Unit 9 (Immune System) and Unit 10 (Endocrine System) Review

When giving chemo, RN keeps in mind that these drugs include which general adverse effects? SATA.

The duration of action for insulin glargine is:

Transporting glucose across the cell membrane into the cell is the primary goal of what?

Stimulating active immunity to a pathogen is the purpose of:

Pt in the ED was showing s/s of hypoglycemia, has a glucose level of 38 mg/dL, & is unconscious. RN will anticipate....

What type of immunity occurs when antibodies pass from mother to infant during breastfeeding or through the placenta?

Why do we ask a pt when they last had a tetanus shot when they break their skin?

When teaching a patient who is starting metformin, which instruction by the nurse is correct?

Pt who has T2DM has an endoscopy & has been NPO since 0000. What is the best action by RN regarding morning meds?

RN is teaching infection-prevention w/ a pt receiving chemo. Which statement indicates the need for further education?

Pt is taking a sulfonylurea med for T2DM. When reviewing potential adverse effects, RN will include which info? SATA.

Before giving a flu vaccine, it is imperative that you ask the patient their:

Which substances contain microorganisms that trigger the formation of antibodies against specific pathogens?

Why is metformin the first choice for T2DM treatment?B

If a patient's s/s of hypothyroidism persist, even though she's being treated with meds, what might cause this?

RN is admin insulin lispro & will keep in mind that this insulin will start to have an effect within which time frame?

Pt who has been on long-term corticosteroids had sx. Which potential effect may have the most impact on pt's recovery?

WHen monitoring a patient who is taking corticosteroids, the nurse observes for which adverse effects? SATA.

RN is providing education about care after the chemo. Which statements are appropriate for the pt getting chemo? SATA.

When is the best time of day to take hypothyroid medication?

RN asks the pt, “What should you do if your fasting blood glucose is 44 mg/dL?” Which response by the pt is correct?

Pt is beginning levothyroxine, asks RN when the med will start working. RN tells the patient....

RN is monitoring a pt w/ severe bone marrow suppression. Which is considered a principal early sign of infection?

RN providing education for pt's on immunosupressants. RN will include which information? SATA.

The nurse is teaching a group of patients about management of diabetes. Which statement about basal dosing is correct?

Why do we need to get a flu vaccine each year?

Pt taking PTU for hyperthyroidism asks RN when the med will start working. What is RN best answer?

Pt has been taking corticosteriods and has a "moon face" and facial redness. Which of these is an appropriate nursing dx

A dose of long acting insulin has been ordered at bedtime. RN expects to give which type of insulin?

RN is developing a plan of care for a pt who is exp anorexia & nausea after chemo. What is an appropriate outcome?

During a teaching session for a patient on antithyroid drugs, the nurse will discuss which dietary instructions?

Starting T2DM tx 6 months ago, RN monitors which lab to evaluate the pt’s adherence to med therapy over the past months?

Epoetin Alfa would be prescribed to a patient when they develop:

Which is true about chemotherapy?

The nurse knows to administer acarbose, an alpha-glucosidase inhibitor, at which time?

RN is preparing to administer insulin IV. Which statement about the administration of intravenous insulin is true?

Pt is taking prednisone for 2 weeks and wants to stop. RN explains that he must slowly decrease his dosage, why?

What primarily differentiates insulins?

A patient who is taking PTU for hyperthyroidism wants to know how this medicine works. RN explains that PTU works by...

Pt was started levothyroxine. After 1 week, she reports that she does not feel better. Which response is correct?

If a patient is taking a medication to increase their white blood cell levels, you would expect the pt to be prescribed:

Teaching a pt taking an antithyroid medication will include the need to avoid which of these foods?

1 pt has bone CA; 2nd has connective tissue CA; 3rd has vascular tissues CA. What is the correct term for these tumors?

The nurse is teaching patients about self-injection of insulin. Which statement is true regarding injection sites?

Pt is concerned about the body changes from long-term prednisone therapy. Which expected effect would cause a change?

Pt w/ lymphoma, has an allergy to one of her chemo. RN expects the oncologist to follow which course of treatment?

Common side effects of chemo include: SATA.

If a patient is hypoglycemic, the nurse prepares to administer.... SATA.

Which action is most appropriate regarding the nurse’s administration of a rapid-acting insulin to a hospitalized pt?

The lowest WBC count measured after the count has been depressed by chemotherapy.

Which information needs to be included in the RN's teaching of pt's taking thyroid medications? SATA.

Which antidiabetic drug do you need to stop or hold 72 hours around IV contrast dye?

Which is a major risk factor for developing type 2 diabetes mellitus?

Pt is informed they need a "booster" shot, after receiving the full 3 shot Hep B series. RN replies....

19 y/o F dx w/ hypothyroidism & has started levothyroxine. After 6 months, she wants to stop the meds. What does RN say?

What are important things to teach patients on chemo drugs? SATA.

Corticosteroids may cause sodium retention, RN should monitor for which condition when administering corticosteroids?

Pt is to given an insulin drip for high blood sugar levels. RN knows that which type of insulin would be used for IV?

What is the nurse’s priority action if extravasation of an antineoplastic drug occurs during IV administration?

Pt has thrombocytopenia after chemo. Which s/s should the RN look for? SATA.

Pt has been receiving IV corticosteroids for PNA. Pt's glucose level is elevated. What is the best explanation?

Pt wil be taking cyclosporine after transplant sx. Which of these are potential adverse effects of cyclosporine? SATA.

When admin insulin, RN must keep in mind that which is the most immediate and serious adverse effect of insulin?

How many doses are in the Hepatitis B vaccine series?

When teaching about hypoglycemia, RN will teach pt is aware of the early signs of hypoglycemia, including the following?

RN is evaluating the labs of a pt on chemo. The loss of which blood cell leads to lack of energy, fatigue, & hypoxemia?

Pt is receiving chemo & knows that stomatitis is a potential adverse effect. What will RN teach her about managing this?

If extravasation occurs, what will the nurse do first?

Who would we administer cyclosporine to?

During chemo, the nurse will monitor the patet for which symptoms of stomatitis?

3 cardinal symptoms of diabetes include: SATA.

During tx of a pt who has breast CA, RN hears MD mention that the pt has reached the “nadir.” RN knows this term means?

Pt wants to switch brands of levothyroxine, what is the RN's best response?

While montoring a pt receiving insulin, the RN observes for which signs of hypoglycemia?

Which does not cause lipodystrophy?