WK 12 Test Drugs

A health care provider has prescribed growth hormone for a client. Which periodic tests would the nurse anticipate monitoring at different intervals during the treatment?

Glucose tolerance ✓

After teaching a client who is prescribed methimazole, the nurse determines that the teaching was effective when the client states which point? Select all that apply.

"I should call my primary health care provider if I have a fever." ✓ "I need to take the drug around the clock." ✓

A client diagnosed with hyperthyroidism has been prescribed propylthiouracil. After administering the drug, which assessment finding should the nurse prioritize?

skin rash ✓

A client presents to the clinic for a routine visit. The nurse suspects the client is experiencing hypothyroidism based on which assessment findings? Select all that apply.

sleepiness ✓ weight gain ✓ bradycardia ✓

A client is administered insulin lispro at 8 AM. The nurse would be alert for signs and symptoms of hypoglycemia at about which time?

9 AM. ✓

A nurse is teaching a client about acarbose. The nurse determines the teaching is successful when the client correctly states which instruction to follow when administering the drug at home?

Administer the drug with the first bite of the meal. ✓

A nurse is preparing to administer gonadotropin to a client. The nurse would question this order if which disorder is documented in the client's medical history?

Adrenal dysfunction ✓

The nurse is caring for a client who was administered radioactive iodine ( I). Which assessment findings should the nurse prioritize on the ongoing assessment? Select all that apply.

Agranulocytosis ✓ Hypoprothrombinemia ✓ Exfoliative dermatitis ✓

A nurse is preparing to administer insulin glargine to a client. What precaution should the nurse take when administering this drug?

Avoid mixing glargine with other insulin. ✓

A nursing instructor is teaching a session on the functions of adrenocortical hormone drugs. The instructor determines the class is successful when the students correctly choose which drugs as influencing glucose, fat, and protein metabolism? Select all that apply.

Budesonide ✓ Dexamethasone ✓ Hydrocortisone ✓ Bethamethasone ✓

A nurse is preparing to administer desiccated thyroid USP to a client who is also prescribed citalopram. The nurse predicts which assessment finding may occur in this client?

Decreased effectiveness of the thyroid drug ✓

A nurse is caring for a client who is receiving corticosteroid therapy. Which nursing diagnosis would the nurse be least likely to prioritize for this client?

Deficient Fluid Volume ✓

After teaching a group of nursing students about corticosteroids, the instructor determines that the teaching was successful when the students correctly choose which drug as a mineralocorticoid?

Fludrocortisone ✓

A client presents to the health care provider's office with reports of worsening hypothyroidism symptoms in spite of taking the prescribed levothyroxine. When questioned about medication changes, the client tells the nurse that they were recently prescribed an antidepressant by another health care provider. Which antidepressant does the nurse suspect the client has started? Select all that apply.

Fluoxetine ✓ Sertraline ✓

A nurse is teaching a client about the insulin product which has been prescribed. The nurse determines the session is successful when the client correctly chooses which insulin they will be using that acts by lowering the blood glucose by increasing the activity of the beta cells in the pancreas? Select all that apply.

Glyburide ✓ Glipizide ✓

A nurse is preparing to administer insulin to the client. Which interventions should the nurse perform before administering each insulin dose?

Inspect the previous injection site for inflammation. ✓

A client with hyperthyroidism, who is prescribed methimazole, reports a skin rash to the nurse. Which instruction should the nurse prioritize when assessing the client?

Instruct the client to use soap sparingly. ✓

The nurse is preparing a presentation for a local community group about diabetes. Which facts should the nurse include when explaining type 1 diabetes? Select all that apply.

Insulin supplementation required for survival ✓ Occurs before age 20 ✓

A nurse is providing care for a client diagnosed with thyroid cancer. Which drug would the nurse anticipate being prescribed for the client?

Iodine-131 ✓

A nurse is assessing a client receiving insulin glargine 20 units at bedtime. The nurse determines the insulin requirement may increase when preparing to administer which new drug? Select all that apply.

Methylprednisolone ✓ Niacin ✓ Estradiol ✓

After teaching a group of nursing students about antidiabetic drugs, the instructor determines that the teaching was successful when the students correctly choose which drugs as producing the glucose-lowering effects by delaying the digestion and absorption of carbohydrates in the intestine? Select all that apply.

Miglitol ✓ Acarbose ✓

A nursing instructor has completed a teaching session covering the various thyroid drugs available. The instructor determines the teaching was successful when the students correctly choose which drugs as an antithyroid drug? Select all that apply.

Propylthiouracil ✓ Methimazole ✓

An elderly client with diabetes insipidus has been prescribed vasopressin. Which nursing action should the nurse prioritize for this client?

Refilling the water container at frequent intervals ✓

A nurse is preparing to teach a client about levothyroxine. The nurse will point out which factors about this drug to the client during the teaching session? Select all that apply.

Relatively inexpensive ✓ More uniform potency than other thyroid hormone replacement drugs ✓

A health care provider has prescribed methimazole for an elderly client with hyperthyroidism who lives alone. Which potential nursing diagnosis should the nurse prioritize for this client?

Risk for Ineffective Health Management ✓

A nurse is preparing to teach a client about vasopressin. Which factors would the nurse integrate into the teaching? Select all that apply.

Secreted when body fluids must be conserved. ✓ Regulates the reabsorption of water from the kidney. ✓

A nurse is providing care to a client with hyperthyroidism. Which treatment modalities would the nurse anticipate being used? Select all that apply.

Subtotal thyroidectomy ✓ Methimazole ✓ Propylthiouracil ✓ Radioactive iodine ✓

A client has been prescribed glucocorticoids for the treatment of congenital adrenal hyperplasia. Which should the nurse prioritize on the ongoing assessment for the client?

Take and record vital signs every 4 to 8 hours. ✓

A nurse is preparing discharge teaching for a client who is prescribed glucocorticoid therapy. Which instructions should the nurse point out in the teaching plan for the client and caregivers?

Take the oral drug with meals or snacks. ✓

A nurse is assessing a client who is receiving desmopressin therapy and suspects that the client is experiencing water intoxication. Which findings on assessment would support the nurse's suspicions? Select all that apply.

confusion ✓ drowsiness ✓ headache ✓

A nurse is preparing a teaching session for a client who is prescribed miglitol. The nurse would instruct the client to administer this drug at which time?

Three times a day with the first bite of a meal ✓

A nurse is completing an assessment on a 70-year-old client suspected of having a thyroid dysfunction. The nurse will question which findings as an indication before starting any thyroid treatment? Select all that apply.

Unsteady gait ✓ Cold intolerance ✓ Confusion ✓

The client with systemic lupus erythematosus, who is prescribed prednisone, presents to the clinic for a routine health care visit. Which instruction should the nurse prioritize after noting the client now has acne on the assessment?

Use water-based cosmetics or creams. ✓

The nurse is monitoring a client who has recently begun levothyroxine therapy. Which assessment findings will the nurse prioritize when conducting the ongoing assessment? Select all that apply.

Weight loss ✓ Insomnia ✓ Elevated body temperature ✓ Tachycardia ✓

A group of nursing students are preparing to assess clients for potential thyroid disorders. The mentor determines the students are well prepared when they correctly point out which assessment findings could indicate hyperthyroidism? Select all that apply.

Weight loss ✓ Tachycardia ✓

A nurse is completing discharge teaching for a client taking vasopressin. The nurse determines the session is successful when the client points out the health care provider should be notified if which reactions occur? Select all that apply.

abdominal cramps ✓ changes in urine output ✓ skin blanching ✓

The nursing instructor is teaching a class on the various hormones in the body. The instructor determines the class is successful when the students correctly choose which hormones as products of the adrenal gland? Select all that apply.

glucocorticoids ✓ mineralocorticoids ✓

A young couple has come to a fertility clinic seeking assistance. Which medication does the nurse anticipate the health care provider will prescribe to help increase the chances of the woman becoming pregnant? Select all that apply.

gonadotropin ✓ cetrorelix ✓ clomiphene ✓

A nurse has administered levothyroxine to a client for hypothyroidism. The nurse determines the client is responding appropriately to the therapy based on which assessment finding?

increased appetitie ✓

The nurse is teaching a client about the ACTH which has been prescribed. The nurse determines the session is successful when the client correctly points out they will need to avoid which medication?

live vaccines ✓

The nurse is preparing to administer dexamethasone to a client diagnosed with aspiration pneumonia. Which assessments should the nurse prioritize on the preadministration assessment? Select all that apply.

lung auscultation ✓ pulse ✓

A client has been receiving metformin for several months arrives for a routine follow-up appointment reporting vague symptoms. Which assessment findings should the nurse prioritize? Select all that apply.

malaise ✓ muscular pain ✓ abdominal pain ✓ tachypnea ✓

A nurse is monitoring a client who is prescribed short-term high-dose methylprednisolone. Which assessment findings should the nurse prioritize? Select all that apply.

moon face ✓ buffalo hump ✓

The nurse is teaching a client about the prescribed fludrocortisone. The nurse determines the session is successful when the client correctly chooses which potential adverse reactions to notify the health care provider about if they happen? Select all that apply.

muscle weakness ✓ edema ✓ weight gain ✓

A client with nocturnal enuresis is prescribed desmopressin acetate. Which assessment finding should the nurse prioritize for this client?

nasal congestion ✓

The nurse is conducting the preadministration assessment on a client with abdominal distention who is prescribed DDAVP. Which assessments should the nurse prioritize? Select all that apply.

respiratory rate ✓ abdominal girth ✓ pulse ✓

A client with hyperinsulinism has been prescribed diazoxide. After administration, which adverse reaction should the nurse prioritize?

tachycardia ✓

A client with thyrotoxicosis is prescribed liotrix. The nurse would prioritize which finding on assessment?

tachycardia ✓

The nurse has administered gonadotropin to a client. Which assessment finding should the nurse prioritize?

visual disturbances ✓

The nurse is preparing to administer insulin glargine to a client. Which actions will the nurse prioritize when preparing the insulin? Select all that apply.

Check the expiration date on the vial. ✓ Remove all air bubbles from the syringe barrel. ✓ Check the health care provider's orders for the type and dosage of insulin. ✓

A nurse has determined a client has developed a hypoglycemic reaction. Which interventions should the nurse perform if the client can adequately demonstrate swallowing and gag reflexes?

Give oral fluids or candy. ✓

A nursing instructor is teaching a class on pituitary gland hormones. The instructor determines the class is successful when the students correctly choose which hormones as being secreted by the anterior pituitary gland? Select all that apply.

Growth hormone ✓ Oxytocin ✓ Adrenocorticotropic hormone ✓

The nurse is assessing a client who was administered metformin and notes hyperventilation, nausea, and somnolence. The nurse determines which nursing diagnosis should be prioritized for this client?

Ineffective Breathing Pattern ✓

A health care provider has prescribed vasopressin to the client. Which assessment should the nurse perform on the ongoing assessment?

Observe the client for blanching of the skin, abdominal cramps, and nausea. ✓

A nurse is preparing to administer levothyroxine to a client. Which signs or symptoms would the nurse expect to document on the preadministration assessment? Select all that apply.

anorexia ✓ coarse hair ✓ cold intolerance ✓

A student nurse is preparing a presentation which will illustrate the action of thyroid hormones. The student will explain that thyroid hormones are principally responsible with initiating which reactions in the body? Select all that apply.

increased cardiac output ✓ increased body temperature ✓ increased heart rate ✓

The nurse has administered glipizide and warfarin to a client. Which finding on assessment should the nurse prioritize?

Increased hypoglycemic effect ✓

A nurse is conducting a teaching session for a client newly diagnosed with type 2 diabetes on the importance of monitoring the blood glucose. The nurse determines additional teaching is necessary after the client makes which statement?

"I should prick the tip of my finger to get the blood." ✓

A nurse is preparing to administer liothyronine to a client with chronic thyroiditis. The nurse determines the drug needs to be administered cautiously after noting which disorder in the client's medical history?

Cardiac disease ✓

A nurse is teaching a client and caregivers about vasopressin for the treatment of diabetes insipidus. The nurse determines the session is successful when the client and caregiver correctly choose which instructions to ensure safe use of vasopressin? Select all that apply.

Carrying extra doses with the client at all times ✓ Monitoring the daily intake of fluids ✓ Carrying liquids with the client at all times ✓ Wearing a medical alert bracelet ✓

The nurse monitoring a client receiving insulin glulisine notices the client has become confused, diaphoretic, and nauseated; and has a blood glucose of 60 mg/dL. Which emergent treatment would the nurse most likely give? Select all that apply.

Hard candy ✓ Glucose tablets ✓ Orange or other fruit juice ✓

The nurse is assessing a client for risk factors associated with type 2 diabetes. Which findings would the nurse prioritize? Select all that apply.

Impaired glucose tolerance ✓ Obesity ✓ History of gestational diabetes ✓

A client is receiving corticosteroids and digoxin. The nurse will carefully monitor the client for which potential adverse reaction?

Increased risk for toxicity ✓

A health care provider has prescribed a medication for a client is diagnosed with euthyroid goiter. The nurse would expect to administer which drug?

Levothyroxine ✓

A client is receiving glyburide. The nurse assesses the client for a decrease in the drug's effect if which additional drugs are initiated? Select all that apply.

Levothyroxine ✓ Phenytoin ✓ Amlodipine ✓ Atenolol ✓

A nurse is caring for a client with diabetes mellitus who is receiving an oral antidiabetic drug. Which ongoing assessments should the nurse prioritize when caring for this client?

Observe the client for hypoglycemic episodes. ✓

A group of nursing students are preparing a presentation depicting the various hormones necessary for proper functioning of the human body. The students should point out which hormones are secreted by the posterior pituitary gland? Select all that apply.

Oxytocin Vasopressin

The nurse is preparing to teach a client with diabetes about the new antidiabetic medication the health care provider has prescribed. Which drug will the client be receiving if the nurse explains it produces its glucose-lowering effect by decreasing insulin resistance and increasing insulin sensitivity? Select all that apply.

Pioglitazone ✓ Rosiglitazone ✓

The nursing instructor is teaching a session on the thyroid and its hormones. The instructor determines the class is successful when the students correctly choose which hormones as originating in the thyroid gland? Select all that apply.

Tri-iodothyronine ✓ Thyroxine ✓

A client receiving gonadotropin therapy comes to the clinic with reports of not feeling well. Which assessment findings would the nurse immediately report to the primary health care provider? Select all that apply.

abdominal pain ✓ abdominal distension ✓ ascites ✓

A nurse is teaching a client about the thyroid hormone replacement therapy which has been prescribed. The nurse determines the teaching session is successful when the client indicates which time to take the drug?

before breakfast ✓

The health care provider has prescribed somatropin for a client. As the nurse conducts the preadministration assessment, which assessments should the nurse prioritize? Select all that apply.

blood pressure ✓ pulse ✓ weight ✓

When teaching a client about the prescribed levothyroxine therapy, the nurse determines that the teaching was successful when the client states that they will contact the primary health care provider if which symptom occurs? Select all that apply.

chest pain ✓ significant weight changes ✓ excessive diaphoresis ✓ palpitation ✓

A nurse is preparing to administer vasopressin to a client. The nurse will exercise caution if which disorder is noted in the client's medical history? Select all that apply.

migraine headaches ✓ seizure disorders ✓ angina ✓ asthma ✓

A nurse is assessing a client who received desmopressin (DDAVP). Which findings should the nurse prioritize on assessment? Select all that apply.

nausea ✓ diaphoresis ✓ tremor ✓

A nursing instructor is teaching a group of nursing students about type 2 diabetes. The instructor determines the session is successful when the students correctly choose which as a risk factor for individuals developing type 2 diabetes?

obesity ✓

A health care provider has ordered an iodine procedure for a client with thyroid dysfunction. What should the nurse prioritize in the preadministration assessment for the client? Select all that apply.

pulse ✓ temperature ✓ allergy history ✓ weight ✓

A client presents to the emergency department with an apparent reaction to recently started thyroid therapy. Which assessment finding would lead the nurse to question that this client is experiencing a thyroid storm?

Altered mental status ✓

A nurse has administered glyburide to a client. The nurse predicts the client may experience a hypoglycemic event if which additional drug is also prescribed for this client? Select all that apply.

Amitriptyline ✓ Warfarin ✓ Ranitidine ✓

A nurse is preparing to administer exenatide to a client with type 2 diabetes. The nurse will question this order if which condition is noted in the client's medical record?

Diabetic ketoacidosis ✓

A nurse has administered glimepiride to a client with diabetes. Which findings on the ongoing assessment should the nurse prioritize? Select all that apply.

Nausea ✓ Heartburn ✓ Hypoglycemia ✓

A nurse is preparing to teach a client and caregivers about levothyroxine. Which instructions should the nurse prioritize? Select all that apply.

Changing brands of the drug is okay. ✓ Do not skip a dose unless advised to do so. ✓ Therapy is lifelong. ✓

After administering insulin detemir to a client with diabetes, the nurse suspects that the client is developing hypoglycemia based on which assessment findings? Select all that apply.

Confusion ✓ Headache ✓ Diaphoresis ✓

A client who is receiving warfarin has been prescribed medication for a thyroid issue. The nurse will prioritize potential signs of bleeding if which drug is initiated? Select all that apply.

Desiccated thyroid ✓ Liothyronine ✓ Methimazole ✓ Propylthiouracil ✓

A nurse is preparing to administer a long-acting insulin to a client. Which insulin might the nurse administer? Select all that apply.

Insulin glargine ✓ Insulin detemir ✓

After teaching an in-service presentation to a group of nurses about diabetes and insulin, the presenter determines that the session was successful when the group correctly chooses which insulins as rapid-acting? Select all that apply.

Insulin glulisine ✓ Insulin aspart ✓

A client prescribed treatment for atrial fibrillation is now prescribed levothyroxine for hypothyroidism. The nurse prepares to monitor the client for increased cardiac dysfunction if the client is prescribed which current medication? Select all that apply.

Metoprolol ✓ Digoxin ✓

A nurse is preparing to administer a new drug to a client who also receives insulin detemir. Which medication might the nurse be administering which will result in a decreased insulin dosage? Select all that apply.

Metoprolol ✓ Fenofibrate ✓ Sulfamethoxazole/trimethoprim ✓

The nurse is conducting ongoing assessment of a client receiving insulin detemir. The nurse would question the effectiveness of the insulin based on which assessment findings? Select all that apply.

increased thirst ✓ increased urination ✓ abdominal pain ✓

The nurse is performing the ongoing assessment of a client taking levothyroxine. The nurse predicts the client is experiencing a therapeutic response based on which assessment findings? Select all that apply.

weight loss ✓ increased mental activity ✓ increased appetite ✓ mild diuresis ✓