PrepU: Endocrine

A client asks the nurse about a word they heard from the health care provider. The word was "andropause". The client asks what that is. Which is the nurse's best response? "A change in hormone production in women." "No change in the level of testosterone in the body." "A gradual change, related to age, that occurs in the testes." "A medication used to treat changes in the androgens in the body."

"A gradual change, related to age, that occurs in the testes."

The nurse is educating a young adult client diagnosed with androgen deficiency about the prescribed testosterone transdermal system, apply two systems (dose of 5 mg) nightly. Which statement made by the client establishes the need for further clarification? "The drug will cause acne, headache, bitter taste or mouth irritation, hair loss, and a change in sex drive." "I will weigh myself once or twice a week and record weights and report if there is an increase in my weight." "One transdermal patch is applied to my back, upper arm, or abdomen to dry, clean skin, and the other to my groin." "I will keep all appointments with my prescriber and have my lab tests completed as ordered for proper follow-up."

"One transdermal patch is applied to my back, upper arm, or abdomen to dry, clean skin, and the other to my groin."

A pregnant client asks about the safety of taking thyroid hormone replacement drugs during her pregnancy. What is the nurse's best response? "Continue thyroid medication only if you have a history of heart disease." "Thyroid hormones are pregnancy category A drugs and should be taken during pregnancy." "Take thyroid hormones if you gain more than the recommended amount of weight during pregnancy." "You don't need thyroid hormones anymore if you took fertility drugs."

"Thyroid hormones are pregnancy category A drugs and should be taken during pregnancy."

The female client is scheduled to get her breakfast tray at 0700. At what time should she receive her prescribed dose of NPH insulin? 2100 (9 pm) 1400 (2pm) 0630 (6:30 am) 1100 (11 am)

0630 (6:30 am)

A client is receiving a medroxyprogesterone contraceptive injection. The nurse would instruct the client to return for the next dose at which time? 3 months 6 months 1 year 3 years

3 months

A client has suddenly stopped corticosteroid therapy because the symptoms are now under control. The nurse should assess the client for signs and symptoms similar to what disorder? irritable bowel syndrome Addison disease Cushing's disease Crohn's disease

Addison disease

A client is prescribed methimazole for the treatment of hyperthyroidism. Which is a rare adverse effect or set of effects related to the administration of methimazole? Joint swelling with fever Immune-mediated hyperthyroidism Arthralgia Agranulocytosis

Agranulocytosis

An older adult client has prided himself in maintaining good health for the entire adult life. For this reason, the recent diagnosis of benign prostatic hypertrophy (BPH) is a source of frustration, and the client asks, "I don't understand why I got this because I've always taken such good care of myself." How would the nurse best respond to the client? BPH is most often related to genetic factors rather than lifestyle factors. BPH is usually attributable to psychosocial stress rather than a lack of physiological health. BPH is thought to be a normal part of the male aging process. BPH can be caused by symptom-free diseases such as hypertension and hypercholesterolemia.

BPH is thought to be a normal part of the male aging process.

The nurse knows that which assessment finding suggests hyperthyroidism? Heart rate 55 beats per minute Blood pressure 145/87 Cool, dry skin Hard, thick nails

Blood pressure 145/87

A nurse is caring for a 48-year-old woman who has been hospitalized after injecting the wrong type of insulin. Which sign of hypoglycemia will the nurse be careful to observe for? Dry skin Blurred vision Fruity breath Flushing of the face

Blurred vision

A 34-year-old woman has presented to the clinic for the first time, and the nurse learns that she has been taking medroxyprogesterone for the past 13 years. This aspect of the woman's medical history should prompt what assessment? Cardiac stress testing Renal ultrasound Bone density testing Evaluation of triglyceride levels

Bone density testing

A female client has been prescribed estrogen therapy. Which will the nurse advise the client is a common adverse effect of estrogen therapy? Migraine headaches Breakthrough bleeding Dizziness Changes in libido

Breakthrough bleeding

A nurse reviews the current medication administration record of a client who has recently been prescribed octreotide for possible drug-to-drug interactions. The nurse performs this important safety action in order to prevent drug interactions that could result in which adverse effect? Increased growth Anaphylaxis Cardiac complications Respiratory arrest

Cardiac complications

An adult client has been self-administering anabolic steroids for years and has begun to have health issues. Which body systems are affected adversely by large dose anabolic steroid use in adult clients? Select all that apply. Cardiovascular Central nervous system Renal Reproductive system Gastrointestinal

Cardiovascular Central nervous system Reproductive system

A client is taking androgens and warfarin. What effect will these two medications have on the client's coagulation? Coagulation will be increased. Coagulation will be decreased. Coagulation will not be affected. The RBC will be decreased.

Coagulation will be decreased.

A male client taking oral prednisone informs the home care nurse that the medication is upsetting his stomach. What guidance can the nurse provide to help the client? Confirm that the client takes the medication on an empty stomach. Recommend that the client take the medication shortly before bedtime. Confirm that the client takes the medication with a meal. Recommend that the client split the dose into two smaller, equal doses.

Confirm that the client takes the medication with a meal.

Which would be used to diagnose adrenal function? Corticotropin Chorionic gonadotropin Thyrotropin alfa Menotropins

Corticotropin

A client diagnosed with diabetes insipidus is taking vasopressin (Desmopressin). What outcome would indicate to the nurse that the desmopressin is producing a therapeutic effect? Decreased urine output Decreased water reabsorption Increased plasma osmolarity Decreased blood volume

Decreased urine output

The nurse is caring for an older adult who will be beginning thyroid hormone replacement therapy. The nurse should be alert to which signs and symptoms of hypothyroidism that may be confused with other conditions associated with aging? (Select all that apply.) Depression Unsteady gait Weight gain Confusion Hypertension

Depression Unsteady gait Weight gain Confusion

When fluoxymesterone is administered to a 14-year-old male, what is the expected result? Virilization Lessening of depression Development of sexual organs Decrease in facial acne

Development of sexual organs

The nurse receives a call from a male client who takes finasteride (Proscar) for treatment of BPH, and tells the nurse that his wife may be pregnant. What does the nurse expect the health care provider to do? Decrease the dose of medication. Increase the dose of medication. Discontinue the medication. Change the finasteride to dutasteride.

Discontinue the medication.

A nurse is seeing a client who has been prescribed phenazopyridine in combination with an antibacterial medication to treat a urinary tract infection. What is important for the nurse to tell the client about this treatment? Do not take this medication for more than two days It is normal for the urine to contain some blood with this medication Loss of appetite is likely when taking this medication If taken incorrectly, a bacterial superinfection can result

Do not take this medication for more than two days

The nurse is caring for a client with diabetes and administered the client's scheduled dose of regular insulin and NPH insulin at 08:00. At 09:30 the nurse checks the client's blood glucose level, which is 140 mg/dL. What is the nurse's best action? Monitor the client closely for signs and symptoms of hyperglycemia Contact the prescriber to obtain an order for 4 more units of regular insulin Document the finding and check the client's blood glucose level in one hour Contact the prescriber to obtain an order for 2 more units of NPH

Document the finding and check the client's blood glucose level in one hour

A client with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the client's blood glucose levels in the days following surgery. Which insulin regimen is most likely to achieve adequate glycemic control? Small doses of long-acting insulin administered four to five times daily Doses of basal insulin twice daily with regular insulin before each meal Large doses of rapid-acting insulin combined with long-acting insulin each morning and evening Divided doses of intermediate-acting insulin every 2 hours, around the clock

Doses of basal insulin twice daily with regular insulin before each meal

The nurse receives a call from a client who is taking an antispasmodic medication for treatment of overactive bladder. The client is complaining of constipation. What will the nurse tell the client to help with this adverse reaction? Select all that apply. Decrease the amount of fiber in your diet. Eat more watermelon. Limit your fluids after dinner. Eat more strawberries. Eat more spinach.

Eat more watermelon. Eat more strawberries. Eat more spinach.

A client presents at the clinic reporting weight loss despite an increased appetite. For which condition should this client be assessed? Chronic thyroiditis Hyperglycemia Hypothyroidism Hyperthyroidism

Hyperthyroidism

A client has been prescribed acarbose. What is the advantage of acarbose over alternative drugs? It can replace the use of insulin. The client does not have to limit food intake. It delays the digestion of complex carbohydrates. It prevents alkalosis.

It delays the digestion of complex carbohydrates.

What is the expected action of sitagliptin on type 2 diabetes? It blocks the S phase of the cell cycle. It slows the rate of inactivation of the incretin hormones. It is a synthetically prepared monosodium salt. It inhibits hydrogen, potassium, and ATPase.

It slows the rate of inactivation of the incretin hormones.

Which hormone is released in the presence of low blood volume? growth hormone (GH) antidiuretic hormone (ADH) adrenocorticotropic hormone (ACTH) thyroid-stimulating hormone (TSH)

antidiuretic hormone (ADH)

Which classification of medication is used to treat overactive bladder syndrome? Antigens Antiepileptics Antidiuretics Antispasmodics

antispasmotics

Gonadotropins are classified in which pregnancy category? category X category B category C category A

category x

Which would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a client taking estrogen? Cholestatic jaundice Amenorrhea Headaches Breast tenderness

headaches

A nurse is preparing to administer an insulin that is clear. Which insulin would the nurse most likely administer? humulin N humulin U humulin R humulin L

humulin R

A nurse is preparing to administer a rapid-acting insulin. Which medication would the nurse most likely administer? insulin lispro insulin glargine insulin detemir isophane insulin suspension

insulin lispro

When describing thyroid function, the nurse would emphasize the need for intake of: iodine. calcium. sodium. vitamin B6.

iodine

A nurse is teaching a client about a prescribed thyroid supplement and describes a drug that is relatively inexpensive, requires once-a-day dosing, and has a more uniform potency than do other thyroid hormone replacement drugs. Which drug is the nurse describing? levothyroxine propylthiouracil methimazole liotrix

levothyroxine

A nurse is obtaining a history from an older adult woman. During the interview, the woman states, "When I feel like I have to urinate, the urge is really strong and I go to the bathroom really frequently, often waking up several times during the night to go." The nurse would most likely identify this as which condition? overactive bladder syndrome stress incontinence urge incontinence neurogenic bladder

overactive bladder syndrome

The nurse is administering a urinary tract drug that exerts a topical analgesic effect on the lining of the urinary tract. Which drug would the nurse be most likely to administer? phenazopyridine trimethoprim amoxicillin methenamine

phenazopyridine

A client is receiving a thyroid hormone to treat hypothyroidism. Which would indicate to the nurse that the client needs a reduced dosage of the drug? Tachycardia Slowed reflexes Pale dry skin Intolerance to cold

tachycardia

A new client telephones the clinic requesting a renewal prescription for contraceptives she has been taking for 4 years. It has been more than a year since her last health care visit, but she is unable to come into the clinic until next month. She insists she is "doing fine" on this medication and must have her prescription now. Considering the circumstances and related safety issues, how should the clinic nurse respond? "Before estrogen based drugs are prescribed, you must see the health care provider to get an order for a mammogram." "Before the drugs are prescribed, a complete medical history, physical examination, Pap test, urinalysis, and weight and blood pressure measurements are recommended." "Since you are doing well on this regimen, I'll arrange to get the prescription filled for a month to last until your clinic appointment." "If you have a physical within 2 years, I can get your medication refilled."

"Before the drugs are prescribed, a complete medical history, physical examination, Pap test, urinalysis, and weight and blood pressure measurements are recommended."

A client has been taking a urinary tract anti-infective for two days for treatment of a severe urinary tract infection. Today, the client calls the clinic reporting continued burning on urination. What is the nurse's best response? "The medication is not working. Stop taking it and drink cranberry juice." "You must have a very severe infection. Come back to the clinic and we will give you your medication intravenously." "Burning on urination is a common side effect of these drugs. This may continue the entire time that you are on the medication." "All of your urinary symptoms should have stopped immediately after you started taking the medication. Are you sure you are taking it correctly?"

"Burning on urination is a common side effect of these drugs. This may continue the entire time that you are on the medication."

A client has returned to the health care provider's office for follow up after receiving estrogen for symptoms of menopause. Which question should be included in the follow up? "Tell me about your sexual interactions with your partner." "Do you feel that the medication is working?" "Can you describe in detail the difference in how you are feeling today and the last visit?" "Do you think you are better than before?"

"Can you describe in detail the difference in how you are feeling today and the last visit?"

A client who has been on estrogen therapy for two months calls the clinic and tells the nurse that she has developed increased pigmentation to her facial skin. What is the nurse's best response to this client? "This will go away as soon as you stop the therapy." "If you wash your face in hot, soapy water three times a day, it will go away." "Changes to the skin may not go away even after the medication is discontinued." "This is not related to the estrogen, you should seek the advice of your health care provider."

"Changes to the skin may not go away even after the medication is discontinued."

A client prescribed corticosteroids following a liver transplant asks if it will be necessary to take this medication indefinitely. How should the nurse respond? "Drug therapy is not required for life because you will be weaned off corticosteroids as soon as you're stabilized." "Daily antirejection drug therapy will continue for as long as your transplanted liver is in place." "The need for antirejection therapy depends upon how healthy the transplanted organ is." "No, most clients discontinue corticosteroids within 6 months of successful transplantation."

"Daily antirejection drug therapy will continue for as long as your transplanted liver is in place."

What question is important for the nurse to ask a client who is scheduled to receive a first dose of radioactive iodine for hyperthyroidism? "Are you afraid of needles?" "Do you have any trouble swallowing?" "Have you discussed your cancer treatment plan with your provider?" "Does anyone ever have trouble finding your veins?"

"Do you have any trouble swallowing?"

A client who has been on nitrofurantoin for three days calls the clinic to report that his urine has turned brown. What is the nurse's best response to this client? "Is it possible this is actually stool from a bowel movement?" "Typically urine turns reddish-orange with this medication." "It is possible you are experiencing a rare adverse effect of this medication." "Don't be worried, this is normal during therapy with this drug."

"Don't be worried, this is normal during therapy with this drug."

A 2-year-old client is placed on a course of prednisone following a series of hypersensitivity responses. What instruction the nurse provide the client's family about this drug? "You might find that your child is sleepier than usual, especially near the beginning of treatment." "The child may receive immunizations while on this drug, but keep them to a minimum." "Don't stop this medication suddenly; you will have to taper dosage gradually." "Monitor your child closely for any difficulty swallowing or signs of gastric reflux."

"Don't stop this medication suddenly; you will have to taper dosage gradually."

A client alerts the nurse she has been in menopause for a couple of months. The nurse teaches the client how menopause occurs. Which statement reflects the teaching has been effective? "There is an increase in the gonadotropins." "The menstrual cycle becomes irregular." "Estrogen and progesterone diminish." "Hot flashes and night sweats are prominent."

"Estrogen and progesterone diminish."

A menopausal client prescribed estrogen asks what the implications of taking the medication are. Which response by the nurse best demonstrates an understanding of the associated implications? "Estrogen decreases the risk of dementia, myocardial infarctions, strokes, breast cancer, and blood clot." "Estrogen increases the risk of certain cancers, myocardial infarctions, and blood clots." "Estrogen has not been proven to increase the risk of any significant medical conditions." "If estrogen and progesterone are taken together, there are no increased health risks."

"Estrogen increases the risk of certain cancers, myocardial infarctions, and blood clots."

The parent of a child awaiting a renal transplant asks the nurse whether growth hormone could be effective for the child. What is the nurse's best response? "Growth hormone is only used to treat short stature in children who do not produce enough growth hormone naturally." "Growth hormone has been used successfully in children with renal failure but there is a lot to consider and you should talk to the provider about it." "Administration of growth hormone requires frequent injections so it would be very painful for a child with existing medical problems." "You do not want to use growth hormone if you do not have to because there are serious adverse effects that go along with it."

"Growth hormone has been used successfully in children with renal failure but there is a lot to consider and you should talk to the provider about it."

A nurse is providing client education to a 13-year-old girl who was just diagnosed with type 1 diabetes mellitus. Which statement by the client will alert the nurse that special instructions regarding insulin are necessary? "I walk two blocks to school every day." "I am on the middle school track team." "We live in a two-story house." "My mother is going to give me my insulin."

"I am on the middle school track team."

Which statements indicate that a client understands the need for a follow-up after the initial injection of medroxyprogesterone? "I know that this injection is good for 1 year." "I know that this injection lasts for 3 months." "I know that I do not need to worry about STDs after getting this injection." "I know that I will need to return in 6 months for another injection."

"I know that this injection lasts for 3 months."

The nurse is educating a client newly diagnosed with a urinary tract infection about the prescribed phenazopyridine hydrochloride. Which statement made by the client establishes the need for further clarification? "The drug is an azo dye that acts directly on urinary tract mucosa to provide pain relief." "If I develop a sore throat, bleeding, or bruising, I will report the symptoms to my prescriber." "I will need to take the drug with food to decrease stomach upset." "I should report reddish-orange urine immediately to the prescriber."

"I should report reddish-orange urine immediately to the prescriber."

A client will begin estrogen therapy using the estradiol transdermal system. What statement by the client indicates a need for further instruction? "I will be able to hide the patch well under my belt." "I will apply it to clean, dry skin." "I can use my abdomen to place the patch." "I will remove one patch before I apply the new one."

"I will be able to hide the patch well under my belt."

Which statement indicates a client understands the management of care after a thyroidectomy? "Radioactive iodine treatments will be weekly until my thyroid shrinks completely." "I will have to take thyroid hormones for the rest of my life." "I should call my primary care provider when I experience hyperthyroid symptoms." "The scar on my chest should heal completely in 4-6 weeks."

"I will have to take thyroid hormones for the rest of my life."

A client who is taking phenazopyridine and nitrofurantoin for treatment of a urinary tract infection calls the clinic to report a yellowish discoloration of the skin. What is the nurse's best response to this client? "Come immediately to the clinic to be checked for hepatitis." "I will let the health care provider know immediately." "This is an expected side effect of the phenazopyridine and is not alarming." "This is a result of the nitrofurantoin and will go away when you finish the prescription."

"I will let the health care provider know immediately."

A young man has been diagnosed with type 2 diabetes and has been prescribed glyburide. Which statement suggests that the nurse should perform further health education? "I'll keep in mind that glyburide can possibly cause me to have low blood sugar." "I'll make sure to check with my provider before I start taking any other medications." "I'll plan to take my glyburide each night before I go to bed." "I know that glyburide won't cure my diabetes, but it will help me have safe blood sugar levels."

"I'll plan to take my glyburide each night before I go to bed."

The nurse has just completed discharge instructions to a client who will be using a pen device to deliver his insulin dose. What statement by the client indicates a need for further instruction? "I need to turn the dial on the pen and listen for the locking ring before administering my insulin." "If I forget to take my insulin pen, I will be able to use the one that my wife uses." "I determine my dosage by the number of clicks that I hear." "This will make it easier for me to give my own insulin because of my poor eyesight."

"If I forget to take my insulin pen, I will be able to use the one that my wife uses."

A male client has been diagnosed with impotence and is started on a regimen of androgens. Which statement by the client indicates that he has understood the teaching? "I should expect to see increasing baldness." "If my skin appears yellow or my urine turns dark, I will contact my health care provider." "My blood count will drop, but if I have bruising, I will contact my health care provider." "I know headaches are common, so I won't get alarmed if it is severe."

"If my skin appears yellow or my urine turns dark, I will contact my health care provider."

A male client has been prescribed testosterone for cryptorchidism. Which statement indicates that the client teaching was effective? "My body hair will increase." "My sexual desire will decrease." "My voice may become higher." "My skin will be clear and soft."

"My body hair will increase."

A client who uses estradiol hemihydrate (Vagifem) for treatment of atrophic vaginitis calls the clinic and tells the nurse that she forgot to insert the medication yesterday morning. She wants to know what she should do. What is the nurse's best response to this client? "Use double the usual dose this morning." "Insert the usual dosage this morning." "Do not use any medication until after you have had sexual intercourse." "Use the medication twice today and then resume your normal dosage schedule tomorrow."

"Insert the usual dosage this morning."

The nurse is discussing diabetes with a group of individuals who are at risk for the disease. Which statement by a participant indicates an understanding of the role of insulin in the disease? "Insulin is used to move carbohydrate particles from the gastrointestinal system to the liver." "Insulin is stimulated by the liver to break down proteins and provide the body with nutrients." "Insulin assists glucose molecules to enter the cells of muscle and fat tissues." "Insulin causes fat to be broken down to provide energy for the body."

"Insulin assists glucose molecules to enter the cells of muscle and fat tissues."

The nurse educates a client recently diagnosed with hypothyroidism about using the prescribed levothyroxine. The client has a history of diabetes. Which client statement establishes the need for further clarification? "I will take the drug thirty minutes before breakfast the same time each day." "It does not matter which brand of the drug I take, they are all the same." "The levothyroxine can increase my glucose, so I need to report hyperglycemia." "Thyroid replacement is lifelong; dosage changes must come from my provider."

"It does not matter which brand of the drug I take, they are all the same."

A male client who has benign prostatic hypertrophy calls the clinic because he has had no relief of symptoms since he began taking 160 mg of saw palmetto, twice daily, three weeks ago. What is the nurse's best response? "You need to increase that to four times a day if you expect any relief of symptoms." "It may take one to three months before you see your symptoms decrease." "If the saw palmetto has not worked yet, it will not be effective at all." "The wait can be frustrating. It can take as it may take six months to a year to be effective."

"It may take one to three months before you see your symptoms decrease."

A female client with hyperthyroidism reports nervousness and "racing" heart one week after starting antithyroid medication. How should the nurse respond to the client's report? "It may take three to four weeks for the effects of this medication to be seen." "Have you counted your resting heart rate?" "I'll notify the primary care provider about increasing the dosage." "Increase the dosage of medication each day until relief of symptoms is achieved."

"It may take three to four weeks for the effects of this medication to be seen."

What instructions would be important to give to a 50-year-old client with type 2 diabetes who has been switched from glyburide , a sulfonylurea, to repaglinide, a meglitinide? "It is less potent, so you will need to take a larger dose." "It stimulates insulin production, so you need to eat soon after taking the medication." "It is more potent and longer lasting, so you should take it every other day." "The two medications are virtually the same."

"It stimulates insulin production, so you need to eat soon after taking the medication."

A client prescribed terazosin asks the nurse how the medication works. Which is the nurse's best statement? "It works by relaxing the smooth muscle of the prostate and the bladder neck." "It prevents the conversion of testosterone into the androgen DHT." "It stimulates the bladder to increase the urge to urinate." "It decreases the desire to have sexual relations."

"It works by relaxing the smooth muscle of the prostate and the bladder neck."

A 71-year-old man has just been prescribed finasteride (Proscar). Which report by this client most likely indicated a need for this drug? "My urine is extremely concentrated lately and it smells strong." "To be honest, I find that I can't get an erection for the past few months." "My urine's been cloudy for the last little while and it burns when I go to the bathroom." "Lately, I have to get up three or four times a night to go to the bathroom."

"Lately, I have to get up three or four times a night to go to the bathroom."

What information will the nurse give to a client who has been prescribed an adrenergic blocking drug to deal with the orthostatic hypotension that accompanies at initiation of the drug? "Lie down for 60-90 minutes after taking the drug for the first few doses." "Sit in a chair and place your head between your knees for 15 minutes after taking the drug." "Place your head lower than the rest of your body for five minutes after taking the drug." "Eat a very salty snack, followed by one liter of water, after taking the drug."

"Lie down for 60-90 minutes after taking the drug for the first few doses."

A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice should the nurse provide to this client? "It will take 10 to 12 weeks before the birth control pills will actually prevent pregnancy, so be vigilant with other contraceptives until then." "Some women get some pain in their chest or abdomen when they take oral contraceptives, but this will pass as your body gets used to them." "You need to carefully consider whether you might want to get pregnant later in your life." "Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision."

"Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision."

A 59-year-old man with type 2 diabetes is prescribed metformin. When the client returns to the clinic, he reports that he has lost 8 pounds in a month. How should the nurse respond? "We should really report this to your health care provider. The metformin dosage will need to be decreased." "We should really report this to your health care provider. The provider will likely change medications." "Please continue taking the medication and monitoring your weight. This is an expected outcome of this drug therapy." "You should discontinue this medication immediately. I will contact your health care provider."

"Please continue taking the medication and monitoring your weight. This is an expected outcome of this drug therapy."

A client has been newly diagnosed with type 2 diabetes. What statement would be appropriate for the nurse to include in the teaching? "Regular exercise makes your body better able to use the insulin it produces." "Until you need to start insulin injections, you do not have to check your blood sugar." "Clients with type 2 diabetes always progress to insulin injections if they do not follow dietary guidelines." "If you drink alcohol, it may be necessary for you to increase your oral antidiabetic medication."

"Regular exercise makes your body better able to use the insulin it produces."

When providing client education relative to an inhaled glucocorticoid, the nurse should include which instruction to prevent a common side effect of the medication? "Do not eat or drink anything for 20 minutes after using the inhaler." "While using the inhaler, inhale as quickly as possible." "Rinse your mouth completely after using the inhaler." "Forcefully exhale after using the inhaler."

"Rinse your mouth completely after using the inhaler."

To minimize adrenal suppression, when should the nurse encourage a client to take his or her daily dose of prescribed prednisone? "Take your medications in the morning." "Take your medication just before bedtime." "Take your medications on an empty stomach." "Take your medications with the evening meal."

"Take your medications in the morning."

While the nurse is preparing the client for discharge, the client asks why the health care provider has prescribed prednisone every other day instead of daily. What would be the nurse's best response? "Taking it every other day eliminates side effects." "Taking it every other day prolongs the therapeutic effects." "Taking it every other day prevents the development of drug tolerance." "Taking it every other day minimizes adverse effects."

"Taking it every other day minimizes adverse effects."

The nurse receives a call from a client who is taking oxybutynin (Ditropan XL) and reports observing pieces of the medication capsule in the stool. What is the nurse's best response to this client? "That is a normal finding because the outer coating of the medication doesn't disintegrate." "That is a very unusual finding. Please come to the clinic for a stool examination." "It sounds like you are not absorbing your medication. The health care provider will change you to another one." "If this happens, you need to increase both your fiber and fluid intake."

"That is a normal finding because the outer coating of the medication doesn't disintegrate."

The nurse is on the phone with a woman who is taking an antispasmodic for overactive bladder syndrome. The woman states that her mouth is very dry, but she is afraid to drink because she does not want the urge to urinate to increase. What is the nurse's best response to this client? "You will just have to put up with the dry mouth if you want to take this medication." "You shouldn't restrict your fluid intake because it will only make your bladder problems worse." "When your mouth is dry, rinse it with strong mouthwash." "To ensure that you don't have to go to the bathroom all the time, you should chew gum."

"You shouldn't restrict your fluid intake because it will only make your bladder problems worse."

A nurse is providing education to a client who will soon begin taking levothyroxine for the first time. Which teaching point should the nurse include in this education session? "I'll help you arrange to come to an outpatient clinic for IV administration of levothyroxine." "You'll need to adhere to a strict diet with high protein and low carbohydrates." "You'll most likely take this drug for the rest of your life." "I'll teach you how to check your blood sugar levels for the first few weeks that you take the drug."

"You'll most likely take this drug for the rest of your life."

The nurse is caring for a client who works night shift from 22:00 to 06:00 and normally sleeps from 08:00 (8 am) until 16:00 (4 pm) each day. The nurse should teach this client to take the prescribed corticosteroid at what time of the day? 06:00 08:00 16:00 22:00

1600

After teaching a woman using an intravaginal estrogen preparation, the nurse determines that the teaching was successful when the client states that she will remain lying for at least how long after instilling the drug? 30 minutes 10 minutes 20 minutes 45 minutes

30 minutes

A nurse caring for a client receiving fluoxymesterone for the treatment of inoperable breast carcinoma should weigh the client daily or as ordered by the health care provider and report a change in weight of how many pounds (kilograms) in either direction to the health care provider? 1 lb (0.5 kg) 2 lb (0.9 kg) 3 lb (1.4 kg) 5 lb (2.3 kg)

5 lb (2.3 kg)

The client asks the nurse how many cranberry capsules should be taken each day to help prevent urinary tract infection. What is the nurse's best response? 50 mg/day 100 mg/day 500 mg/day 1000 mg/day

500

Which HbA1c result would indicate that a client's diabetes is under good control? 7% 14% 10% 8%

7%

Which client is least likely to benefit from treatment with megestrol (Megace)? A 52-year-old with advanced breast cancer A 27-year-old female with dysmenorrhea A 23-year-old with endometrial cancer A 63-year-old with endometrial cancer with metastasis

A 23-year-old with endometrial cancer

While learning about corticosteroids in pharmacology class, a student asks the instructor what a clinical indication for the use of corticosteroids would be. What would be the instructor's best response? Any hormone excessive state Any systemic disease state A disease with an inflammatory component A disease without an immunological component

A disease with an inflammatory component

A primary health care provider has prescribed levothyroxine to a client with hypothyroidism. Which information would the nurse include in the teaching plan to promote an optimal response to the drug therapy? Bring your recorded pulse rates to the primary health care provider. Offer suggestions about the dosage schedule. Administer the drug early in the morning before breakfast. Apply soothing creams or lubricants to prevent rashes.

Administer the drug early in the morning before breakfast.

A client is prescribed testosterone gel. Which would the nurse include in the teaching plan? Select all that apply. Allowing the application site to dry before getting dressed. Applying the gel once daily in the morning. Washing hands with soap and water after applying. Waiting 5 minutes after opening the gel packet to apply the gel. Rubbing the gel vigorously on the scrotum.

Allowing the application site to dry before getting dressed. Applying the gel once daily in the morning. Washing hands with soap and water after applying.

A nurse is planning care for a client who is taking tolterodine. Which is an appropriate nursing diagnosis that is an indication for using this drug? Risk for Injury related to multiple drug therapies and drug interactions Risk for Injury related to hyperkalemia secondary to use of the drug Altered Urinary Elimination related to overactive bladder Risk for Deficient Fluid Volume related to the action of the drug

Altered Urinary Elimination related to overactive bladder

A 17-year-old boy has been admitted to the emergency department after suffering a knee sprain during a football practice. The nurse notes that the client has exceptional muscle mass, and the boy quietly admits that this is mostly attributable to the use of steroids, which he obtains from a teammate. What should the nurse teach the boy about anabolic steroid abuse? The ability of anabolic steroids to build muscle is greatly exaggerated in the media. Anabolic steroids are universally dangerous but are especially harmful to adolescents. The muscle mass resulting from steroid use will atrophy unless doses are continually increased. Anabolic steroids will reduce the boy's ability to perform weight-bearing exercise later in life.

Anabolic steroids are universally dangerous but are especially harmful to adolescents.

A client taking methimazole develops a rash. What is the nurse's best recommendation to treat the rash? Use an antibacterial soap when bathing. Apply a soothing cream until the rash subsides. Wear gloves to prevent scratching and subsequent skin damage. Avoid topical lubricants.

Apply a soothing cream until the rash subsides.

The nurse has administered a prescribed dose of danazol to an adult female client for the purpose of preventing ovulation. When providing care related to the client's underlying diagnosis, what nursing action is most appropriate? Monitor the client for signs and symptoms of infection. Provide a high-protein diet, unless contraindicated. Assess the client's pain frequently. Encourage deep breathing and coughing exercises.

Assess the client's pain frequently.

A client who began treatment for type 2 diabetes 8 months ago is now meeting with a diabetic nurse for a scheduled follow-up. How can the nurse best assess the client's glycemic control since beginning treatment? Assess the most recent hemoglobin A1C levels. Arrange to have the client's random blood glucose measured. Dialogue with the client about implemented management strategies. Review and discuss the data contained in the client's written blood glucose log.

Assess the most recent hemoglobin A1C levels.

The nurse is closely following a client who began treatment with testosterone several months earlier. When assessing the client for potential adverse effects of treatment, the nurse should prioritize which assessment? Skin inspection for growing lesions Lung function testing Assessment of serum calcium levels Assessment of arterial blood gases

Assessment of serum calcium levels

The nurse is providing education to the parents of a child newly diagnosed with type 1 diabetes. What distinguishing characteristic of the disorder does the nurse include in the teaching? Blood glucose levels can be controlled by diet. Exogenous insulin is required for life. Oral agents can control blood sugar. The disease always starts in childhood.

Exogenous insulin is required for life.

The nurse is providing discharge instructions to a client who has just been diagnosed with type 1 diabetes. What instructions are most important for the client to follow related to diet? (Select all that apply.) Lose 10-15 pounds. Avoid drinking beer, wine, or liquor. Use artificial sweeteners instead of sugar in tea and coffee. Read food labels carefully to look for hidden sources of sugar. If you skip a meal, increase your next insulin dosage.

Avoid drinking beer, wine, or liquor. Use artificial sweeteners instead of sugar in tea and coffee. Read food labels carefully to look for hidden sources of sugar.

A woman has been prescribed a transdermal estradiol patch. Which instruction should she be given by the nurse regarding the administration? Avoid prolonged sun exposure at the patch site due to increased plasma concentrations. The application of heat at the patch site will decrease effectiveness and result in pregnancy. The medication, when exposed to sunlight, can increase the risk of breast cancer development. Exposure of the medication to cold will increase effectiveness with application once a month.

Avoid prolonged sun exposure at the patch site due to increased plasma concentrations.

A woman has been prescribed a transdermal estradiol patch. Which instruction should she be given by the nurse regarding the administration? The application of heat at the patch site will decrease effectiveness and result in pregnancy. The medication, when exposed to sunlight, can increase the risk of breast cancer development. Avoid prolonged sun exposure at the patch site due to increased plasma concentrations. Exposure of the medication to cold will increase effectiveness with application once a month.

Avoid prolonged sun exposure at the patch site due to increased plasma concentrations.

A client diagnosed with hypothyroidism admits knowing the term "thyroid gland" but not knowing its function. The nurse should explain the fact that thyroid hormone is responsible for which action? Regulating the levels of most other hormones in the body Stimulating the brain and sex organs Controlling the rate of cell metabolism throughout the body Regulating levels of glucose in the blood and body tissues

Controlling the rate of cell metabolism throughout the body

The nurse knows that a client should use urinary tract infection prevention techniques when engaging in which sports activities? Select all that apply. Cycling Swimming Walking Horseback riding Softball

Cycling Swimming Horseback riding

The client informs the nurse that she had unprotected intercourse last night. The client is considering requesting emergency postcoital contraception. The nurse's best response is: Emergency contraception is not effective if started later than 12 hours after exposure. Emergency contraception is most effective if started 72 hours after exposure. Emergency contraception is most effective if started within 24 hours and no later than 72 hours after exposure. Emergency contraception is most effective if started within 8 hours and no later than 24 hours after exposure.

Emergency contraception is most effective if started within 24 hours and no later than 72 hours after exposure.

The nurse is aware that older men are more prone to urinary tract infections because of what physiologic change related to aging? Involuntary contractions of the bladder muscle Enlargement of the prostate Reduction in renal function Loss of muscle tone in the pelvic structures

Enlargement of the prostate

A client who is a newly diagnosed diabetic is prescribed glyburide. The nurse caring for this client identifies which occurrence is a classic symptom of hyperglycemia? Grand mal seizures Tachycardia Excessive urination Hemiparesis

Excessive urination

After teaching a group of students about mineralocorticoids, the instructor determines that the teaching was successful when they state which agent as an example? Fludrocortisone Beclomethasone Dexamethasone Flunisolide

Fludrocortisone

A client who is taking an estrogen reports swelling and weight gain. The nurse notes some peripheral edema. Which nursing diagnosis would the nurse identify as the priority? Fluid volume excess Imbalanced nutrition, less than body requirements Acute pain Ineffective peripheral tissue perfusion

Fluid volume excess

A woman with an inflammatory skin disorder has begun taking prednisone in an effort to control the signs and symptoms of her disease. The nurse who is providing care for this client should prioritize which potential nursing diagnoses in the organization of the client's care? Fluid volume excess Constipation Acute confusion Impaired gas exchange

Fluid volume excess

A hospitalized client's serum glucose level is 160mg/dL. Which hormone is most likely being secreted and leading to this elevated lab value? Thyroid-stimulating hormone Luteinizing hormone Growth hormone Glucocorticoid

Glucocorticoid

Which is the best indicator of overall diabetic control? Fasting blood glucose levels 2-hour postprandial blood glucose levels Absence of acetone in the urine Glycosylated hemoglobin levels

Glycosylated hemoglobin levels

The nurse is interviewing a client who was diagnosed with type 2 diabetes four months ago. The client does not record glucometer readings. What laboratory test does the nurse anticipate the health care provider will order for this client? Stat urine for glucose Fasting blood glucose in the AM HbA1c Insulin level

HbA1c

The nurse caring for a client who takes warfarin (Coumadin) for recurrent deep vein thrombosis (DVT) and recently started taking sulfamethoxazole (Bactrim) for a urinary tract infection notes petechiae in the client's eyes and on the chest. What nursing action is appropriate? Take a blood culture. Hold the next Bactrim dose. Encourage fluid intake. Check Homans sign.

Hold the next Bactrim dose.

The health care provider has ordered a change of prescription from rapid-acting insulin to an intermediate-acting type. Which adverse effect must the nurse closely monitor for in the client? Bradycardia Lipodystrophy Hypoglycemia Hypotension

Hypoglycemia

A 9 year old child has been prescribed testosterone. What information should the nurse provide the client's parents regarding the continuation of the therapy? The medication should be discontinued by the time the child is 12 years old If signs of early puberty are identified the therapy should be stopped Testosterone therapy is usually continued over the client's lifetime The medication causes few effects that would warrant stopping the therapy

If signs of early puberty are identified the therapy should be stopped

An insulin-dependent diabetic client has begun taking an oral contraceptive. What effect will this medication regime have on the client physiologically? Increase blood pressure Increase heart rate Increase blood glucose Metabolic alkalosis

Increase blood glucose

Which statement correctly identifies the triggering factor associated with benign prostatic hypertrophy (BPH)? Increase in the dihydrotestosterone (DHT) androgen Decrease in testosterone level Development of cancer of an aging male Hormonal imbalance of estrogen

Increase in the dihydrotestosterone (DHT) androgen

What would expected findings during an assessment of a client with hyperthyroidism include? (Select all that apply.) Increased appetite Weight gain Tachycardia Puffiness in the face Goiter

Increased appetite Tachycardia Goiter

The nurse is caring for a woman with a seizure condition who takes phenytoin (Dilantin). The nurse knows that if this client begins taking female hormones, what may occur? Increased risk of breakthrough bleeding Excess bleeding from small traumas Large hematoma formation with no trauma Oozing from cuts that cannot be stopped

Increased risk of breakthrough bleeding

The pharmacology instructor is providing education regarding propylthiouracil to the nursing students. What would the instructor identify as the primary mode of action for this medication? Destruction of part of the thyroid gland Inhibition of production of thyroid hormone Suppression of the anterior pituitary gland's hormonal secretions Sedation of the central nervous system and suppression of cardiac function

Inhibition of production of thyroid hormone

A client is receiving acarbose. What would the nurse incorporate into the teaching plan for this client about the action of the drug? Inhibits an enzyme to delay glucose absorption Decreases insulin resistance Binds to potassium channels on pancreatic beta cells Increases the uptake of glucose

Inhibits an enzyme to delay glucose absorption

Which would be appropriate to include in teaching a client with type 2 diabetes? Until you need to start insulin injections, you do not have to check your blood sugar. Clients with type 2 diabetes always progress to insulin injections if they do not follow dietary guidelines. It is possible with weight loss and exercise to discontinue the use of antidiabetic medication. If you drink alcohol, it may be necessary to increase your oral antidiabetic medication.

It is possible with weight loss and exercise to discontinue the use of antidiabetic medication.

A client who uses a transdermal testosterone gel for the treatment of oligospermia applies the medication first thing in the morning and washes it off before bed. What client education is necessary? Use additional doses of the gel. "Apply it at the same frequency, but increase the amount of gel used." Leave the gel on until the next application is due. Use the gel only at times of procreation.

Leave the gel on until the next application is due.

After teaching a group of students about thyroid drugs, the instructor determines that the teaching was successful when the students identify what as an example of a thyroid hormone? Methimazole Propylthiouracil Liotrix Sodium iodide I131

Liotrix

The nurse is caring for an older adult client who has type 2 diabetes and chronic kidney disease. Which drugs will be used with great caution in this client? (Select all that apply.) Regular insulin Metformin (Glucophage) Acarbose (Precose) Chlorpropamide (Diabinese) Miglitol (Glyset)

Metformin (Glucophage) Acarbose (Precose) Miglitol (Glyset)

A client is scheduled to undergo diagnostic testing with the administration of parenteral radiographic contrast media containing iodine. Since the client is taking metformin, you know that: The client needs to drink 1 to 2 liters of water to flush out the kidneys. The client may need to be started on insulin due to potential kidney failure. Metformin should be discontinued at least 48 hours before and after diagnostic tests. The client will need an extra dose of metformin due to the contrast material.

Metformin should be discontinued at least 48 hours before and after diagnostic tests.

The nurse is caring for a client with a urinary tract infection and a history of gout. Which anti-infective would be contraindicated for this client? Fosfomycin (Monurol) Amoxicillin (Amoxil) Methenamine (Hiprex) Trimethoprim (TMP)

Methenamine (Hiprex)

The nurse is caring for an 84-year-old client with diabetes who is receiving hydrocortisone 40 mg daily PO for treatment of an arthritic flare-up. When writing a plan of care for this client, which nursing intervention would be most appropriate? Increasing dietary sodium Restricting dietary protein Increasing fluids to 2000 mL per day Monitoring blood glucose levels frequently

Monitoring blood glucose levels frequently

The nurse is assessing a client who states that she has been taking a lot of black cohosh to deal with her menopausal symptoms. What assessment findings would indicate that the client is experiencing black cohosh toxicity? (Select all that apply.) Nausea Impaired vision Edema Diaphoresis Headache

Nausea Impaired vision headache

A client is brought to the emergency department after taking an overdose of levothyroxine. When assessing this client, what adverse effects would the nurse expect to find? Drowsiness and bradycardia Skin rash and itching Nervousness and tachycardia Slow speech and mental dullness

Nervousness and tachycardia

The nurse is caring for a pregnant client who has symptoms of a urinary tract infection. The nurse is aware that which urinary tract anti-infective is allowed to be used during pregnancy? Methenamine Fosfomycin Nitrofurantoin Trimethoprim

Nitrofurantoin

A client is receiving conjugated estrogens. The nurse would anticipate administering this drug by which route? Oral Subcutaneous Intravaginal Intravenous

Oral

The nurse knows that a client who takes an adrenergic blocking agent for benign prostatic hypertrophy is at risk for what adverse reaction when starting this medication? Malignant hypertension Orthostatic hypotension Contact dermatitis Bradycardia

Orthostatic hypotension

A postmenopausal woman is administered estradiol for the purpose of preventing which condition? Endometriosis Amenorrhea Osteoporosis Uterine cancer

Osteoporosis

Based on the metabolic action of glucocorticoids, a client who is on long-term glucocorticoid therapy is at risk of developing what disease? Osteoporosis Swelling in the brain and spinal cord Bronchoconstriction Cryptorchism

Osteoporosis

Estropipate is sometimes administered to postmenopausal women to prevent which condition? Endometriosis Dysfunctional uterine bleeding Osteoporosis Uterine cancer

Osteoporosis

When teaching a client about preventing urinary tract infections the nurse should advise the client to avoid wearing what for prolonged periods? Select all that apply. Panty hose Knee socks Loose jeans Wet bathing suit Tight pants

Panty hose Wet bathing suit Tight pants

The nurse expects the health care provider to perform which client examinations prior to the start of estrogen therapy? (Select all that apply.) Chest X-ray Papanicolaou (Pap) test Breast exam Rectal exam Eye exam

Papanicolaou (Pap) test Breast exam Rectal exam

The nurse knows that a male client with benign prostatic hypertrophy should not take saw palmetto if he had which other condition? Eczema Psoriasis Peptic ulcer Glaucoma

Peptic ulcer

The acute care nurse abides by what policy to best prevent the occurrence of urinary tract infections in hospitalized clients? Performing good hand hygiene Ensuring the client's perineum is washed back to front Changing the client's undergarments every day Counseling the client to void every six hours

Performing good hand hygiene

The nurse is caring for a client with a nursing diagnosis of "Impaired urinary elimination related to discomfort of urinary tract infection." Which medication will provide comfort to this client? Fosfomycin Sulfamethoxazole Nitrofurantoin Phenazopyridine

Phenazopyridine

Which drug would the nurse identify as turning a client's urine reddish orange? Phenazopyridine Norfloxacin Oxybutynin Solifenacin

Phenazopyridine

When educating a client prescribed testosterone transdermal patch therapy, the nurse will provide what information regarding patch placement? Place the patches on the back, abdomen, upper arms, or thighs. Clean skin sites with alcohol prior to application of the patches The new patch should be applied upon arising each morning Rotate the application sites to allow for a 15-day rotation cycle

Place the patches on the back, abdomen, upper arms, or thighs.

The home care nurse is caring for an older adult client who has type 1 diabetes. The client has visual impairment and cannot read the numbers on the syringe when preparing insulin for administration nor afford the cost of prefilled auto syringes. What strategy might the nurse use to help this client comply with insulin needs between visits? Change the client to oral antidiabetics. Prepare a week's supply of syringes and refrigerate. Have the client use a magnifying glass. Ask a neighbor to come over every day to prepare the medication.

Prepare a week's supply of syringes and refrigerate.

A 53-year-old client is being seen by a health care provider for the treatment of the symptoms of menopause. The health care provider prescribes estrogen and progesterone. What should the nurse tell the client is the primary reason that progesterone is prescribed? Progesterone will relieve the vasomotor symptoms she is experiencing associated with menopause. Progesterone enhances the action of estrogen, providing superior relief of vasomotor symptoms. Progesterone prevents the development of breast cancer in women using estrogen therapy. Progesterone is used to decrease the risk of endometrial cancer in women using estrogen therapy.

Progesterone is used to decrease the risk of endometrial cancer in women using estrogen therapy.

The nursing class is studying family nursing. What hormone would the instructor tell the students plays a part in milk production? Thyrotropin Prolactin Oxytocin Melanocyte

Prolactin

A male client 69 years of age comes to the clinic reporting various urinary symptoms, including reduced flow and blood in the urine. The nurse knows that the health care provider must rule out what condition in this client before treatment is started for benign prostatic hypertrophy? Prostate infection Prostate cancer Cystitis Kidney infection

Prostate cancer

When the nurse learns the male client takes conjugated estrogens, the nurse questions the client about what disorder? Breast cancer Osteoporosis Prostate cancer Andropause

Prostate cancer

A client who is taking estrogen therapy calls the clinic and tells the nurse that she is experiencing sudden, sharp chest pain. The nurse suspects the client is experiencing what adverse reaction related to estrogen therapy? Skeletal pain Pulmonary embolism Breast pain Deep vein thrombosis

Pulmonary embolism

For which disorder would treatment with an anti-infective be appropriate? Benign prostatic hypertrophy Overactive bladder Pyelonephritis Urinary spasms

Pyelonephritis

The nurse knows that urinary anti-infectives are chosen to treat bladder infections because of what property? Prolonged metabolism rate Extended half-life Rapid excretion rate Increased absorption rate

Rapid excretion rate

The nurse knows that urinary anti-infectives are chosen to treat bladder infections because of what property? Rapid excretion rate Prolonged metabolism rate Extended half-life Increased absorption rate

Rapid excretion rate

A student asks the nursing instructor what insulin has the quickest therapeutic effect once administered. What would be the best response? PZI (Humulin U) NPH (Humulin N) Regular (Humulin R) Ultralente (Humulin U Ultralente)

Regular (Humulin R)

The nurse is preparing to administer insulin intravenously to a client with a blood glucose level over 600 mg/dL (33.33 mmol/L). What type of insulin will the nurse most likely give? NPH insulin Lente insulin Ultralente insulin Regular insulin

Regular insulin

Which physiologic action increases a client's stress-related release of cortisol? Negative feedback mechanism Stimulation of the hypothalamus Release of epinephrine and norepinephrine Atrophy of the adrenal cortex

Release of epinephrine and norepinephrine

The nurse is providing client education prior to administering propylthiouracil. During teaching, the nurse should inform the client about the need for what form of follow-up? Serial complete blood counts Routine liver function testing Daily nonfasting blood glucose testing Chest radiographs every 3 months

Routine liver function testing

An 8-year-old boy has been diagnosed with a sex hormone deficiency and has begun a course of treatment with testosterone. What change in the boy's health status would necessitate a stop to the course of treatment? Excessive growth in height Signs of puberty Recurrent urinary tract infections Increased blood pressure

Signs of puberty

After teaching a group of students about growth hormone agonists and antagonists, the instructor determines that additional teaching is needed when the students identify which agent as a growth hormone antagonist? Somatropin Bromocriptine Octreotide Pegvisomant

Somatropin

After teaching a group of students about the various methods for the delivery of insulin, the instructor determines that the teaching was successful when the students identify which method as most commonly used for administration? Subcutaneous injection Insulin pen Jet injector Implantable infusion pump

Subcutaneous injection

Growth hormones cause all of the following EXCEPT: Stimulation and growth of body tissues. Regulation of cell division and protein synthesis. Promotion of an increase in cell size and number. Suppression of triglyceride synthesis.

Suppression of triglyceride synthesis.

A nurse is working with a newly diagnosed diabetic client on understanding hypoglycemia and insulin reactions. Which action would be most important for the client to understand when planning the response to an insulin reaction? Inject a prescribed dose of insulin as soon as you suspect the reaction is occurring. Stay calm and still until the reaction subsides. Notify your health care provider immediately. Take an oral dose of some form of glucose as soon as possible.

Take an oral dose of some form of glucose as soon as possible.

The nurse is counseling a client who has been prescribed nitrofurantoin for treatment of a urinary tract infection. What should the nurse teach the client specific to timing of this medication? Take it with food or milk. Take it one hour before meals. Take it two hours after meals. Take it immediately before going to bed.

Take it with food or milk.

A client being treated with desmopressin exhibits confusion and drowsiness, and reports a headache. What is the nurse's best action? Administer the next dose of desmopressin. Take the client's vital signs. Encourage increased oral fluid intake. Hold the prescribed diuretic.

Take the client's vital signs.

A client diagnosed with hypothyroidism is started on levothyroxine. What should the client be taught regarding medication administration in the home setting? Take medication with milk or food. Do not exercise while taking the medication. Take the medication on an empty stomach. Levothyroxine has a short half-life.

Take the medication on an empty stomach.

The nurse is performing client teaching about the urinary anti-infective methenamine. What information is most important for the nurse to share with this client? Limit fluid intake. Drink orange juice once a day. Take the medication with food. Take the medication once a day at bedtime.

Take the medication with food.

A client has been diagnosed with benign prostatic hypertrophy. Which group of medications are used to treat this disorder? cholinergic agents beta adrenergic blockers alpha adrenergic blockers calcium channel blockers

alpha adrenergic blockers

A client diagnosed with benign prostatic hypertrophy (BPH) is prescribe tamsulosin. The client communicates with the nurse about a friend that was prescribed sildenafil for his BPH. Which is the nurse's best response regarding the difference in the use of the two drugs for BPH? Sildenafil is recommended for initial therapy of BPH. Tamsulosin is recommended for long-term therapy of BPH. Sildenafil activates nerves in the head and neck and decreases blood pressure. Tamsulosin relaxes muscles in the prostate and bladder and increases ability to urinate.

Tamsulosin relaxes muscles in the prostate and bladder and increases ability to urinate.

The nursing instructor is discussing short-term versus long-term corticoid steroid therapy with the nursing students. What would be the most appropriate teaching for a client on long-term corticosteroid therapy? Short-term therapy is 1 week or less Long-term therapy is anything 10 days or longer Taper doses when discontinuing drug Give with meals

Taper doses when discontinuing drug

The nurse counsels the client who has been prescribed nitrofurantoin to avoid the use of magnesium and aluminum salts while on the prescribed medication. Why? Aluminum toxicity may occur. The client will develop severe diarrhea. The absorption of the nitrofurantoin will be delayed. There will be increased metabolism of the nitrofurantoin.

The absorption of the nitrofurantoin will be delayed.

The nurse is caring for a woman with a new prescription for oral contraceptives. What outcome would be most important for the nurse to evaluate? The client describes a positive attitude toward sexual behavior. The client can explain how medication cannot prevent most sexually transmitted infections. The client can verbalize how and when to take medication even if a pill is missed. The client makes the necessary appointments for follow-up care.

The client can verbalize how and when to take medication even if a pill is missed.

A client diagnosed with type 2 diabetes several months ago has presented for a scheduled follow-up appointment. Which stated behavior most clearly indicates that the client has established effective health maintenance? The client exercises two to three times per week. The client reports having gone on a diet. The client frequently checks blood glucose levels. The client can describe the differences between type 1 and type 2 diabetes.

The client frequently checks blood glucose levels.

It has been determined that a 33-year-old male client would likely benefit from treatment with testosterone. What aspect of the client's medical history could contraindicate this treatment? The client is an intravenous drug user. The client has been diagnosed with hepatitis C. The client admits to occasionally having unprotected sex. The client has a body mass index (BMI) in the 5th percentile.

The client has been diagnosed with hepatitis C.

What is the most plausible rationale for a female client being prescribed danazol? The client has endometriosis. The client has ductal carcinoma in situ (DCIS). The client is being treated for symptoms of menopause. The client has recently had a hysterectomy surgery performed.

The client has endometriosis.

Which condition must be met in order for glyburide treatment to be effective? The client must have functioning pancreatic beta cells. The client must have hemoglobin A1C of ≤7%. The client must not have hyperglycemia. The client must be able to self-administer the medication.

The client must have functioning pancreatic beta cells.

The nurse is caring for a client being treated for urosepsis. The client's medication regimen includes phenazopyridine. What outcome best indicates therapeutic effects of this medication? The client has two consecutive urine cultures that are negative The client's urine remains free of blood The client reports an absence of urinary burning and pain The client's urine output is ≥ 1250 mL/24 hours

The client reports an absence of urinary burning and pain

A client's current drug regimen includes intranasal administration of desmopressin acetate. In this client's plan of nursing care, what is the most likely desired outcome of treatment? The client's urine output will not exceed 80 mL/h. The client will gain 2 cm in height over the next 6 months. The client will ovulate at least once over the next 8 weeks. The client's vertical growth will cease in the next 4 weeks.

The client's urine output will not exceed 80 mL/h.

The nurse is providing education to the parents of a child who has been prescribed somatropin. What teaching point should the nurse prioritize? The correct technique for daily injections of the drug The importance of regular blood pressure monitoring The rationale for not crushing the extended-release tablet The need to limit the child's activity level for the duration of treatment

The correct technique for daily injections of the drug

A male adolescent is prescribed testosterone. In order to help the client deal with the added social stress that the medication may cause, the nurse should discuss which possible adverse effect? Deepening of the voice The development of acne Weight loss Dry skin

The development of acne

A woman of childbearing age is diagnosed with breast cancer. She is currently taking hormonal contraceptives. What information should the woman be given regarding the hormonal contraceptives? The hormonal contraceptives do not affect the course of the disease. The hormonal contraceptives will stimulate uterine bleeding. The hormonal contraceptives will impair uterine bleeding. The hormonal contraceptives will stimulate tumor growth.

The hormonal contraceptives will stimulate tumor growth.

An adult client has been prescribed oral prednisone for the treatment of an acute dermatological condition. When teaching this client about this course of treatment, what teaching point should the nurse emphasize? The need to supplement prednisone with high doses of vitamin D The need to avoid drinking grapefruit juice for the duration of treatment The importance of gradually reducing rather than abruptly stopping the drug The importance of matching each day's dose to the severity of symptoms

The importance of gradually reducing rather than abruptly stopping the drug

A client diagnosed with asthma has responded well to treatment with oral corticosteroids, and a switch to inhaled corticosteroids is planned. What strategy for managing this change in treatment should be implemented? The two drugs should be taken simultaneously for 10 to 12 weeks. The inhaled drug should be started during tapering of the oral drug. The inhaled drug should begin 3 to 4 weeks before starting to taper the oral drug. The oral drug should be stopped approximately 1 week prior to starting the inhaled drug.

The inhaled drug should begin 3 to 4 weeks before starting to taper the oral drug.

The client has been prescribed an antispasmodic to help with the urinary urgency and frequency associated with a bladder infection. What information does the nurse share with the client related to home care? The medication can turn the urine dark orange and will stain undergarments. The medication must be taken with milk to prevent gastric upset. The client should maintain a clear liquid diet while taking this medication. This medication will take the place of the anti-infective prescribed for the bladder infection.

The medication can turn the urine dark orange and will stain undergarments.

A 74-year-old woman states that many of her peers underwent hormone replacement therapy (HRT) in years past. The woman asks the nurse why her primary care provider has not yet proposed this treatment for her. What fact should underlie the nurse's response to the woman? The risks of stroke and breast cancer are unacceptably high in women taking HRT. HRT was found to cause mood disturbances in many of the women who used it long term. HRT was found to be a significant risk factor for bone fractures and osteoporosis. The risks of chronic obstructive pulmonary disease were found to be significantly higher in women taking HRT.

The risks of stroke and breast cancer are unacceptably high in women taking HRT.

While learning about corticosteroids in pharmacology class, a student asks the instructor to offer an example of indications for use. What could the instructor mention? Treatment of any hormone excessive state Treatment of any systemic disease state Treatment of a disease with an inflammatory component Treatment of diabetes mellitus

Treatment of a disease with an inflammatory component

The nurse is caring for a client who is vomiting and has a severe urinary tract infection. The nurse knows that which anti-infective can be given IV? Fosfomycin (Monurol) Trimethoprim and sulfamethoxazole (TMP-SMZ) Nitrofurantoin (Furadantin) Methenamine (Hiprex)

Trimethoprim and sulfamethoxazole (TMP-SMZ)

The client has begun using antispasmodic drugs for overactive bladder symptoms and asks what he should know before he plans his vacation. What type of vacation site should cause the client to use extreme caution? Snow skiing Duck hunting Whitewater rafting Tropical beach

Tropical beach

Which laboratory test should the nurse monitor to evaluate treatment effectiveness, when a client has been prescribed a medication to manage bladder spasms associated with a urinary tract infection? Liver function panel Urine culture and sensitivity Renal function panel Complete blood count (CBC)

Urine culture and sensitivity

A female client is prescribed fosfomycin for a urinary tract infection (UTI). Which reported condition suggests an adverse effect of the medication? Heavy menstrual flow Vaginal itching Missed menstrual period Breast tenderness

Vaginal itching

A young man has received a diagnosis of androgen deficiency and has been prescribed testosterone. At clinic follow-up appointments, the nurse should prioritize which assessment? Bladder ultrasound and urine testing for glucose and ketones Weight and measurement of blood pressure Hearing assessment and abdominal girth measurement Deep tendon reflexes and random blood glucose testing

Weight and measurement of blood pressure

A nurse is providing client education to a female client who is taking fludrocortisone. The nurse will instruct the client to monitor what at home? Weight gain Thyroid hormone levels Heart rate Core body temperature

Weight gain

A menopausal client, prescribed estrogen and progesterone, asks why she should take two different medications. Which explanation best addresses the client's question? Taking both medications together will make her periods lighter and of shorter duration. The client needs both estrogen and progesterone to stop menopausal hot flashes. When estrogens are used alone, they cause endometrial hyperplasia and may cause endometrial cancer. The client should speak with her health care provider concerning the need for both prescriptions.

When estrogens are used alone, they cause endometrial hyperplasia and may cause endometrial cancer.

Levothyroxine is classified in which pregnancy category? category A category B category C category X

a

When considering serious adverse effects, oral contraceptive use would most likely be contraindicated in which client? a 25-year-old client whose mother died of pancreatic cancer a 38-year-old client who smokes 1 to 1½ packs of cigarettes per day a 40-year-old client who is taking a cholesterol-lowering medication a 20-year-old client who has a family history of hypofunction of the pituitary gland

a 38-year-old client who smokes 1 to 1½ packs of cigarettes per day

A 24-year-old female athlete is using high doses of anabolic steroids to enhance her performance. She may be at risk for which condition? Acne Fluid deficiency Excessive sedation Hypotension

acne

A group of students are reviewing the contraindications for glucocorticoid therapy. The students demonstrate understanding when they identify which condition? Acute infection Peptic ulcer disease Diabetes Hypothyroidism

acute infection

A female client has been taking prednisone for her asthma for 1 month. The nurse will teach her to gradually decrease her dose of prednisone to avoid: hypokalemia. gastrointestinal problems. adrenal insufficiency. menstrual irregularities.

adrenal insufficiency.

Which corticosteroid is classified as a mineralocorticoid? cortisol cortisone androgens aldosterone

aldosterone

A child has been referred to a pediatric endocrinologist and has begun treatment with octreotide acetate. What nursing diagnosis should be noted in the plan of nursing care for a child prescribed octreotide acetate? delayed growth and development excess fluid volume risk for deficient fluid volume altered growth and development

altered growth and development

The nurse should assess for an enlarged thyroid by palpating which area? Anterior neck Supraclavicular Mid-sternum Submandibular

anterior neck

The nurse anticipates an order for a glucocorticoid when caring for a client with what condition? hypoglycemia appendicitis arthritis septicemiaThe nurse is assessing a child who has been receiving therapy with somatropin.

arthritis

The nurse is assessing a child who has been receiving therapy with somatropin. What assessment should the nurse prioritize related to the drug? Deep tendon reflexes Level of anxiety Respiratory rate Blood glucose

blood glucose

A 52-year-old male with type 2 diabetes is using an anabolic steroid for treatment of hormonal deficiency. He is taking the sulfonylurea glyburide to treat his diabetes. The nurse caring for this client would closely monitor his: RBC. WBC. blood glucose level. creatinine.

blood glucose level.

Which finding should alert the nurse to a potential Cushing's syndrome manifestation presented by a client prescribed long-term corticosteroid therapy? buffalo hump insomnia hair loss weight loss

buffalo hump

Increases in what specific physiologic effects are expected outcomes of thyroid hormone therapy? Select all that apply. pituitary secretion of TSH carbohydrate metabolism cellular metabolism oxygen consumption cardiac output

carbohydrate metabolism cellular metabolism oxygen consumption cardiac output

The nurse is caring for a client who is extremely agitated about finding out she is pregnant and wants to take an abortifacient that will have the fastest possible action. What drug will the nurse expect to be ordered? mifepristone carboprost Prostin 15 bepridil

carboprost

A 20-year-old woman has been prescribed estrogen. As with all women taking estrogen, the nurse will carefully monitor the client for: a decrease in secondary sexual characteristics. cardiovascular complications. early epiphyseal closure. decreased libido.

cardiovascular complications.

Which hormone stimulates the adrenal cortex to produce and secrete adrenocortical hormones? corticotropin somatotropin vasopressin gonadotropin

corticotropin

A client with a urinary tract infection is encouraged to increase fluids. Which liquid will help acidify the urine? Red wine Cranberry juice Orange juice Coffee

cranberry juice

A nurse is organizing the care of a child who takes somatropin. The desired outcome the nurse should prioritize in the planning of this child's care is that the client will: experience a normal progression of secondary sex characteristics. not demonstrate the signs and symptoms of water intoxication. deny feelings of anxiety. demonstrate an increase in linear growth.

demonstrate an increase in linear growth.

A nurse must be aware that thyroid hormone can worsen control of which disease or condition necessitating close client observation? asthma diabetes migraine headaches irritable bowel syndrome

diabetes

A nurse must be aware that thyroid hormone can worsen control of which disease or condition necessitating close client observation? diabetes asthma migraine headaches irritable bowel syndrome

diabetes

The nurse would caution the client to avoid driving if which adverse reaction of urinary tract anti-infectives occur? Anorexia Rash Photosensitivity Drowsiness

drowsiness

A nurse is caring for a client with adrenocortical deficiency. The health care provider has prescribed a fludrocortisone drug to the client. Which adverse reaction should the nurse monitor for in the client? sore throat malaise edema nasal congestion

edema

A nurse is caring for a 70-year-old client who is taking desmopressin (DDAVP). The client has a history of cardiovascular disease. The nurse will prioritize the assessment of: weight. electrolyte levels. dehydration. body temperature.

electrolyte levels

A nurse should recognize that a client taking antithyroid medication may be developing thyrotoxicosis if the client exhibits which of the following symptoms? Sore throat Extreme tachycardia Excessive fatigue Easy bruising

extreme tachycardia

A monophasic oral contraceptives composition is described as having which characteristic? fixed amounts of estrogen and varied amounts of progestin fixed amounts of both estrogen and progestin components three different doses of estrogen and progestin primarily follicle-stimulating hormone

fixed amounts of both estrogen and progestin components

Which is an example of an androgen that can be used to treat hypogonadism? fluoxymesterone nandrolone dutasteride oxymetholone

fluoxymesterone

Parents of a 10-year-old child with asthma are concerned about their child's lack of growth. The parents say that the child is much shorter than anyone in the class and want to know what could have caused the problem. What medication may this child have taken that contributed to the growth suppression? cephalosporin glucocorticoid phenobarbital Brethine (Terbutaline)

glucocorticoid

A nurse administers methenamine cautiously to a client with a history of which condition? gout rheumatoid arthritis osteoarthritis tendonitis

gout

A clinic nurse is following a 9-year-old boy who is taking somatropin. What will the nurse monitor periodically? Antidiuretic hormone (ADH) levels Height Dehydration Water retention

height

A nurse is caring for a client who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for: history of taking anticoagulant drugs. allergy to seafood. hirsutism. the client's age.

history of taking anticoagulant drugs.

The nurse educator works at the diabetes clinic. When talking to a class of adolescent diabetics, the educator tells the students that the most recognized signs of diabetes are: hyperglycemia and glycosuria. hypoglycemia and glucagon levels. carbohydrate use and insulin levels. protein intake and hyperglycemia.

hyperglycemia and glycosuria.

What is a common cause of primary hypothyroidism? Select all that apply. insufficient release of thyrotropin-releasing hormone (TRH) dysfunctional anterior pituitary secretion hyperthyroidism medication therapy Hashimoto's thyroiditis radiation to the neck

hyperthyroidism medication therapy Hashimoto's thyroiditis radiation to the neck

A 63-year-old client taking estrogen and progestin for several years has recently been changed to estrogen alone. What medical event would prompt such a change in treatment? development of hypertension hysterectomy persistent nausea weight gain

hysterectomy

A female client is prescribed estradiol cypionate for treatment of severe vasomotor symptoms associated with menopause. The nurse would expect to administer this drug by which route? intramuscularly intravenously orally transdermally

im

When teaching a client about insulin administration, the nurse would instruct the client to administer insulin aspart at which time? immediately before a meal at bedtime 30 to 60 minutes before a meal immediately after the meal

immediately before a meal

Nursing care for the postoperative client requiring long-term glucocorticoid therapy will be directed at overcoming what adverse effect of the drug? impaired wound healing inflammation autoimmune response lack of mobility

impaired wound healing

A client has been prescribed the drug finasteride for the treatment of benign prostatic hypertrophy. Which adverse effect of the drug should the nurse caution the client about? hypertension increased libido impotence hyperglycemia

impotenece

A client has been prescribed a corticosteroid for the treatment of chronic adrenocortical insufficiency. The nurse's instructions for administration should include taking the medication under what condition? just before bedtime. on an empty stomach. in the morning. with the evening meal.

in the morning.

The health care provider prescribes glyburide for a client who is a newly diagnosed type 2 diabetic. The nurse knows that this medication produces hypoglycemia by: stopping the production of insulin in the liver. increasing the use of insulin by the muscles. preventing glucose absorption from the stomach. increasing insulin secretion from the pancreas.

increasing insulin secretion from the pancreas.

A nurse taking a medical history on a client prescribed a corticosteroid medication should focus on which condition? infections depression cognitive impairment urinary incontinence

infections

Hypothalamic hormones must be given by what route to avoid destruction? Select all that apply. injection topically vaginally sublingually nasal inhalation

injection nasal inhalation

After reviewing information about different insulin preparations, a nursing student demonstrates understanding of the information when the student identifies which medication as an example of a long-acting insulin? insulin glargine insulin lispro insulin aspart isophane insulin suspension

insulin glargine

Which would be most important to assess in a client receiving testosterone for a prolonged period of time? Liver function studies Complete blood count Serum electrolyte levels Platelet count

liver function studies

A nurse is teaching a class at the local high school on the abuse of anabolic steroids. Which potential adverse reaction should the nurse cite regarding the long-term use of these hormones? hypotension. liver tumors. excessive testicular growth. sedation.

liver tumors.

A nurse is providing discharge instructions to a client who will be taking fludrocortisone at home. The nurse will encourage the client to eat a diet that is: low in sodium and potassium. low in sodium, high in potassium. high in iron. low in proteins.

low in sodium, high in potassium.

What stimulus would prompt the hypothalamic-pituitary-adrenal (HPA) axis to increase corticosteroid production? decreased renal filtration of corticosteroids low serum levels of corticosteroids Cushing-type symptoms active infection

low serum levels of corticosteroids

A nurse is preparing to administer a scheduled dose of levothyroxine to an older adult client who is being treated in the hospital for a respiratory infection. Prior to administering the drug, the nurse should perform what assessment? measurement of blood pressure assessment of pupillary response chest auscultation for rales temperature measurement

measurement of BP

The nurse is providing care for a client who has been admitted with clinical hypothyroidism. What interventions should the nurse implement to address common characteristics of the disorder? Select all that apply. provide a low-calorie diet monitor for constipation implement falls risk precautions maintain a warm room temperature constant oxygen saturation monitoring

monitor for constipation implement falls risk precautions maintain a warm room temperature

Based on the nurse's knowledge about thyroid hormone supplements, the nurse administers levothyroxine cautiously to a client who has recently had which condition or disorder? myocardial infarction cataract surgery seizure hypoglycemic episode

myocardial infarction

The nurse is seeing a pregnant client who has a confirmed urinary tract infection that requires treatment. Which anti-infective medication should the nurse anticipate will be prescribed for this client? methenamine nitrofurantoin tartrazine phenazopyridine

nitrofurantoin

A client admitted to the hospital with hyperthyroidism treated with propylthiouracil suddenly develops a skin rash. Which action would the nurse implement first? Provide soothing cream to affected areas. Avoid using soap to cleanse affected areas. Record weight and report weight gain or loss. Notify the primary health care provider.

notify hcp

The nurse should teach clients who are taking thyroid hormones to take the medication: on an empty stomach. in the evening after dinner. at bedtime. in divided doses in the morning and evening.

on an empty stomach.

What drug type is most likely to cause respiratory depression and myxedema coma in clients with thyroid disorders? thioamide antithyroids beta-adrenergic blockers opioid analgesics calcium channel blockers

opioid analgesics

A client is to receive methenamine. The nurse anticipates administering this drug by which route? Oral Subcutaneous Intramuscular Intravenous

oral

A female client tells the nurse that she has been experiencing a strong and sudden desire to urinate and often cannot make it to the bathroom. The client also tells the nurse that she has to urinate all day and "many times" at night. The nurse suspects: cystitis. vaginal prolapse. enlarged prostate. overactive bladder.

overactive bladder.

A client at a health care facility is receiving nitrofurantoin drug therapy for acute bacterial UTIs. The nurse would be alert to which as a possible adverse reaction? Select all that apply. diarrhea urinary retention peripheral neuropathy bacterial superinfection glossitis

peripheral neuropathy bacterial superinfection

A hospital client's current medication administration record specifies oral administration of propylthiouracil (PTU) every 8 hours. What sign or symptom may have originally prompted the care provider to prescribe this drug? persistent tachycardia orthostatic hypotension visual disturbances tinnitus

persistent tachycardia

A client cannot recall the name of the medication prescribed to help manage the pain associated with a urinary tract infection (UTI). What medication was likely prescribed? trimethoprim-sulfamethoxazole minocycline hydrochloride phenazopyridine hydrochloride doxycycline

phenazopyridine hydrochloride

The nurse is caring for a client taking bromocriptine. What is an advantage of this medication? has no adverse effects is taken four times a day reduces risk of heart attack or stroke long-term studies needed

reduces risk of heart attack or stroke

When considering the management of diabetic ketoacidosis (DKA), what type of insulin can be administered intravenously? regular isophane insulin (NPH) lispro insulin glargine

regular

A client is prescribed an alpha-adrenergic blocker for treatment of BPH. When explaining the action of the drug to the client, which information would the nurse integrate into the explanation? interference with testosterone conversion relaxation of the detrusor muscle relaxation of the smooth muscles facilitation of the enzyme to allow increased blood to the penis

relaxation of the smooth muscles

A client with a urinary tract infection (UTI) has a new prescription for nitrofurantoin. The nurse would question this order if the client has a history of: chronic UTI. hypertension. glaucoma. renal dysfunction.

renal dysfunction.

Which herbal products may delay the need for prostate surgery in clients with benign prostatic hypertrophy? foxglove licorice saw palmetto St. John's wort

saw palmetto

A client with a recent history of benign prostatic hypertrophy (BPH) will soon begin treatment with finasteride. Before beginning this course of therapy, the nurse should caution the client to be aware of what potentially adverse effect? photosensitivity urinary retention sexual dysfunction tinnitus

sexual dysfunction

A nurse is caring for a client who is taking a urinary anti-infectives. The nurse would need to assess this client for: discolored urine. jaundice. signs and symptoms of continuing UTI. flank pain.

signs and symptoms of continuing UTI.

The ICU nurse is assessing a client who has been given desmopressin for treatment of diabetes insipidus. What lab values should the nurse prioritize during assessment? Hematocrit Platelets Sodium Calcium

sodium

Which hormones are responsible for the growth of the body during childhood, especially the growth of muscles and bones? somatotropin vasopressin gonadotropin adrenocorticotropic hormone (ACTH)

somatotropin

What is the main purpose of the hormones secreted by the hypothalamus? stimulating or inhibiting release of hormones from the pituitary stimulating organs within the body to secrete hormones allowing the secretion of hormones from the hypothalamus stimulating other glands to release hormones

stimulating or inhibiting release of hormones from the pituitary

A middle-aged client with erectile dysfunction has sought care and is receiving health education from the nurse. The client has expressed a desire to understand the physiology of the sex hormone production and the sexual response. The nurse should describe the fact that testosterone is normally secreted in response to: sexual arousal. stimulation by luteinizing hormone. ACTH release by the adrenal cortex. decreased cortisol levels.

stimulation by luteinizing hormone.

A client is prescribed tamoxifen. Which medical condition in the client's history would lead to tamoxifen being prescribed with caution? Select all that apply. stroke arthritis deep vein thrombosis myocardial infarction

stroke deep vein thrombosis myocardial infarction

A nurse is caring for a female client receiving anabolic steroids for controlling metastatic breast cancer. The nurse would be alert for the development of which adverse reactions? Select all that apply. suicidal tendencies aggressive behavior personality changes Increased appetite constipation

suicidal tendencies aggressive behavior personality changes

Minimizing the effects of what process is typically the primary goal of alternate-day administration of corticosteroids? renal clearance of corticosteroids susceptibility to gastric upset suppression of normal adrenal function facilitating client's adherence

suppression of normal adrenal function

A 72-year-old woman is on long-term glucocorticoid therapy. It will be most important for the nurse to instruct the client to: avoid direct sunlight. take measures to minimize the risk of falls. avoid eating excess red meat. avoid dairy products

take measures to minimize the risk of falls.

A client with diabetes is undergoing testing for glycosylated hemoglobin. The nurse instructs the client that this test measures average blood glucose over what time period? the past 3 or 4 months the past 7 to 10 days the past 1 or 2 months the past 12 to 24 hours

the past 3 or 4 months

When caring for a client on estrogen therapy, what is the nurse's priority assessment? blood glucose levels bowel sounds weight therapeutic drug effects

therapeutic drug effects

A client exhibits severe tachycardia, fever, dehydration, and heart failure. The nurse recognizes that these signs are consistent with what thyroid-associated health condition? subclinical hyperthyroidism Hashimoto's disease myxedema thyroid storm

thyroid storm

The health care provider has ordered phenazopyridine to a client with a urinary tract infection as a urinary analgesic. The client has also been prescribed an anti-infective. The client may use the phenazopyridine for what duration? 12 hours one day two days Entire course of treatment with anti-infective

two days

An older adult client is diagnosed with hypothyroidism, and before therapy starts, the nurse conducts a preadministration assessment. Which symptoms should be thoroughly evaluated and documented in the preadministration assessment and periodically throughout therapy by the nurse? unsteady gait fatigue sore throat easy bruising

unsteady gait

The nurse is caring for a client who is taking a urinary anti-infective. What assessment should the nurse prioritize to identify the effectiveness and appropriateness of the client's drug therapy? 24-hour urine quantity oral temperature urine culture and sensitivity results assessment for dysuria or flank pain

urine culture and sensitivity results

A male client is to begin glyburide (DiaBeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the client's: blood pressure. potassium level. use of alcohol. use of salt in his diet.

use of alcohol.

Medroxyprogesterone acetate is indicated for the treatment of women with what disorder? Uterine bleeding Cervical cancer Ovarian cancer Fibromyalgia

uterine bleeding

Diabetes insipidus is treated with replacement of which hormones? vasopressin gonadotropin somatropin adrenocorticotropic hormone (ACTH)

vasopressin

A 20-year-old college student has presented to the campus medical clinic seeking to begin oral contraceptive therapy. The nurse has recognized the need for adequate health education related to the client's request. The nurse should emphasize the fact that successful prevention of pregnancy depends primarily on the client's: current health status. vigilant adherence to the drug regimen. knowledge of sexual health. risk factors for adverse effects.

vigilant adherence to the drug regimen.

What is the regulatory function of vasopressin? growth lactation water balance corticosteroid production

water balance

The nurse should advise a client who is taking levothyroxine for the first time that resolution of hypothyroid symptoms may not occur for how long after therapy is started? hours days weeks months

weeks