Endocrine
Complications/Side Effects
Nursing Assessments
Endocrine Medications
Anti-emetics
GI
100

These are the 3 P's of hyperglycemia?

What is polyuria, polydipsia, and polyphagia. 

100

What is thrush.

100

You will see this happen to the patient's insulin order when diagnosed with an infection? 

What is increase. 

100

A type 2 diabetic patient experiencing hypoglycemia would not be on this monotherapy? 

What is Metformin. 

100

Number 1 choice for motion sickness?

What is scopolamine. 

100

Docusate is this classification? 

What is Emollients. 

200
This A1C result is indicative of being diabetic?

What is 6.7% or higher. 

200

Your client complains of abdominal pain and distention. As the nurse you assessed the abdomen. The clients abdomen in hard to palpation and bowel sounds are hypoactive.  This could be a complication from what acid neutralizing medication? 

What is calcium carbonate? 

200

This medication should be administered on an empty stomach 1 hour before meals.  Usually continued for 4-8 weeks until resolution of peptic ulcer.

What is sucralfate?

200

Use this to treat hypoglycemia in the unconscious patient? 

What is glucagon. 

200

Ondansetron it this classification? 

What is a Serotonin Receptor Antagonist. 

200

This side effect will stop you from giving Magnesium Hydroxide? 

What is diarrhea. 

300

Patient's blood sugar is 60mg/dL, what should you do? 

What is give 15 grams of carbohydrates and recheck blood glucose in 15-20 min. 

300

Difficulty speaking, loss of balance, pill rolling, masklike face, shuffling gait, rigidity, and tremors.

What are EPS s/s?

300

A non-diabetic patient has a blood glucose of 180mg/dL, they are taking this medication?

What is glucocorticoid: prednisone, methylprednisolone.

300

Glipizide has this mechanism of action? 

What is stimulates the beta cells of the pancreas to secrete insulin. 

300

Name 3 non-pharmacologic interventions for nausea/vomiting?

What is ginger, crackers, dry toast, flat soda. 

300

Polyethylene Glycol has this mechanism of action? 

What is osmotic agent, drawing water into the lumen of the GI tract. 

400

This class of medication used to treat hypothyroidism should be taken 30-60 min before food or other drugs? 

What is Thyroid medication. (levothyroxine, Synthroid)

400

This medication is contraindicated for a client with a salicylate allergy.

What is Bismuth? 


400

Your client is prescribed calcium carbonate and pantoprazole for 0730, how should they take them?

What is spaced apart by 1-2 hours. 

400

This insulin has a peak effect of 3 hours? 

What is regular (short acting) insulin. 

400

Scopolamine is this classification? 

What is anticholinergic? 

400

Calcium Carbonate has this mechanism of action? 

What is neutralize HCl and decrease pepsin activity. 

500

Glucocorticoids when taken long term can cause these effects? 

What is hyperglycemia, osteoporosis, moon face, buffalo hump.  

500

Rhythmic movements of the face, mouth, & extremities along with lip smacking or puckering and puffing of cheeks.

What are Tardive Dyskinesia s/s?

500

Allergies should be checked carefully with this antidiabetic medication? 

What is sulfonylurea (Glipizide and Glyburide).

500

This is the onset and peak of Intermediate Insulin?

What is 2-4 hours and 4-10 hrs.  

500

Metoclopramide has this mechanism of action? 

What is suppresses dopamine receptors in the CTZ. 

Increases peristalsis, promoting gastric emptying. 

500

Pantoprazole is this classification? 

What is a proton pump inhibitor. (PPI)

600

Palpitations, diaphoresis, slurred speech, confusion, cold. 

What are signs of hypoglycemia. 

600

This medication used for relief of diarrhea should not be stopped abruptly due to risk of withdrawal symptoms.

What is diphenoxylate with atropine? 

600

Your patient received an anti-emetic medication 30 min ago, they are now experiencing restlessness, anxiety, and muscle spasms.

What is Extrapyramidal side effects.

What medication was given? 

600

Stimulates hepatic production of glucose from glycogen stores? 

What is glucagon.

600

Prochlorperazine have these side effects? 

What is anticholinergic effects. 

Can also cause extrapyramidal effects. 

600

The nurse should provide patient education on this when a patient is prescribed Methylcellulose? 

What is administering it (mixing) with at least 8 oz of water.  

700

This GLP-1 medication increases intracellular cAMP leading to insulin release when glucose is elevated? 

What is dulaglutide or Trulicity. 

700

Hyperthermia, muscle rigidity, altered consciousness, labile blood pressure, tachycardia, diaphoresis.

What are NMS s/s?

700

Assess a client taking this antiemetic medication for s/s of mental status change, agitation, tachycardia, dizziness, diaphoresis, tremor, rigidity.  

What is ondansetron? 

Serotonin Syndrome

700

A patient who has a history of hypothyroidism and diabetes type 2 is experiencing hyperglycemia, why? 

What is the combination of levothyroxine and metformin. 

700

Side effects of this pharm class include dystonia and parkinsonism? 

What is dopamine receptor antagonists. (Tardive dyskinesia) (Prochlorperazine)

700

Sucralfate has this mechanism of action? 

What is reacts with gastric acid to form a thick paste, which adheres to the ulcer surface. 

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