ATI RN
Quiz Endocrine Reproductive System & Respiratory Drugs Questions
Question 1 of 5
A patient taking an oral diuretic for about 6 months presents with elevated fasting and postprandial blood glucose levels. You check the patient's blood glucose level and find it is elevated compared with normal baseline values obtained 6 months ago. You suspect the glycemic problems are diureticinduced. Which of the following was the most likely cause?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A patient has been referred to you because of recent-onset ventricular ectopy, second degree AV nodal block, chromatopsia, and other extracardiac signs and symptoms of digoxin intoxication; He is treated with furosemide and digoxin for his heart failure. Blood tests show that serum digoxin levels are well within a normal range. We believe the problems are diuretic-induced. Which of the following does the diuretic most likely do to account for the digoxin toxicity?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
The nurse is teaching a group of patients about self-administration of insulin. What content is important to include?
Correct Answer: C
Rationale: It is important to inform patients that if they are prescribed two different types of insulin, they should be administered in separate injections. This is to ensure the effectiveness and stability of each type of insulin. Mixing different insulins in the same syringe can alter their properties and affect their efficacy. Therefore, it is crucial for patients to administer each insulin separately to avoid any issues with dosing or effectiveness.
Question 4 of 5
The nurse is teaching patients about self-injection of insulin. Which statement is true regarding injection sites?
Correct Answer: D
Rationale: It is important to rotate injection sites within the same location for about 1 week before rotating to a new location. This helps to prevent lipodystrophy, which is the breakdown of fatty tissue under the skin due to repeated injections in the same spot. By rotating sites within the same area, you can ensure consistent absorption of insulin and reduce the risk of developing lumps or dents in the skin. It is recommended to use all the different areas within one body part (such as the abdomen) before moving on to another location to maintain healthy tissue and optimal insulin absorption.
Question 5 of 5
When administering morning medications for a newly admitted patient, the nurse notes that the patient has an allergy to sulfa drugs. There is an order for the sulfonylurea glipizide (Glucotrol). Which action by the nurse is correct?
Correct Answer: B
Rationale: The nurse should hold the drug and verify the order with the prescriber because the patient has a documented allergy to sulfa drugs, and glipizide is a sulfonylurea, which has a similar chemical structure to sulfa drugs. While not all patients with a sulfa drug allergy will be allergic to sulfonylureas, it is important to err on the side of caution and confirm the safety of administering the medication with the prescriber. It is crucial to prevent a potentially severe allergic reaction in the patient.