Pharm Exam 2
A patient with Type 2 Diabetes is started on the medication Glyburide. Which of the following statements by the patient causes concern?
"I will consume no more than 8 oz. of alcohol per week."
The client diagnosed with hyperthyroidism is prescribed propylthiouracil. Which intervention should the nurse implement? Select all the Apply.
- Monitor the client's vital signs. - Monitor the client's thyroid function test - Monitor the client for activity intolerance - Monitor the client for severe gastrointestinal distress.
In the administration of a drug such as levothyroxine (Synthroid), the nurse must teach the client: (Select all that apply)
- Report weight loss, anxiety, insomnia, and palpitations. - Therapy could take three weeks or longer to reach therapeutic levels - Periodic lab test for T3, T4, and TSH are required
The client diagnosed with hypothyroidism is prescribed levothyroxine (Synthroid). Which assessment data supports the client needs to take more medication? Select all that Apply
- The client complains of being too cold - The client has exophthalmos
A patient is scheduled to be administered 7 units of Humulin Regular insulin at 0830. When do you expect this medication to peak?
1030 (10:30 am)
A patient is scheduled to take 10 units of Humulin NPH at 1100. When is the patient most susceptible for hypoglycemia?
1700 (5pm)
A client with type 1 DM has a fingerstick glucose level of 258mg/dl at bedtime. An order for sliding scale insulin exists. The nurse should:
Administer the insulin as ordered
Which of the following best describes the mechanism of action of medications, such as ranitidine (Zantac), which are used in the treatment of peptic ulcer disease?
Antagonizes histamine-2 receptors
The client diagnosed with COPD is prescribed the intravenous medication methylprednisolone (Solu-Medrol), which is in the same family as hydrocortisone. Which laboratory test should the nurse monitor?
Blood Glucose
The nurse administered 12 units of Lispro insulin to the patient with Type 1 Diabetes at 0700. Which meal prevents the client from experiencing hypoglycemia?
Breakfast
Which complication should the nurse assess for in the elderly client newly diagnosed with hypothyroidism who has been prescribed levothyroxine (Synthroid):
Cardiac dysrhythmias
A patient is scheduled to take 5 units of Humulin R and 10 units of NPH. What is the proper way of mixing these insulins?
Draw-up the Humulin R insulin first and then the NPH insulin
The client with Type 2 Diabetes is admitted into the medical department with a wound on the left leg that will not heal. The healthcare provider prescribes sliding-scale insulin. The client tells the nurse, "I don't want to have to take shots. I take pills at home." What statement is the nurse's best response?
During an illness, you may need to take insulin to help keep your blood glucose level within a more therapeutic range.
The nurse administered 25 units of Humulin N (NPH) to a client with Type 1 Diabetes at 1600 (4:00pm). Which intervention should the nurse implement?
Ensure the client eats the nighttime (HS) snack
A patient has a blood glucose of 45 and is sweating, cold, and clammy. The patient is conscious. What is your next nursing intervention?
Give the patient 15 grams of carbohydrates to eat
Which of the following insulins can be administered intravenously?
Humulin Insulin
A patient has a blood glucose of 400. Which of the following medications could be the cause of this?
Hydrocortisone
The client diagnosed with hyperthyroidism is prescribed propylthiouracil (PTU). Which statement by the client warrants immediate intervention by the nurse?
I have had chills, body aches, and a fever
A physician prescribes levothyroxine sodium (Synthroid), 0.15 mg orally daily, for a client with hypothyroidism. The nurse will prepare to administer this medication:
In the morning to prevent insomnia
The nurse is discussing the medication levothyroxine (Synthroid) with the client diagnosed with hypothyroidism. Which intervention should the nurse discuss with the client?
Instruct the client to report any significant weight changes
Which of the following insulins cannot be mixed with any other type of insulin?
Insulin glargine (Lantus)
Which statement best describes the pharmacodynamics of insulin?
Insulin lowers blood glucose by promoting use of glucose in the body cells.
Which of the following insulins has no peak but a duration of 24 hours?
Lantus
A 71-year-old male patient who is currently undergoing coronary artery bypass graft (CABG) surgery has just experienced intraoperative vomiting. The nurse should consequently anticipate the use of which of the following drugs?
Ondansetron (Zofran)
A client is prescribed with Omeprazole (Prilosec). The nurse determines that the client is receiving its therapeutic effect if which of the following is stated by the client:
Relief from GERD
The client has developed Cushing's syndrome as a result of long-term hydrocortisone steroid therapy. Which assessment finding supports the long-term use of steroids?
The client has a round face and multiple ecchymotic areas on the arms
A client has been taking aluminum hydroxide 30 mL six times per day at home to treat his peptic ulcer. He tells the nurse that he has been unable to have a bowel movement for 3 days. Based on this information, the nurse would determine that which of the following is the most likely cause of the client's constipation?
The client is experiencing a common side effect of the aluminum hydroxide
The client with hyperthyroidism is prescribed propylthiouracil (PTU). Which laboratory data should the nurse monitor?
The client's white blood cell (WBC) count
The nurse is discharging a client diagnosed with COPD. Which discharge instructions should the nurse provide regarding the client's prescription for prednisone (medication similar to hydrocortisone)?
The medication should not be abruptly discontinued
Which statement best describes the scientific rationale for prescribing metformin (Glucophage)?
This medication will decrease the hepatic production of glucose from stored glycogen
