NUR 521 Endocrine System

Which patient should NOT be prescribed alendronate (Fosamax) for osteoporosis? o A patient on bed rest who must maintain a supine position. o A female patient being treated for high blood pressure with an ACE inhibitor. o A patient on a calorie restricted diet. o A patient who is allergic to iodine/shellfish.

A patient on bed rest who must maintain a supine position.

Glimepiride (Amaryl) is prescribed for a client with diabetes mellitus. A nurse instructs the client to avoid which of the following while taking this medication? o Carbonated beverages o Organ meats o Alcohol o Whole-grain cereals

Alcohol

When oral contraceptives are prescribed for a client, the nurse should teach the client about the potential of developing: o Cervicitis o Fibrocystic disease o Breakthrough bleeding o Ovarian cysts

Breakthrough bleeding

Desmopressin acetate (DDAVP) is prescribed for the treatment of diabetes insipidus. The nurse administering the medication monitors the client for which therapeutic response? o Decreased peripheral edema o Decreased blood pressure o Decreased urinary output o Decreased blood glucose level.

Decreased urinary output

Mrs. Jones is c/o symptoms of "low blood glucose". You check her blood glucose level and it is 50 mg/dL. You bring her 4 ounces orange juice, only to find her to be very drowsy, having slurred speech, and disoriented. The best treatment for her hypoglycemia is: o Give her the juice that you have prepared o Give her ½ amp of D50W IV stat per protocol o Give her regular dose of insulin that is ordered o Watch her and recheck her blood glucose in 15 minutes

Give her 1/2 amp of D50W IV stat per protocol

A male client who had been prescribed sildenafil (Viagra) 2 weeks previously for erectile dysfunction, calls a urologic clinic to report that he takes his medication orally and waits for his erection to develop but nothing happens. When responding to the client's comment, which fact should form the basis for the nurse's response? o The drug is supposed to be inserted rectally and is not effective if taken orally. o In the absence of sexual stimuli, the drug will not cause an erection. o In clinical trials, the drug was only effective 20% of the time. o If taken with high-fat meal, the drug is ineffective.

In the absence of sexual stimuli, the drug will not cause an erection

A nurse administers desmopressin acetate (DDAVP) to a client with diabetes insipidus. To evaluate the effectiveness of the drug, the nurse should monitor the client's: o Pulse rate o Arterial blood pH o Intake and output o Serum glucose

Intake and output

Which of the following information should be included in a nurses teaching plan for client that has just been prescribed Octreotide acetate for acromegaly? o Monitor effectiveness by assessing for increased serum growth hormone levels o Need to monitor serum blood glucose & TSH levels o Teach oral dose timing o Usually a short term therapy

Need to monitor serum blood glucose & TSH levels

Oral hypoglycemic agents may be used for clients with: o Type 1 diabetes o Some insulin production o Ketosis o Obesity

Some insulin production

A patient is started on Riserdronate (Actonel) for her osteoporosis. 4 days later she complains of chest pain associated with swallowing. What may have prevented this? o Taking the medication with 6-8 ounces of water o Advising the patient to eat immediately after taking the medication o Asking the patient to take omeprazole (Prilosec) for heart burn o Nothing, this is a common side effect

Taking the medication with 6-8 ounces of water

Metformin is contraindicated in which patient? o Type 2 diabetic with open skin lesion o Type 2 diabetic with coronary artery disease o Type 2 diabetic with cirrhosis o Type 2 diabetic with chronic obstructive pulmonary disease

Type 2 diabetic with cirrhosis

A practitioner selects which of the following drugs to decrease the growth rate and shrink tissue in a patient with benign prosthetic hyperplasia by inhibiting Dihydrotestosterone formation: o Finasteride (Proscar) o Finasteride (Propecia) o Terazosin (Hytrin) o Tamsulosin (Flomax)

finasteride (Proscar)

Sildenafil (Viagra) is contraindicated for which patient? o 80 y/o male with diabetes mellitus o 63 y/o male with hyperlipidemia o 54 y/o male with hypertension o 73 y/o male with history of unstable angina

73 y/o male with history of unstable angina

The hormone that can be given in the exogenous (drug) form to decrease calcium concentration in the blood is____________; it inhibits_____________. o Calcitonin, bone resorption o Aldosterone; renal excretion o Parathyroid hormone, bone formation o Triiodothyronine, metabolism

Calcitonin; bone resorption

A menopausal woman with an intact uterus is taking a combined estrogen and progesterone replacement medication. Prempro 0.625 mg/2.5 mg, for severe hot flashes. Combined hormonal therapy is given because estrogen alone: o Would not be effective for hot flashes o Could be a risk factor for endometrial cancer o Could be a risk factor for ovarian cancer o Would not be sufficient to maintain libido

Could be a risk factor for endometrial cancer

A nurse performs an admission assessment on a client who visits a health care clinic for the first time. The client tells the nurse that propylthiouracil (PTU) is taken daily. The nurse continues to collect data from the client, suspecting that the client has a history of: o Myxedema o Cushing's syndrome o Addison's disease o Grave's disease

Grave's disease

The health care provider prescribes exenatide (Byetta) for a client with type 1 diabetes mellitus who takes insulin. The nurse plans to take which appropriate intervention? o Monitor the client for gastrointestinal side effects after administering the medication. o Hold the medication and call the health care provider, questioning the prescription for the client. o Withdraw the insulin from the prefilled pen into an insulin syringe to prepare for administration. o Administer the medication within 60 minutes before the morning and evening meals.

Hold the medication and call the health care provider, questioning the prescription for the client

Which of the following are indications for Testosterone (Androgen) pharmacotherapy? (Select all that apply) o Adult male testicular failure and erectile dysfunction o Benign Prostatic Hyperplasia o Prevention of Prostate Cancer o Male Hypogonadism o Postmenopausal women with inoperable Breast CA

o Adult male testicular failure and erectile dysfunction o Male hypogonadism o Postmenopausal women with inoperable breast CA

Patients taking somatropin should have which of the following monitored at follow up appointments on a routine basis due to assess for adverse effects of the drug therapy? (Select all that apply). o Height and weight o Thyroid Stimulating Hormone (TSH) level o Complete blood count (CBC) o Serum Glucose level o For joint or limb pain

o Height and weight o Thyroid stimulating hormone (TSH) level o Serum glucose level o For joint or limb pain

The nurse provides which medication instructions to a client who has been prescribed levothyroxine (Synthroid)? (Select all that apply) o Expect the pulse rate to be greater than 100 beats/min. o Notify the physician if chest pain occurs. o Take the medication at the same time every morning, separate from other medications. o Monitor your own pulse rate. o Take the medication on an empty stomach.

o Notify the physician if chest pain occurs o Take the medication at the same time every morning, separate from other medications o Monitor your own pulse rate o Take the medication on an empty stomach

Adverse effects of Calcitrol/Rocaltrol include: o rash, diarrhea, and bone pain o hypertonicity and diarrhea o weakness, headache, and dry mouth o blood dyscrasias

weakness, headache, and dry mouth