Endocrine Pharma

Front 1

To convert Lbs. to Kg:

Back 1

# of Lbs. divided by 2.2

Front 2

Pt with coronary artery disease (CAD) and hypertension (HTN) is taking vasopressin (Pitressin) for diabetes insipidus (DI). The nurse should monitor for:

Back 2

Fluid overload and elevated BP

Front 3

If taking levothyroxine (Levoxyl) for hypothyroidism, with a history of cardiovascular disease, report:

Back 3

Chest pain

*Levothyroxine increases the metabolic rate resulting in increased demand on the heart. (S/E: diarrhea, insomnia

Front 4

If taking demeclocycline (Declomycin) for syndrome of inappropriate antidiuretic hormone (SIADH)

Back 4

Expect increased urinary output.
Report cardiac signs/symptoms immediately. Pericarditis is a side effect of the drug

Front 5

If taking demeclocycline (Declomycin) along with digoxin (Lanoxin), assess this client for:

Back 5

Cardiac rate <60 beats/min

Front 6

Associate levothyroxine with

Back 6

increased oxygen demand/consumption

Front 7

Associate DI with

Back 7

with dehydration and the remedy [vasopressin (Pitressin)] with risk of overhydration. Link the risk of fluid overload to the client with hypertension and CAD.

Front 8

For a preoperative client with pheochromocytoma, administer:

Back 8

Phenoxybenzamine (Dibenzyline) (alpha-adrenergic agent) 10 mg BID PO at 4-day intervals to control the hypertension accompanying pheochromocytoma

Front 9

An antithyroid agent used to treat hyperthyroidism (Grave's disease)

Back 9

Propylthiouracil (PTU)
It decreases the vascularity and size of thyroid prior to a thyroidectomy

Front 10

A client with Graves' disease (hyperthyroidism) will be given:

Back 10

propylthiouracil (PTU)

Front 11

Associate propylthiouracil (PTU) with

Back 11

Destruction of the thyroid. This decreases the risk of hemorrhage during the surgical procedure

Front 12

After a client develops signs of a "thyroid storm"...

*Associate client responses with an abnormally high metabolic rate

Back 12

1. Administer propranolol (Inderal) 3 mg IV
2. Monitor cardiac rate
3. Administer IV fluids as ordered
4. Administer antipyretic such as Tylenol

Front 13

When providing care for a client with hypoparathyroidism, aim to:

Back 13

Correct hypocalcemia

Front 14

The parathyroid gland is directly associated with

Back 14

circulating calcium levels

Front 15

Associate Pioglitazone (Actos) with

Back 15

the potential risk of reduced liver function.

Front 16

Pioglitazone (Actos) is a

Back 16

thiazolidinedione antidiabetic agent

enhances insulin action, promotes glucose utilization in peripheral tissues, improves sensitivity to insulin in muscle and fat tissue, and inhibits glucogenesis.

Front 17

If you have DM1 and are taking fludrocortisone (Florinef acetate) for adrenal insufficiency

Back 17

Serum potassium levels need to be monitored

Front 18

Insulin and fludrocortisone (Florinef acetate)

Back 18

may decrease serum potassium levels

Front 19

For a client with type 2 diabetes mellitus reporting nausea, vomiting and flu-like symptoms, if the blood glucose is >240 mg/dL

Back 19

test the urine for ketones

Front 20

For a client with type 2 diabetes mellitus reporting nausea, vomiting and flu-like symptoms

Back 20

the glucose should be checked q4-6 hours until the illness ends

Front 21

Thyroid hormones effects on anticoagulants:

Back 21

increase the effects of anticoagulants

*Check results of Prothrombin time (PT) or international normalized ratio (INR)

Front 22

Associate thyroid hormone replacement with

Back 22

enhancement of sodium warfarin therapy

Front 23

Hypercalcemia, hypomagnesemia, and digitalis toxicity may result when

Back 23

Calcium supplements interact with digoxin. Clients must be instructed to take these two drugs at separate times of the day.

Front 24

If taking calcium supplements for osteoporosis as well as digoxin (Lanoxin) monitor for

Back 24

Digoxin toxicity as the result of drug interaction

Front 25

risedronate sodium (Actonel) is contraindicated in clients with

Back 25

severe renal impairment

IE blood urea nitrogen (BUN) of 56 mg/dL

Front 26

Middle-aged smokers taking HRT are more likely to

Back 26

develop heart disease or experience a stroke.

Front 27

Smoking has a direct relationship with

Back 27

coronary heart disease in clients over age 60 years taking HRT.

Front 28

In a client with diabetes mellitus, moderate to high alcohol consumption without food may

Back 28

rapidly lower their blood glucose level

Front 29

Because chlorpropamide (Novo-Propamide), an oral antidiabetic, has a half-life of 36 hours

Back 29

clients using this drug are most likely to experience hypoglycemia because of the long half-life

Front 30

dexamethasone acetate (Decadron) is

Back 30

glucocorticoid hormone replacement with a rapid onset of action and a peak of 1-2 hrs

Front 31

For a client with adrenal gland hypofunction experiencing an adrenal crisis

Back 31

Administer dexamethasone acetate (Decadron) 1 mg/kg IV as a single dose

*rapid onset of action

Front 32

Duloxetine HCL (Cymbalta) an antidepressant drug by category, has been specifically approved for the treatment of

Back 32

diabetic neuropathy

Front 33

NSG diagnoses for 12-year-old diagnosed with a deficiency of growth hormone who needs drug replacement

Back 33

Disturbed body image

Front 34

Because DI is caused by a deficient level of antidiuretic hormone (ADH), _______________ is prescribed to improve the deficit.

Back 34

desmopressin (ADH)

Front 35

A client using desmopressin (DDAVP) for diabetes insipidus (DI) exhibits disorientation and behavioral changes as well as +3 pedal edema. What do?

Back 35

Measure vital signs and weigh the client. Dosage may need to be decreased.

Front 36

Teaching for a client recently diagnosed with Graves' disease is taking propylthiouracil (PTU)

Back 36

Ease of bruising, generalized jaundice

Front 37

Why vitamin D is prescribed for a malnourished client

Back 37

Vitamin D aids in the regulation of calcium and phosphorus

*Vitamin D is actually a steroid hormone rather than a vitamin

Front 38

Teaching for a client with Paget's disease is taking etidronate disodium (Didronel)

Back 38

"You will take the drug for 6 months, and then be off it for 6 months." (Because of the risk of pathologic fractures)

Front 39

Why is glipizide (Glucotrol XL) was prescribed to treat type 2 diabetes mellitus?

Back 39

It stimulates the pancreas to release insulin.

Front 40

Hyperventilation is a sign/symptom of

Back 40

hypoglycemia

Front 41

Because CNS has an affinity for glucose, early signs of hypoglycemia and lactic acidosis include:

Back 41

hyperventilation, diaphoresis, nervousness, tachycardia and somnolence.

PT should learn to recognize these signs in order to check blood glucose levels and take corrective action

Front 42

For a client with DM1 scheduled for (ALT) and (AST) labs

Back 42

Insulin injections will be held 12 hours before blood is drawn

*outcomes of liver function tests will be more accurate

Front 43

Sick day management related to diabetes:

Contact the health care provider regarding insulin dosage for a blood glucose level of:

Back 43

250 mg/dL

*risk of diabetic ketoacidosis