oral diabetic medication
The nurse should instruct a client taking Metformin that this medication must be temporarily held for 48 hours after undergoing a medical scan that uses this specific diagnostic substance.
What is IV contrast dye?
If you give a patient Regular Insulin at 08:00, at what time is this patient at the absolute highest risk for a low blood sugar crash (hypoglycemia)?
A. 08:15
B. 09:00
C. 11:00
D. 15:00
c
This medication is the gold-standard synthetic hormone replacement used to treat hypothyroidism, and clients must take it first thing in the morning on an empty stomach.
What is Levothyroxine (Synthroid)?
This medication is the ultimate emergency weapon kept on nursing units to immediately reverse life-threatening respiratory depression caused by an opioid overdose.
What is Naloxone (Narcan)?
This exogenous growth hormone medication is prescribed to treat growth failure in pediatric clients, but it is strictly contraindicated once these skeletal structures have completely fused or closed.
What are growth plates?
Because they act like a heavy hand that constantly squeezes the pancreas to release insulin all day, this class of medications, which includes Glipizide, carries the highest risk of causing hypoglycemia.
What are Sulfonylureas?
If a nurse administers NPH insulin subcutaneously at 07:00, this is the specific time frame, in hours, when the nurse must monitor the client closest for a hypoglycemic crash.
What is 4 to 12 hours?
When a nurse is evaluating a client taking Levothyroxine, development of tachycardia, heat intolerance, tremors, and insomnia indicates that the dose is currently this.
What is too high?
Because opioids slow down the squeezing movement of the intestines, this specific gastrointestinal side effect is almost guaranteed, and patients do not build a tolerance to it.
What is constipation?
Outside of pediatric growth failure, Somatropin is also heavily utilized to treat severe wasting and cachexia in clients diagnosed with this specific chronic viral disease.
What is HIV/AIDS?
A nurse preparing to give Repaglinide notices the patient's breakfast tray has been delayed by the kitchen. The nurse should take this specific action regarding the morning dose.
What is hold the dose until the food arrives? (Or skip/delay the dose)
A client receives a dose of Insulin Glargine at 21:00. This is the hour of the day when the nurse expects this specific medication to reach its peak therapeutic effect.
Long-acting insulin has no peak
Clients prescribed the antithyroid medication Methimazole must be taught to immediately report a sore throat or fever due to the risk of this life-threatening blood disorder.
What is agranulocytosis
This central-acting pain medication is used for moderate-to-severe pain, but it carries a strict warning: it can cause dangerous seizures if a patient is also taking antidepressants like SSRIs.
What is Tramadol?
Because growth hormone naturally counteracts insulin, a nurse must carefully monitor a client's blood plasma for this specific metabolic adverse effect while they are taking Somatropin.
What is hyperglycemia
Medications in this specific class, such as Pioglitazone, work by opening up rusty cellular doors to decrease insulin resistance, but they are strictly contraindicated in clients with heart failure due to a side effect of fluid retention.
What are Thiazolidinediones? (or TZDs)
The nurse must ensure the patient's breakfast tray is physically in the room before administering this class of insulin, which begins working in just 15 minutes.
What is rapid-acting insulin?
This antithyroid medication is specifically preferred during the first trimester of pregnancy, and carries a black box warning for severe liver injury.
What is Propylthiouracil PTU
This synthetic opioid is heavily utilized in specialized clinic programs to treat patients recovering from severe opioid addiction due to its unique, prolonged half-life.
What is Methadone?
This antagonist pituitary drug acts as the ultimate "growth brake pedal" and is used to treat acromegaly (too much growth hormone), as well as severe, life-threatening diarrhea caused by carcinoid tumors.
What is Octreotide?
A nurse is teaching a client about Acarbose, an Alpha-Glucosidase inhibitor that blocks carbohydrate absorption in the gut. If this client experiences a low blood sugar crash at home, the nurse must instruct them to treat it using this specific sugar source instead of complex sugars.
What is pure glucose/dextrose?
A nurse administers 20 units of NPH insulin subcutaneously to a client at 08:00. At which time should the nurse ensure the client receives a snack to prevent a potential hypoglycemic episode?
A. 09:00
B. 10:00
C. 15:00 (3:00 PM)
D. 22:00 (10:00 PM)
C: 15:00 (3:00 PM)
To treat severe hyperthyroidism, a client may receive Radioactive Iodine (I-131). The nurse must instruct the client to avoid close contact with pregnant women and children for several days to prevent this.
What is radiation exposure? (Or emitting radiation onto others)
This is the absolute priority body system assessment a nurse must monitor when a patient is receiving strong narcotics like Morphine or Hydromorphone (Dilaudid).
What is the Respiratory system? (Or checking for respiratory depression)
When administering the growth hormone inhibitor Octreotide via IV, IM, or SubQ, the nurse must monitor the client's electrocardiogram (ECG) for this specific life-threatening electrical cardiac abnormality
What is a prolonged QT interval?