Classification
and Actions
and Actions
A client with diabetes is in the hospital. The client knows that they will potentially receive a dose of rapid-acting insulin based on the blood sugar reading taken right before each meal and at bedtime. The client asks the nurse how they will determine the dose of insulin to give?
What is the use of an insulin sliding scale?
A client reports understanding that corticosteroids are usually tapered down before stopping, but now that they are having increased stress in their life which is making their symptoms worse, they may have to....
What is be prescribed a higher dose temporarily?
A client is trying to increase their calcium level as it was found to be low during a routine blood test. The client knows that there is a certain vitamin that can help to improve the absorption of calcium but doesn't remember what that vitamin is
What is vitamin D?
A client who is newly diagnosed with Addison's disease reports that they will be on a hormone replacement program for a few weeks. The nurse realizes that additional patient teaching is necessary because...
What is a lifetime of treatment is required?
A client is in the hospital with a blood sugar in the 800's. The provider orders an IV insulin drip to help bring down the blood sugar levels slowly. The nurse knows the type of insulin that will be ordered and hung by the RN will have to be?
What is Regular insulin - the only type of insulin that can be given in the IV form?
Under the nurse's guidance, a parent is trying to teach their teenage child about a newly prescribed Salmeterol (LABA) inhaler. As part of the education, the parent explains both when it is appropriate and inappropriate to use the inhaler which includes
What is to use at the same time every day and not to use during an asthma attack as it is not a recue medication?
A diabetic client is being sent home with prescriptions for both a long-acting and a short-acting insulin. The client wants to know what is the difference between the two kinds of insulin
What is different onsets, peaks, and durations?
A client was diagnosed with Cushing disease. The client was informed that they will routinely have to have their liver enzymes: AST, ALT, and GGT monitored because of the medication started on. This medication is...
What is Ketoconazole (antifungal)?
A client having an acute asthma attack is started on an oral dose of Prednisone (corticosteroid). The client asks the nurse what actions of this medication will help the asthma symptoms?
What are the anti-inflammatory, anti-allergy, and anti-stress effects?
(Corticosteroids also have immunosuppressant effects)
A client was put on a medication to help prevent tissue rejection from a lung transplant. The client received patient teaching about possibly having some feelings of euphoria and/or rage/mood swings, some weight gain, an increased blood sugar, and that they need to take precautions against infections. The drug class of medication the client was put on was
What is a corticosteroid?
A client is told that they will have to start taking glipizide in addition to metformin. After receiving education on the two medications, the client knows that they must now watch out for a certain side effect that they didn't have to worry about while just on metformin. This side effect is...
What is hypoglycemia?
A client is wondering what the difference is between Cushing syndrome and Addison's disease. The client tells the nurse they have been given this information before but is hoping the nurse will go over it again. The nurse informs the client that the difference between the two is....
What is the overproduction of corticosteroid hormones vs the underproduction of hormones - cortisol and sometimes aldosterone?
An oral diabetes medication class that can be given to a client with type II diabetes, but not to a client with type I diabetes (specifically thinking about how type I differs from type II) is?
What is Glipizide (Sulfonylureas)?
Mechanism of action: lowers blood glucose by stimulating the release of insulin from the pancreas, which is dependent on functioning beta cells in the pancreatic islets.
Possibly Metformin (Biguanides)
MOA: Decreases hepatic glucose production.
Decreases intestinal glucose absorption.
Increases sensitivity to insulin.
The nurse just completed reinforcing patient teaching about Levothyroxine. They reinforced how the client should take this medication. The nurse knows the teaching was effective when the client teaches back that
What is: I need to take it on an empty stomach - at least 30-60 minutes before breakfast or 3-4 hours after eating dinner and that I cannot take at the same time as an antacid because I will not absorb enough of the medication?
A client diagnosed with osteoporosis and was started on Alendronate (Bisphosphonate). The client teaches back the adverse effects they should watch for which include....
What are esophagitis, dysphagia, esophageal ulcers/erosions, and severe musculoskeletal pain?
A nurse checks the client's blood sugar before giving a scheduled dose of Lispro insulin and finds that it is 50. The client reports feeling nauseated, looks diaphoretic, and is making some confused statements. The nurse knows to...
What is hold the insulin dose, provide an appropriate source of glucose, and call the provider?
A client was diagnosed with type II diabetes. The client reports that they went through Diabetic Education but would like to go over what the difference is between type I and type II. The nurse informs the client that...
What is that type I diabetes is a genetic disorder that often shows up early in life, and type II is largely diet-related and develops over time. In type I diabetes, the immune system is attacking and destroying the insulin-producing cells in your pancreas until they are no longer producing any insulin. In type II, the body doesn't respond to insulin as it should (insulin resistance).