterone.
  2. It decreases the production of the antidiuretic hormone.
  3. It increases water reabsorption.
  4. Growth hormone is prescribed for the client with pituitary dwarfism. Which statement is accurate related to the expected outcome of this medication?
  5. Growth begins in 4 to 5 years.
  6. Growth spurts will occur every 2 years.
  7. There will be an immediate increase in growth.
  8. An increase in height will begin in late adulthood.
  9. There will be an immediate increase in growth.
  10. Lispro insulin (Humalog) is prescribed for the client, and the client is instructed to administer the insulin before meals. When should the nurse instruct the client to administer the insulin?
  11. 45 minutes before eating
  12. 60 minutes before eating
  13. 90 minutes before eating
  14. Immediately before eating
  15. Immediately before eating
  16. The emergency department nurse is caring for a client admitted with diabetic ketoacidosis. The health care provider prescribes intravenous (IV) insulin. The nurse plans to prepare which type of insulin for the client?

CORRECT 2023

  1. Insulin glargine (Lantus)
  2. Regular humulin (Humulin R)
  3. Isophane insulin NPH (Humulin N)
  4. 50% human insulin isophane/50% human insulin (Humulin 50/50)
  5. Regular humulin (Humulin R)
  6. Metformin (Glucophage) is prescribed for a client with type 2 diabetes mellitus. The nurse should tell the client that which is the mostcommon side effect of the medication?
  7. Weight gain
  8. Hypoglycemia
  9. Flushing and palpitations
  10. Gastrointestinal (GI) disturbances
  11. Gastrointestinal (GI) disturbances
  12. The diabetes nurse specialist conducts a teaching session to a group of nursing students regarding sulfonylureas, oral hypoglycemic medications used for type 2

CORRECT 2023

distal tubules of the kidney.

  1. It enhances the reabsorption of sodium and chloride ions in the distal tubules of the kidney.
  2. The clinic nurse develops a plan of care for a client with emphysema who will be started on longterm corticosteroid therapy. Which specific instruction should the nurse include in the plan of care?
  3. Instruct the client to maintain a lowpotassium diet.
  4. Encourage the client to consume a fluid intake of 3000 mL/day.
  5. Encourage the client to increase the amounts of sodium intake in the diet.
  6. Instruct the client to return to the clinic for monitoring of blood glucose levels.
  7. Instruct the client to return to the clinic for monitoring of blood glucose levels.
  8. The health care provider has prescribed Humulin R insulin 6 units and Humulin N insulin 20 units subcutaneously to be administered every morning. How should the nurse prepare to administer insulin?
  9. Shaking the Humulin N insulin vial to distribute the suspension

CORRECT 2023

  1. Administering Humulin R and Humulin N insulin in separate syringes
  2. Drawing up the Humulin R first and then the Humulin N insulin in the same syringe
  3. Drawing up the Humulin N insulin first and then the Humulin R in the same syringe
  4. Drawing up the Humulin R first and then the Humulin N insulin in the same syringe
  5. A female client scheduled to undergo subtotal thyroidectomy is taking a potassium iodide solution (Lugol's solution). The client complains to the nurse that she experiences a brassy taste in her mouth when taking the medication. Which instruction should the nurse provide to the client?
  6. Dilute the medication in 8 ounces of water.
  7. Report the symptom to the health care provider (HCP).
  8. Continue to take the medication because the symptoms are normal.
  9. Take one half dose of the prescribed medication for the next 2 days.
  10. Report the symptom to the health care provider (HCP).
  11. The nurse is providing instructions to a client with a diagnosis of Addison's disease regarding the administration of prescribed glucocorticoids. The nurse should provide which instruction to the client?
  12. To stop the medication if side effects occur
  13. To avoid taking the medication if nausea occurs
  14. That minimal side effects will occur with use of this medication
  15. That an increased dose of medication may be needed during times of

CORRECT 2023

  1. A client with diabetes insipidus asks the nurse about the purpose of a new medication, vasopressin (Pitressin). The nurse explains that this medication works by which mechanism?
    1. Decreasing peristalsis
    2. Producing vasodilation
    3. Decreasing urinary output
    4. Inhibiting contraction of smooth muscle
    5. Decreasing urinary output
  2. A client with previously wellcontrolled diabetes mellitus has had fasting blood glucose levels ranging from 180 to 200 mg/dL. The client takes glyburide (Diabeta) 5 mg orally daily. In reviewing the client's medication list, the home health care nurse suspects that which newly added medications could be contributing to the elevated blood glucose levels?
    1. Prednisone
    2. Ranitidine (Zantac)
    3. Ciprofloxacin (Cipro)
    4. Cimetidine (Tagamet)
    5. Prednisone
  3. A client must learn how to mix Humulin R and Humulin N insulin in the same syringe. The nurse should include which teaching point in the instructions to the client?
    1. Keep both bottles in the refrigerator at all times.
    2. Take all of the air out of the bottle before mixing.
    3. Draw up the Humulin N insulin into the syringe first.

CORRECT 2023

  1. Rotate the Humulin N insulin bottle in the hands before mixing.
  2. Rotate the Humulin N insulin bottle in the hands before mixing. 41. A client with aldosteronism is being treated with spironolactone (Aldactone). Which finding indicates to the nurse that the medication is effective?
  3. A decrease in body metabolism
  4. A decrease in sodium excretion
  5. A decrease in potassium excretion
  6. A decrease in aldosterone production
  7. A decrease in aldosterone production
  8. The nurse in the health care clinic is reviewing the record of a client with diabetes mellitus who was just seen by the health care provider (HCP). The nurse notes that the HCP has prescribed metformin (Glucophage). What preexisting disorder, if noted in the client's record, would indicate a need to collaborate with the HCP before instructing the client to take the medication?