Diabetes
This type of diabetes requires lifelong insulin therapy because the pancreas produces no insulin.
What is type 1 diabetes
The Nurse should inform the patient starting Synthroid that dose changes in this common inotropic medication may be necessary.
What is Digoxin?
An adrenal corticosteroid with potent mineralocorticoid and glucocorticoid effects
What is fludrocortisone?
A patient newly prescribed testosterone gel for testosterone replacement therapy may also require intervention to prevent this change in their lipid profile.
What is Hyperlipidemia?
This herb is used to improve short term memory loss and increase cerebral blood flow, but it may increase bleeding risk.
What is Ginkgo biloba
This type of insulin has an onset of action in less than 15 minutes and should be given with food.
What is Rapid-acting insulin
This class of drugs, including methimazole and propylthiouracil (PTU), inhibits thyroid hormone synthesis and is used to treat hyperthyroidism.
What are antithyroid medications?
Abrupt discontinuation of glucocorticoids may results in adrenal insufficiency if higher doses are being received. The appropriate withdrawal method is known as
Postmenopausal women are at risk for this disorder, related to the reduction of estrogen, characterized by decreased bone density.
What is osteoporosis?
Often used for its insulin-like effect, this supplement can enhance glucose uptake and may lower blood sugar in diabetic patients
What is ginseng
This oral antidiabetic drug increases insulin sensitivity and reduces hepatic glucose production, but must be held before contrast dye procedures.
What is metformin
The nurse should instruct a patient to take levothyroxine in this manner and at this time of day for optimal absorption.
What is in the morning on an empty stomach?
Effective for immunosuppression in the treatment of certain cancers, organ transplantation, and autoimmune diseases.
A woman taking oral contraceptives containing estrogen and progesterone should be educated to report this symptom immediately, as it may indicate a clot.
What is leg pain or swelling (or chest pain, or shortness of breath)?
This supplement is associated with serotonin syndrome when taken with other serotonergic medications and may cause photosensitivity.
What is St. Johns wort
List three signs or symptoms of hypoglycemia that a nurse must monitor for in a diabetic patient taking insulin.
What are shakiness, confusion, sweating, irritability, tachycardia ,or dizziness
When assessing a patient with hyperthyroidism, the nurse would expect this type of heart rate.
What is tachycardia?
A patient has been on high dose corticosteroid therapy for treatment of lupus. In addition to monitoring electrolyte levels, the nurse will also monitor which other lab?
What is blood glucose levels?
This type of hormone replacement therapy is commonly prescribed to postmenopausal women experiencing hot flashes.
What is estrogen replacement therapy?
Black cohosh is used for menopausal symptoms but should be avoided during which two trimesters of pregnancy due to its uterine relaxing effects?
What are the first and second trimesters?
A nurse is preparing to adminster 70/30 insulin at 0800. The nurse knows to monitor the patient most closely for signs of hypoglycemia during which time frame?
A: Between 0900 and 1000
B: Between 1100 and 1300
C: Between 1400 and 1800
D: Between 2000 and 2200
What is C: Between 1400 and 1800
70/30 insulin is intermediate-acting, with a peak effect around 6–8 hours after administration. Hypoglycemia is most likely to occur during the peak, which in this case is 2–6 PM for an 8 AM dose.
A nurse is teaching a client newly diagnosed with hypothyroidism about levothyroxine (Synthroid). Which statement by the client indicates a need for further teaching?
A. "I will take this medication first thing in the morning on an empty stomach.
" B. "I may not feel better right away—it could take several weeks.
" C. "I can stop taking the medication once my thyroid levels return to normal.
" D. "If I experience chest pain or a rapid heartbeat, I should call my provider."
What is C. "I can stop taking the medication once my thyroid levels return to normal”?
A patient with Type 1 diabetes has been prescribed a glucocorticoid for chronic obstructive pulmonary disease (COPD). What should the nurse expect in the treatment plan?
A. An increase in the need for carbohydrates.
B. An increase in the insulin needed.
C. An increase in the need of Vitamin A.
D. A decrease in the need of insulin.
What is B. An increase in the insulin needed.
Glucocorticoids induce hyperglycemia (high blood sugar), therefore the patient would need an increase in their insulin.
nurse is providing discharge teaching to a female client prescribed oral contraceptives. Which of the following statements by the client indicates a need for further teaching?
A. “I will take my pill at the same time every day.”
B. “If I miss a pill, I’ll refer to the instructions and use backup contraception if needed.”
C. “If I experience severe headache and blurred vision, I’ll wait to see if it goes away.”
D. “I know this medication may increase my risk of blood clots.”
What is C. “If I experience severe headache and blurred vision, I’ll wait to see if it goes away.”?
A patient with peripheral artery disease and type 2 diabetes reports using ginkgo biloba daily. Which of the following would be the priority nursing assessment?
A. Check for signs of constipation
B. Assess for increased appetite
C. Monitor for bleeding or bruising
D. Encourage increased fiber intake
What is C. Monitor for bleeding and bruising