Thyroid
Type I Diabetes
Insulin
Type II Diabetes
Oral Diabetes Medication
100
A patient tells the nurse in order for her insurance company to pay for prescription drugs, her insurance requires that she use a generic drug. Up to now, she has been taking brand name Synthroid. What should the nurse advise the patient to do?
What is discuss the change with the prescriber?
100
The patient is scheduled for a hemoglobin A1C laboratory test. How will the nurse explain to the patient what this test monitors?
What is the level of glucose over 3 months time.
100
Name an example of a rapid acting insulin
What is Novolog (Lispro), Aspart (Humalog), Apidra (Glulisine)
100
What drug classification (of antihypertensives) would alter a patient's ability to recognize the symptoms of hypoglycemia?
What are beta adrenergic blockers?
100
Comprehensive diabetic education that includes five main concepts.
What are diet, lifestyle modification, exercise, blood sugar testing, medication management?
200
The patient is receiving education on their new medication levothyroxine (Synthroid). How long will it be before the patient will see its full therapeutic benefits?
What is 1-3 weeks?
200
The patient is receiving insulin Glarine (Lantus) for his type I diabetes mellitus. How often should the nurse expect to administer this drug?
What is once a day? Levimir can be administered every 12 hours
200
Levimir is an example of what type of insulin?
What is long acting insulin
200
A 59-year old patient was recently started on an oral agent for his diabetes. He does not recall the name of the drug but shares with you that he has experienced weight loss and diarrhea.
What is Metformin?
200
This class of oral hypoglycemics stimulate pancreatic beta cells to secrete insulin, reduce glucose output from the liver by decreasing glycogenolysis and glyconeogenesis and lastly, increases insulin sensitivity at the cellular sites.
What is Sulfonylureas? First line- diabenese, orinase. Second line- Diabeta, Mircronase, Glucotrol, Amaryl
300
The patient has received instructions regarding administration of Synthroid. What important information is needed for the proper absorption of this medication?
What is take the drug 30 minutes before breakfast?
300
Diagnosis of Type I diabetes is frequently associated with what kind of weight change?
What is unexpected weight loss?
300
NPH is an example of what type of insulin?
What is an intermediate acting insulin?
300
The Rule of 15's teaches the patient to test the blood sugar, consume 1 carb choice (15grams), repeat the blood sugar in 15 minutes is the treatment for what type of glycemic reaction
What is hypoglycemia?
300
This class of medication decreases hepatic glucose production, decreases intestinal glucose absorption, increases tissue response to insulin, does NOT increase insulin secretion and can be used to treat polycystic ovary disease.
What is Biguanide type of oral hypolgycemic medications or Metformin?
400
A 70 year old resident of an assisted living facility has begun taking daily oral doses of levothyroxine (Synthroid). What nursing intervention should be done if the resident's apical heart rate is 100 beats per minute with a regular rhythm?
What is withhold a scheduled dose of levothyroxine?
400
A patient is admitted to the ER in Diabetic ketoacidosis. What type of insulin will be utilized for an IV insulin infusion?
What is Regular insulin?
400
Insulin pump therapy uses what kind of insulin?
What is short acting insulin?
400
The following assessments identify what potential diagnosis? Central obesity, >35 inches for female, >40 inches for male Serum Triglycerides > 150 HDL < 50 in females, < 40 in males BP > 130/85 Fasting blood sugar > 100
What is Metabolic Syndrome?
400
Meglitinides are short acting secretogogues, which stimulate secretion of insulin, absorbs rapidly (peaks in 1 hour), used for lowering postprandial glucose levels and is taken with meals, up to 30-60 minutes prior to the meal. Good choice for renal pts, due to minimal renal excretion.
What is Prandin and Starlix?
500
The following symptoms are found in a patient with what type of thyroid disease? weight loss, increased temperature, pulse, respiration and BP, heat intolerance, fine hair, thin nails, agitation, tremors, hyper-reflexia, insomnia?
What is HYPER thyroidism?
500
A patient received 25 units of NPH insulin at 0700. At what time of the day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction?
What is late afternoon? NPH is an intermediate acting insulin.
500
What insulin should not be held when a patient is vomiting or NPO?
What is Long acting insulin (Lantus or Levimir)?
500
The tool commonly used to assess neuropathy, especially in the feet.
What is monofilament?
500
Oral Hypoglycemic medication that has a black box warning; worsens CHF due to fluid retention and an increase risk of MI.
What is Thiaxolidinediones TZD's?
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