NURS 3110 Cumulative ATI/MyLab content- Questions only on the specific drugs she mentioned

A nurse is providing teaching to a client who is about to begin levothyroxine therapy to help hypothyroidism. Which of the following instruction should the nurse include?

Expect life long therapy with drug

A nurse is assessing a client who has a new prescription for levothyroxine. The nurse should identify which of the following findings as a contraindication for this drug?

Recent myocardial infarction

A nurse is teaching a client about self administering regular insulin. The nurse should instruct the client to rotate injection sites to prevent which of the following?

Lipohypertrophy

A nurse is caring for a client who is about to begin insulin glargine therapy. The nurse should identify the need for additional precautions because the client also takes which of the following types of drugs?

Beta blockers

Which of the following drugs should be a nurse have available for a client who is experiencing insulin toxicity?

Glucagon

A nurse is caring for a client who is taking combination oral contraceptive ethinyl estradiol and drospirenone and is about to begin taking rifampin to treat tuberculosis. Which of the following instructions should the nurse give the client due to a possible drug interaction?

"Use additional birth control methods"

A nurse is assessing a client who has a new prescription for the combination oral contraceptive ethinyl estradiol and drospirenone. Which of the following findings should the nurse identify as a contraindication to use of this medication?

Smokes half a pack of cigarettes a day

A nurse is teaching a client about albuterol. The nurse should instruct the client to monitor for and report which of the following as an adverse effect of this drug?

Palpitations

A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone/salmeterol via inhaler who asthma management. For which of the following reasons should the nurse instruct the client to use the albuterol inhaler before using the fluticasone inhaler

Albuterol will increase the absorption of fluticasone

Legal restrictions apply to the purchase of pseudoephedrine (Sudafed) because of which of the following risks?

Drug abuse

A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the following should the nurse include?

Restlessness, insomnia, anxiety

A nurse should recognize that using pseudoephedrine to treat allergic rhinitis requires cautious use with clients who have which of the following conditions?

Coronary Artery Disease

Which assessment findings would cause the nurse to withhold the patients regularly scheduled dose of levothyroxine?

Heart rate of 110 bpm

A nurse administers pramlintide and regular insulin at 0800 to a patient who has type 1 diabetes mellitus. At which times should the nurse expect pramlintide to exert peak action and increase the risk for hypoglycemia?

1100

A nurse is teaching a patient who has a prescription for pramlintide therapy to treat type 1 diabetes mellitus. What instructions should the nurse include?

Administer pramlinitide before meals.

Which gland makes insulin?

Pancreas

Which features vary among insulins?

Onset and duration

Which insulin would most likely be prescribed for a patient with T2DM?

Insulin glargine

What best describes the mechanism of action for glimeperide?

Stimulates the pancreas to release insulin

What is considered first line treatment for T1DM

Insulin

A patient receives NPH and regular insulin every morning. The nurse is verifying that the patient understands that there are two different peak times to be aware of. Why stress that?

The risk for hypoglycemia is greatest around peak of insulin activity

The patient is scheduled to receive 5 units of humalog and 25 units of NPH prior to breakfast. What nursing intervention is important?

Make sure breakfast is available to eat before administration

The nurse is initiating discharge teachings with the newly diagnosed patient with diabetes. Which statment indicates a need for teaching?

I must draw the NPH first if mixing it with regular insulin

What patient education is important for a patient with diabetes who is planning an exercise program?

Monitor blood glucose, eat a complex carb prior

A 63 year old patient with type 2 DM is admitted to the nursing unit with an infected foot ulcer...what is the most likely reason for elevated glucose levels?

It is a temporary condition related to stress

Which of the following best describes the mechanism of action for glimeperide? (sulfonylurea)

Stimulates the pancreas to release insulin

A nurse is teaching a patient who has a prescription for glipizide therapy to treat T2DM. What should the nurse instruct? (sulfonylurea)

Avoid drinking alcohol

A nurse is speaking with a patient who is taking glipizide to treat T2DM and has called to report feeling shaky, hungry, and fatigued. What action?

Perform fingerstick glucose check

A patient is interested in taking levonorgestral and estradiol, and asks how it is takne

Seasonique is taken for 84 days and then followed by 7 days of a lower dose contained in the same package

Which of the following is the rationale for oral contraceptives with variations in hormone dose throughout the cycle?

Prevention of breakthrough bleeding

Which thromboembolic risk is most likely related to combined oral contraceptive use?

Deep vein thrombosis

Which pharmacologic principal best explains drug-drug interactions with combined oral contraceptives and decreased effectiveness of oral progestin only contraceptives?

First pass metabolism

A patient taking combined oral contraceptives is about to begin rifampin for TB. What should the nurse instruct due to possible drug interaction?

Use additional birth control methods

Which of the following is associated with corticosteroid use?

Hypertension, diabetes, growth delay, asthma

What was thought to be an advantage of COX2 inhibitors vs aspirin or NSAIDS?

less risk of upper GI bleeding

What is a first line treatment for asthma?

Inhaled corticosteroids

A nurse is teaching about albuteral. What is an adverse effect?

Palpitations

A patient is receiving treatment for asthma with albuterol. While serious adverse effects are uncommon, what may occur?

Tachycardia, nervousness, headache

A client has a prescription for two inhalers, albuterol and beclomethasone. What is the proper instruction?

Use the albuterol inhaler, wait 5-10 minutes, and then use the beclomethasone one.

A patient with a prescription for montelukast returns after 3 days complaining... why suspect is the cause of failure?

The drug has not had sufficient time of use to have full effects.