NCLEX-RN Endocrine, GI & Anticoagulants Flashcards

Select the correct classification and onset time for Lispro insulin:

A client presents with Diabetic Ketoacidosis (DKA). Which type of insulin does the nurse anticipate administering intravenously?

Arrange the steps for mixing NPH (cloudy) and Regular (clear) insulin in a single syringe:

What is the specific rule regarding mixing insulin glargine with other insulins?

Why must Metformin be withheld before a procedure involving IV contrast dye?

Which instruction should the nurse prioritize when teaching a client about taking levothyroxine?

What is the primary indication for methimazole?

Why must long-term corticosteroid therapy (e.g., Prednisone) be tapered rather than stopped abruptly?

Which laboratory value requires close monitoring for a client taking high-dose prednisone, even if they are not diabetic?

What condition is treated by Desmopressin (DDAVP)?

A client is prescribed omeprazole. When should the nurse instruct the client to take this medication?

How does sucralfate work, and when should it be administered relative to meals?

Which adverse effect should the nurse monitor for in a client receiving high doses of IV ondansetron?

What severe adverse effect associated with metoclopramide is characterized by lip smacking and puffing of cheeks?

Complete the mechanism of action for Lactulose in hepatic encephalopathy:

A client taking glipizide reports feeling shaky, sweaty, and anxious. What is the nurse's priority assessment?

Select the correct safety parameters for Metformin and contrast dye:

A conscious client has a blood glucose of 55 mg/dL. According to the 'Rule of 15,' what is the priority action?

What does the nurse teach the client regarding the storage of an opened vial of insulin currently in use?

Name one major systemic side effect of long-term corticosteroid therapy.

Why is Misoprostol contraindicated in clients who are pregnant?

What is the therapeutic reference range for aPTT in a client receiving a heparin infusion?

What is the specific antidote used to reverse the effects of heparin?

What is the typical therapeutic INR target range for a client prescribed warfarin for atrial fibrillation or DVT?

A nurse provides dietary teaching to a client starting warfarin. Which instruction regarding Vitamin K intake is correct?

What is the antidote for warfarin overdose or toxicity?

The nurse prepares to administer a prefilled enoxaparin syringe. Which action describes the correct technique?

What is a priority discharge teaching point regarding surgery for a client taking clopidogrel?

To be eligible for thrombolytic therapy with alteplase (tPA) for ischemic stroke, the medication must typically be administered within which timeframe?

Fill in the missing information regarding Filgrastim therapy:

A client with chronic kidney disease receives epoetin alfa. Which assessment finding requires immediate notification of the provider?

What is the priority nursing intervention if a client receiving oxytocin exhibits uterine tachysystole (>5 contractions in 10 min) with late decelerations?

The nurse assesses a client receiving terbutaline for preterm labor. Which finding indicates a serious adverse effect requiring potential discontinuation?

Distinguish the contraindications for postpartum hemorrhage medications:

What is a key advantage of rivaroxaban over warfarin for a client with atrial fibrillation?

Complete the criteria for Rho(D) immune globulin administration:

What is the primary therapeutic purpose of administering betamethasone to a client in preterm labor (24–34 weeks)?

The nurse reviews the chart of a client requesting induction of labor. For which history finding is misoprostol contraindicated?