Ph Final Test 3

Front 1

The nurse notes in a pts med history that the pt will be taking desmopressin. Based on this finding, the nurse interprets that the pt has which disorder?

Back 1

Diabetes insipidus

Front 2

A 16-year old boy who is taking growth hormone (somatropin) comes into the office because he has had an asthma attack during a race at school. Because of this new development, the nurse expects which intervention to occur next?

Back 2

The dosage may be adjusted

Front 3

When a pt is receiving vasopressin, which therapeutic responses would the nurse expect to see?

Back 3

c. Decreased urinary output

Front 4

A pituitary drug is prescribed for a pt with a hormone deficiency and the nurse provides instructions about the med. Which statement indicates further instruction?

Back 4

d. I am looking forward to a cure for my condition with hormone replacement

Front 5

During a teaching session for a pt on antithyroid drugs the nurse should discuss which dietary instructions?

Back 5

e. Avoiding foods containing iodine

Front 6

A pt has diagnosis of primary hypothyroidism. Which statement accurately describes problem

Back 6

f. The abnormality is thyroid gland

Front 7

The nurse is administering lispro (rapid actin) insulin and shuld keep in mind insulin will start to have effect in

Back 7

g. 15 min

Front 8

When teaching about hypoglycemia the nurse should make sure that pt aware of hypoglycemis including

Back 8

h. Irritability/confusion

Front 9

Nurse teaching group of pt about self-admin of insulin. What teaching important to include

Back 9

i. When mixing clear drawn first

Front 10

75 yo with type 2 diabetes put on glyburide a sulfonylurea drug 10mg daily. She asks nurse best time would be to take med. Best response

Back 10

j. Take in morning 30 min before breakfast

Front 11

Pt who has type 2 diabetes scheduled for colonoscopy and NPO since midnight. Concerned because her med are held. Best action regarding administration

Back 11

k. Withhold all meds as ordered

Front 12

Nurse reviewing instruction for pt with tyoe 2 who givers herself insulin. Nurse asks what to do if blood glucose is 47. Which response correct?

Back 12

l. I will take oral form of glucose

Front 13

Nurse administering rapid acting insulin. Which true

Back 13

m. Should be given within 15 min of beginning a meal

Front 14

2. After starting type 2 treatment 6 mo earlier a pt in office for follow up. Which lab test will reflect pt adherence to antidiabetic therapy over past mo

Back 14

a. Hemoglobin A1C level

Front 15

A pt in ER showing signs of hypoglycemia and has afingerstick level 34. He becomes unconscious. First action is

Back 15

b. Give IV glucose

Front 16

Nurse preparing to administer insulin IV. True statement

Back 16

c. Only regular insulin given IV

Front 17

Pt with history of chronic obstructive pulmonary disease and type 2 diabetes treated for pneumonia. Receiving IV corticosteroids and antibiotics for therapy. Pneumonia resolved but gluscose still elevated and needs sliding scale insulin. Best explanation for elevation

Back 17

d. Corticosteroids may cause increase in glucose levels

Front 18

Nurse knows to administer acarbose (precose) an alpha glucosidase inhibitor at which time

Back 18

e. With first bite of each main meal

Front 19

48 yo diagnosed with type 2 diabetes and starts metformin(Glucophage) a biguanide. Purpose of me is

Back 19

f. Decrease insulin resistance

Front 20

When administering morning meds nurse notes pt has allergy to sulfa drugs. Order for sulfonylurea glipizied (glucatrol). Best action

Back 20

g. Hold drug an check order with prescriber

Front 21

Nurse reviewing pt med list and notes incretin mimetic sitaglipin (Januvia) nurse should question additional order for which drug class

Back 21

h. insulin

Front 22

Insulin order reads check blood glucose levels before meals/at bedtime. For every 5 ovr 150 give one unit humulin insulin subcu. Pt level at 11:3- before lunch is 2103. How much insulin

Back 22

i. 10

Front 23

When starting drug therapy with corticosteroids nurse is aware some drug classes have adverse interactions with corticosteroids such as

Back 23

j. Nonsteroidal anti-inflammatory drugs

Front 24

Pt concerned about body changes that have resulted from long term prednisone therapy for treatment of lupus. Which effect supports diagnosis disturbed body image

Back 24

k. Weight gain

Front 25

Pt taking fludrocortisone for addisons disease and wife concerned about problems with therapy. Which teaching information should be included

Back 25

l. Should be taken with food or milk to minimize gastrointestinal upset

Front 26

Pt receiving aminoglutethimide (cytadren) in adrenal steroid inhibitor therapy. Nurse knows this med used for

Back 26

m. Chushings syndrome

Front 27

3. When monitoring pt taking systemically administered glucocorticoid nurse monitors signs of

Back 27

a. hypoglycemia

Front 28

4. Pt on long term corticosteroid therapy had surgery to correct abdominal hernia. Nurse keeps in mind which effect of this med may have impact on recovery

Back 28

a. Delayed wound healing

Front 29

Pt admitted or exacerbation of chronic obstructive pulmonary disease and receiving methylprednisolone (solu-medrol) 30mg IV q4h. med available in 40mg/ml vials. How many ml drawn up

Back 29

b. 0.75

Front 30

Nurse sees pt taking tocolytic drugs terbutaline (brethine). Drug ordered for

Back 30

c. Prevention of preterm labor in the 22nd week of pregnancy

Front 31

Female ptwho lived in NYC preparing for trip to ustralia. Taking SERM raloxifene (Evista) which instructions given

Back 31

d. She shold stop taking the drug at least 72 hours before trip

Front 32

Pt taking bisphosphonate alendronate (Fosamax) instructed to lie flat 2 days after surgery. Which intervention is appropriate

Back 32

e. She should not take alendronate until she can sit up for 3 min

Front 33

While discussing osteoporosis prevention pt asks if she is using estrogen patched. Best response

Back 33

f. Estrogen patches are associated with a high risk for cardiovascular problems and are not the first choice to osteoporosis prevention

Front 34

Nurse preparing to administer contraceptive form of medroxyprogesterone (Depo-provera) what route

Back 34

g. intramuscular

Front 35

When couples treated for infertility with ovulation inducing drugs, nurse includes instruction about likliehood of

Back 35

h. Multiple births

Front 36

Nurse reviewing med list of pt starting androgen therapy. Which drug class has interaction witht hem

Back 36

i. Oral anticoagulants

Front 37

63yo male scheduled for physical tells nurse wants vitamin formula that includes saw palmetto for prostate health. Best response

Back 37

j. The doctor will need to draw some blood and do digital rectal exam

Front 38

Which questions should nurse ask prior to admin of sildenafil (Viagra)

Back 38

k. Are you currently taking meds for angina

Front 39

Thyroid replacement indicated for treatment of

Back 39

l. Myxedema

Front 40

Assessing pt knowledge of thyroid replacement whould show good understanding if pt said

Back 40

m. I should call if I experience unusual sweating, weight gain, or chill sand fever

Front 41

Pharmacologic management of diabetes aimed at

Back 41

n. Tightly regulating blood sugar levels

Front 42

Insulin available in suspension or tother forms differ in their

Back 42

o. Onset, peak, and duration of action

Front 43

Treatment of diabetes may include replacement therapy with insulin

Back 43

p. True

Front 44

Treatment of diabetes may include control of glucose absorption through GI tract

Back 44

q. True

Front 45

Treatment of diabetes may include drugs that stimulate insulin release or increase sensitivity of insulin receptor sites

Back 45

r. True

Front 46

Treatmen of diabetes may include surgical clearing of capillary basement membranes

Back 46

s. False

Front 47

Treatment of diabeted may include slowing of gastric emptying

Back 47

t. True

Front 48

Treatment of diabetes may include diet/exercise

Back 48

u. True

Front 49

Teaching effectiveness related to oral contraceptives demonstrated by pt statement “if I take antibiotic while on pill I should take double pills on days not using antibiotic

Back 49

v. False

Front 50

Teaching effectiveness related to oral contraceptives demonstrated by pt statement “I shouldn’t smoke for first month to be sure I don’t react to pills

Back 50

w. False

Front 51

Nurse preparing insulin for subcu admin. Which correct

Back 51

b. Always have another licensed nurse check insulin drawn into the syringe before administration

Front 52

Hihghestpriorotity intervention associated with adverse effects of insulin related to need to monitor client receiving insulin for

Back 52

c. hypoglycemia

Front 53

Nurse reviewing history of pt taking amylin mimetic drug Pramlinitide (symlin) which condition contraindicated

Back 53

d. gastroparesis

Front 54

Nurse administering octreotide (sandostatin) to pt with metastic carcinoid tumor. Pt asks purpose of drug. Best response

Back 54

e. This drug helps to control the flushing and diarrhea you are experiencing

Front 55

Most commonly prescribed synthetic thyroid hormone

Back 55

f. levothyroxine

Front 56

Drug used to treat hyperthyroidism

Back 56

g. PTU

Front 57

Type of hyperthyroidism results from insufficient secretion of TSH from pituitary gland

Back 57

h. secondary

Front 58

Type hyperthyroidism due to dysfunction within thyroid gland

Back 58

i. primary

Front 59

Pt beginning levothyroxine (synthyroid) asks when med will start working

Back 59

j. Within a few weeks

Front 60

Important to take thyroid preparations same time

Back 60

k. true

Front 61

After thyroidectomy for thyroid tumor, lifelong thyroid hormone replacement needed

Back 61

l. true

Front 62

38 yo c/o no apetie but weight increase of 15lbs in last mo. Hair thin skin dull. Lab work reveals elevated TSH. Diagnosis may be

Back 62

m. Hypothyroid state

Front 63

When administering insulin, nurse must keep in mind most serious adverse effect is

Back 63

n. hypoglycemia

Front 64

Pt placed on insulin drip to control high blood glucose levels. Nurse knows only type insulin given IV is

Back 64

o. regular

Front 65

50 yo man taking prednisone (deltasone) after reaction to poison ivy. Doage decreases. During follow up he asks why he continues med and cant stop taking now that rash gone. Best response

Back 65

b. Sudden discontinuation of the medication may result in adrenal insufficiency

Front 66

Because corticosteroids cause sodium retention, nurse closely monitors pt with which condition

Back 66

c. Heart failure

Front 67

When combination oral contraceptives given to provide postcoital emergency contraception, nurse remembers

Back 67

d. They are not effective for a woman who is already pregnant

Front 68

Pregnant woman experiencing contractions. nurse remembers drugs such as terbutaline, a beta adrenergic/uterine relaxant used to prevent contraction during which timeframe

Back 68

e. Between 20th and 37th weeks

Front 69

Pt taking finasteride (proscar) a 5 alpha reductase inhibitor for treatment of benign prostatic hyperplasia. Wife is 3 mo pregnant and worries about adverse effects that may occur. Statement important

Back 69

f. This medication should not even be handled by pregnant women because it may harm the fetus