Pharmacology Test 1 practice

A nurse is teaching a client who has a new prescription for ferrous sulfate. Which of the following statements by the client indicates an understanding of the teaching?

"I should expect dark, tarry stools"

A 50-year-old client with pernicious anemia asks the nurse "Why can't I just take vitamin B 12 pill instead of getting an injection? What is the nurse's best response?

"Pernicious anemia is caused by your body's inability to absorb B12 in the stomach"

A nurse is providing an older adult client teaching regarding the administration of levothyroxine. What's the nurse's priority teaching point?

"Take the medication with a full glass of water."

The nurse is caring for a client who has been receiving long-term growth hormone treatment to stimulate growth. what diagnostic testing would the nurse expect to see ordered as a standard part of the treatment plan?

- X-ray - Serum Electrolytes - Blood sugar levels

What are the signs and symptoms of an overdose of levothyroxine?

- thyroid storm - cardiac arrest

The nurse is caring for a patient with hypoparathyroidism and pancreatitis. The patient is confused, and irritable, and the nurse suspects hypocalcemia. Which of the following are appropriate actions the nurse can take for the patient?

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A nurse is caring for a patient who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings is an indication that the medication is effective.

A decrease in urine output

A client is diagnosed with a simple goiter and asks the nurse what caused it. What's the nurse's best response?

A goiter is the result of too much TSH.

The nurse is monitoring a patient after a total thyroidectomy. The nurse notes HR 122bpm, BP 170/120, temp 102.5, and RR 24. Which of the following interventions is the priority?

Administer propylthiouracil (PTU)

A nurse is caring for 4 clients whom she has to administer oral medications in the morning. The nurse should administer which of the following medications before breakfast?

Alendronate

After administering somatropin (Saizen) to an 11-year-old patient with growth failure, what outcome would indicate that the drug should be stopped?

Closure of the epiphyses in long bones

A 4-year-old is tested and found to have deficient growth hormone (GH). What does this condition cause?

Dwarfism

The nurse is caring for a trauma client who presents with total body edema and scant urine output. The nurse should recognize the effects of what endocrine disruption?

Excessive secretion of antidiuretic hormone

A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa, which of the following lab results should the nurse review for an indication of the therapeutic effect of this medication?

Hct

During recovery from a gastrointestinal bleed, a client has been prescribed an iron preparation. Prior to beginning therapy, what assessment should the nurse prioritize?

Hematocrit Hemoglobin

What is the nurse's priority assessment when administering hypothalamic or pituitary agents to older?

Hydration and nutrition

The nurse would administer desmopressin cautiously with close monitoring to the client with what comorbidities? Select all that apply

Hyponatremia Asthma Epilepsy

A nurse is assessing a client who is receiving liothyronine for treatment of hypothyroidism. The nurse should recognize which of the following findings is a therapeutic response to the medication.

Increase in energy

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?

Insomnia

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?

Levothyroxine

The nurse is caring for a client with diabetic nephropathy and anemia. What does the nurse expect from the cause of the anemia?

Low erythropoietin levels

In addition to calcium, what electrolyte affects the PTH secretion?

Magnesium

A client presents at the clinic reporting weight loss of 12 lbs over the past 3 months despite an increased appetite. What medication would most likely benefit the client?

Methimazole

Caring for a patient with osteoporosis. Which assessment should the nurse prioritize when monitoring for adverse effects?

Monitoring the client for signs of esophageal erosion

A patient is taking leuprolide (Lupron) to treat metastatic prostate cancer. The nurse caring for the patient should monitor most closely for adverse effect

Peripheral edema

A nurse is talking to a client who is taking a calcium supplement for osteoporosis. The client tells the nurse she is experiencing flank pain. Which of the following adverse effects should the nurse suspect?

Renal stones

The nurse develops a care plan for a client who has been prescribed a folic acid derivative that includes what priority nursing diagnosis?

Risk for fluid volume imbalance related to cardiovascular effects

When providing client teaching to the family of a 12-year-old child who is receiving somatropin, the nurse stresses the need to notify the prescriber if what manifestation occurs.

Severe hip or knee pain

A nurse is providing teaching to a client who has a new prescription for levothyroxine for hypothyroidism. The nurse should instruct the client to avoid which of the following herbal supplements?

Soy

What is the main purpose of the hormones secreted by the hypothalamus?

Stimulating or inhibiting release of hormones from the pituitary

A nurse is providing teaching for a client who has anemia and a new prescription for ferrous sulfate liquid. Which of the following instructions should the nurse provide?

Take the medication with orange juice to enhance absorption.

A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?

Taking the medication between meals will help you absorb the medication more efficiently.

A nurse is reviewing the medical record of a patient who has been taking levothyroxine for months which indicates that the medication is effective

decreased TSH levels

A nurse is providing teaching to a client who has osteoporosis and a new prescription for alendronate. Which of the following adverse effects should the nurse instruct the client to report to the provider?

jaw pain blurred vision dysphagia