Pharm Test 2

A female client with a six-month-old infant has been prescribed propylthiouracil (PTU). What is the most important question the nurse should ask this client? "Have you ever taken thyroid replacement medications in the past?" "Did your baby have hyperthyroidism in utero?" "Are you breastfeeding your child?" "How long have you had thyroid related symptoms?"

"Are you breastfeeding your child?"

On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to discuss the potential benefits of hormone replacement therapy in controlling the symptoms of menopause. Which response by the nurse is most appropriate? "We'll have to check your bone density first, because if it's too low then it's not safe to start HRT." "Actually, most of the current research is suggesting that HRT may not be all that effective in treating the symptoms of menopause." "It's important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke" "HRT might be quite beneficial to you, and it carries the additional benefit of modest protection against breast cancer."

"It's important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke"

A male client is diagnosed with Parkinson's disease. The nurse visits him 1 week after hospitalization to assess his progress and medication regimen compliance. He states that there is no significant improvement in his symptoms. What is the best response by the nurse? "Noticeable improvement may not occur for several weeks after the initial drug dose." "Noticeable improvement usually occurs 7 to 10 days after the initial drug dose." "You should have noticed improvement by now; I will notify your health care provider." "Are you sure that you are taking the medication as ordered?"

"Noticeable improvement may not occur for several weeks after the initial drug dose."

The caregiver of client describes the client as having Alzheimer disease for 20 years and is currently in the late stage of the disease. The caregiver asks the nurse if the client can go back on the medication donepezil. Which response by the nurse is appropriate? "Let me discuss your concerns with the prescriber." "A newer drug that has recently been developed is galantamine." "The drugs are best used early as they slow the progression of AD." "Donepezil has had research studies findings suggestive of curing of AD."

"The drugs are best used early as they slow the progression of AD."

The health care provider has ordered a variety of laboratory assessments on a client who will need estrogen replacement. The follow labs are ordered: blood urea nitrogen (BUN), creatinine, and liver function tests (LFTs). What is the nurse's best statement explaining to a client the need to draw the labs? "Medication adjustments are based on baseline laboratory values." "The labs will identify your body's ability to filter and excrete medications." "I will get the prescriber to talk to you about the laboratory assessments ordered." "Additional labs will be ordered if these values indicate problems with your body."

"The labs will identify your body's ability to filter and excrete medications."

A client diagnosed with erectile dysfunction has been advised to take sildenafil. For up to how many hours does the action of the drug persist? 4 hours 8 hours 12 hours 24 hours

4 hours

A child weighing 14.5 kg has von Willebrand's disease. The patient requires an intravenous injection of 0.3 g/kg of desmopressin (DDAVP) in 10 mL of sterile saline. How much DDAVP should be administered? 4.4 g 9.6 g 10.3 g 21.1 g

4.4g

When describing the parasympathetic nervous system to a group of students, which substance would the nursing instructor discuss as being responsible for transmission of nerve impulses across this system? Acetylcholine Norepinephrine Dopamine Serotonin

Acetylcholine

Decreased acetylcholine levels are characteristic of what disorder? multiple sclerosis. Huntington's disease. Alzheimer's disease. Parkinson's disease.

Alzheimer's disease.

A client with dementia of Alzheimer disease is prescribed memantine. Before administering the drug to the client, which would the nurse observe while obtaining the client's health history? Eating habits Resistance power Behavior patterns Sleeping patterns

Behavior patterns

A nursing instructor is explaining the role of androgens to a nursing class. The instructor determines that the class was successful when the students correctly choose which action(s) of androgens after the onset of puberty? Select all that apply. Body fat distribution Muscle development Epiphyseal growth Glucose metabolism Body hair

Body fat distribution Muscle development Body hair

What would a nurse attribute to estrogen? Breast growth Thickened cervical mucus Increased body temperature Increased appetite

Breast growth

A female client asks the nurse about the use of progestins. The nurse shares with the client that clients who take this medication are at an increased risk for what serious adverse effect? Cardiovascular complications Respiratory difficulties Seizures Renal failure

Cardiovascular complications

A nursing instructor is describing Parkinsonism to a group of nursing students. When discussing the underlying cause of the symptoms, the instructor explains the depletion of dopamine in which of the following? Central nervous system Peripheral nervous system Smooth muscle Skeletal muscle

Central nervous system

A student asks the pharmacology instructor to describe the function of a cholinergic agonist. What would the instructor reply? Cholinergic agonists increase the activity of dopamine receptor sites throughout the brain and spinal cord. Cholinergic agonists decrease the activity of GABA receptor sites throughout the body. Cholinergic agonists increase the activity of acetylcholine receptor sites throughout the body. Cholinergic agonists decrease the activity of norepinephrine receptor sites throughout the brain and spinal cord.

Cholinergic agonists increase the activity of acetylcholine receptor sites throughout the body.

A client is prescribed lamotrigine for control of partial seizures. What is the most important medication teaching information the nurse should emphasize from the plan of care? Take this medication with food to prevent nausea and vomiting. A mild headache may occur while taking this medication. Contact the health care provider immediately if rash appears. Seek assistance when walking if dizziness occurs.

Contact the health care provider immediately if rash appears.

The primary function of the thyroid gland includes: Control of cellular metabolic activity Facilitation of milk ejection Reabsorption of water Reduction of plasma level of calcium

Control of cellular metabolic activity

A nurse is preparing to administer levothyroxine to a client who is also prescribed citalopram. The nurse predicts which assessment finding may occur in this client? Prolonged bleeding Decreased effectiveness of the thyroid drug Increased risk of paresthesias Increased risk of hypoglycemia

Decreased effectiveness of the thyroid drug

After administering desmopressin to a client with diabetes insipidus, which would the nurse identify as indicating drug effectiveness? Decreased reports of thirst Elevated blood glucose levels Increased urination Decreased skin turgor

Decreased reports of thirst

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? Discontinue the medication. Decrease the dose of medication. Increase the dose of medication. Change the finasteride to dutasteride.

Discontinue the medication.

A client is receiving androgen therapy. Which would cause the nurse the greatest concern? Decreased thyroid function Elevated liver enzyme levels Increased creatinine level Increased creatinine clearance

Elevated liver enzyme levels

What additional warnings or risks should the nurse include in the teaching plan of a client receiving estrogen? Diabetes mellitus Endometrial cancer Parkinson disease Cardiac valve dysfunction

Endometrial cancer

The nurse is instructing the parents of an 11-year-old male who has testosterone deficiency. Which symptom, if found in this child, would cause the discontinuation of this medication? Skeletal growth Enlarged penis Increased appetite Improved school skills

Enlarged penis

The nurse is preparing a teaching plan for a client who is taking rivastigmine. What precaution should the nurse teach the client and family to minimize the risk of adverse GI effects? Monitoring weight throughout the therapy Having small, frequent meals Eating nutrient and calorie rich foods Establishing appropriate sleep and rest patterns

Having small, frequent meals

The nurse is preparing to administer levothyroxine to a client. Which assessment finding would cause the nurse to hold the medication? Respiratory rate of 16 Temperature of 99.3°F Heart rate of 110 beats per minute Blood pressure of 107/64

Heart rate of 110 beats per minute

Which of the following should be included in the nurse's pre-administration assessment of a client about to receive somatropin ? Select all that apply: Height Weight Blood pressure Pulse Respiratory rate

Height Weight Blood pressure Pulse Respiratory rate

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

Which cholinergic-blocking drugs are used in the treatment of chronic obstructive pulmonary disease (COPD)? (Select all that apply.) Darifenacin (Enablex) Ipratropium (Atrovent) Benztropine (Cogentin) Biperiden (Akineton) Tiotropium (Spiriva)

Ipratropium (Atrovent) Tiotropium (Spiriva)

Which agent would a nurse expect to administer to a client with hypothyroidism? Levothyroxine Methimazole Propylthiouracil Calcitriol

Levothyroxine

A client has been receiving long-term testosterone therapy. The nurse would expect to monitor: Renal function studies Liver function studies Complete blood count Coagulation studies

Liver function studies

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

The nurse is caring for a woman who takes estrogen and assesses the client for what central nervous system adverse reactions related to the use of this medication? (Select all that apply.) Migraine headaches Anxiety Dizziness Paralysis Depression

Migraine headaches Dizziness Depression

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? Nervousness and tachycardia Drowsiness and bradycardia Skin rash and itching Slow speech and mental dullness

Nervousness and tachycardia

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 the primary health care provider.

A patient with hypothyroidism is at increased risk for respiratory depression and myxedema coma if given what category of drugs? Antibiotics Corticosteroids Opioid analgesics Nonsteroidal anti-inflammatory drugs

Opioid analgesics

After reviewing the hormonal secretion of the pituitary gland, the students demonstrate understanding when they identify which hormone as being released by the posterior lobe? Oxytocin Endorphins Thyrotropin Growth hormone

Oxytocin

A nurse is administering lorazepam to a client with status epilepticus. The nurse will be prepared to administer which additional drug to treat the status epilepticus for the next several hours? Ethosuximide Phenytoin Ethotoin Zonisamide

Phenytoin

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

Which hormone is important for milk production in a lactating woman? Prolactin Oxytocin Luteinizing hormone Estrogen

Prolactin

The client, newly diagnosed with epilepsy, begins to show signs of seizure activity. What is the nurse's priority action? Obtain the client's vital signs as soon as possible. Attempt to calm the client. Protect the client's safety. Perform detailed documentation

Protect the client's safety.

Anticholinergic drugs are used in ophthalmology because they produce which effect? Sedation Pupil dilation Pupil constriction Decreased lacrimal secretions

Pupil dilation

While taking the vital signs of a hospitalized client admitted for seizure control due to epilepsy, the nurse notices a bloody toothbrush on the client's bedside table and scattered bruising over the client's extremities. What is the nurse's best action? Document the findings and offer the client a soft-bristled toothbrush. Notify the charge nurse about reporting suspected physical abuse. Tell the client to ask for assistance when ambulating so as to prevent bruising. Report the findings to the primary health care provider immediately.

Report the findings to the primary health care provider immediately.

A 36-year-old woman with a history of dysmenorrhea has begun treatment with progesterone, which she will be receiving by the intramuscular route. The nurse participating in the woman's care should prioritize which potential nursing diagnosis? Incontinence, Functional, related to neurosensory and musculoskeletal changes Fluid Volume Deficit related to metabolic changes secondary to drug therapy Confusion, Chronic, related to CNS changes resulting from adverse drug effects Risk for Injury related to loss of vision or thrombotic events

Risk for Injury related to loss of vision or thrombotic events

A group of students are reviewing the drugs that are available for treating Alzheimer's disease. The students demonstrate understanding of the information when they identify which drug as appropriate for treatment? Rivastigmine Cevimeline Edrophonium Pyridostigmine

Rivastigmine

After teaching a class on the female reproductive system, the nurse determines that the teaching was successful when the class identifies what as a primary function of the ovaries? Carrying the ovum to the endometrium Secretion of estrogen and progesterone Secretion of mucus that supplies lubrication for intercourse Location for implantation of a fertilized ovum

Secretion of estrogen and progesterone

A group of students are reviewing the drugs available for treating penile erectile dysfunction. The students demonstrate understanding when they identify which drug as a PDE5 inhibitor? Alprostadil Sildenafil Oxandrolone Danazol

Sildenafil

The anatomy and physiology instructor is discussing the action of endogenous estrogen on the body. What effect would the instructor tell the students estrogen has on breast tissue in the body? Supports development of the placenta Restricts deposition of fat to abdomen and thighs Depresses formation of connective tissue during the 3rd decade of life Stimulates construction of milk ducts

Stimulates construction of milk ducts

During a general health assessment, a client indicates taking thyroid medication to increase weight loss. What statement should be the basis of the nurse's response? While taking thyroid medication, the client needs to take a calcium supplement as well. While taking thyroid medication, the client needs to take additional dietary supplements of iodine as well. Taking thyroid medication will not contribute to weight loss but only result in a redistribution of fat deposits. Taking excessive or unnecessary thyroid medication may produce serious or life-threatening manifestations of toxicity.

Taking excessive or unnecessary thyroid medication may produce serious or life-threatening manifestations of toxicity.

Hormones from various organs regulate the menstrual cycle. Which of the following hormones does not directly influence the cycle? Gonadotropin-releasing hormone Follicle-stimulating hormone Luteinizing hormone Testosterone

Testosterone

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

How are lipid-soluble steroid and thyroid hormones typically inactivated? They are typically inactivated by enzymes in the liver and kidneys. They are typically inactivated by water-soluble, protein-derived hormones. They are typically conjugated in the liver to inactive forms and then excreted in bile or urine. They are typically inactivated by enzymes at receptor sites on target cells.

They are typically conjugated in the liver to inactive forms and then excreted in bile or urine.

During testosterone therapy, a client should be monitored for decreased function of which organ? Kidney Thyroid Pituitary gland Pancreas

Thyroid

Which hormone regulates the production and release of thyroid hormone? Thyrotropin-releasing hormone (TRH) Thyroid-stimulating hormone (TSH) Tetraiodothyronine Triiodothyronine

Thyroid-stimulating hormone (TSH)

The nurse is assessing a 22-year-old male. What symptoms would indicate that this client may be experiencing androgen deficiency? (Select all that apply.) Very small testicles Inability to have an erection Large amount of pubic hair Low sperm count Enlarged penis

Very small testicles Inability to have an erection Low sperm count

A client presents to the clinic for a routine visit. The nurse suspects the client is experiencing hypothyroidism based on which assessment finding(s)? Select all that apply. Elevated body temperature Weight gain Bradycardia Hypertension Sleepiness

Weight gain Bradycardia Sleepiness

The nurse is preparing to administer the next dose of methsuximide to a client experiencing partial seizures. The client remarks about hoping their stomach will do better this time. Which suggestion from the nurse will best assist this client when administering this next dose? Daily at bedtime Immediately before eating a meal With some food or milk First thing in the morning on arising

With some food or milk

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? Memory impairment Cold intolerance Constipation Altered mental status

altered mental status

When describing desmopressin to a group of students, the instructor explains that it is a synthetic form of: oxytocin. adrenocorticotropic hormone. thyroid hormone. antidiuretic hormone.

antidiuretic hormone

A 78-year-old man is admitted to the emergency department (ED) with bradycardia resulting from overdose of donepezil. The nurse knows that the ED is likely to order which medication? atropine pseudoephedrine propranolol bethanechol

atropine

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 preparing to administer eye drops containing an anticholinergic preparation to a client prior to an eye examination. Before administration, the nurse explains that the eye drops will cause what pupil reaction? constriction brisk response dilatation temporary fixation

dilatation

Common side effects of anticholinergics include: dry mouth, urinary retention, constipation, and increased pulse rate. blurred vision, decreased liver enzymes, increased B/P, and papillary constriction. decreased GI absorption, nausea, heartburn, and hypotension. skin rashes, decreased urinary output, constipation, and increased WBCs.

dry mouth, urinary retention, constipation, and increased pulse rate.

Androgens may be prescribed to women to treat conditions related to the effects of the female sex hormones. Danazol is prescribed to prevent or treat fibrocystic breast disease and: folic acid deficiencies. alopecia. endometriosis. toxic shock syndrome.

endometriosis

What is the most common cause of subclinical hyperthyroidism? untreated osteoporosis history of neck radiation excess thyroid hormone therapy central nervous system depressant therapy

excess thyroid hormone therapy

The nurse would contact the health care provider prior to administering desmopressin to a client with a history of what condition? Allergy to bananas Heart attack Detached retina Gout

heart attack

The community health nurse is preparing to administer a prescribed dose of levothyroxine to a client. What is the nurse's priority assessment? heart rate and rhythm respiratory rate and rhythm level of consciousness blood glucose

heart rate and rhythm

The client in the final stage of Alzheimer's disease tends to suffer from weight loss and eating problems. This is primarily due to: loss of appetite. inability to swallow. fatigue. inability to make food choices.

inability to swallow.

The nurse is caring for a client who has been diagnosed with both Parkinson's disease and narrow-angle glaucoma. What medication should cause the nurse concern? levodopa phenytoin gabapentin amantadine

levodopa

What should the nurse include as a possible adverse effect when teaching a client about phenytoin? Liver toxicity Diarrhea Increased white blood cell count Physical dependence

liver toxicity

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

An instructor is preparing a teaching plan for a class on the various pituitary hormones. Which hormone would the instructor include as being released by the posterior pituitary gland? Somatotropin Prolactin Oxytocin Adrenocorticotropic hormone

oxytocin

A critically ill client is being treated with desmopressin. When reviewing the diagnostic and laboratory findings of a client prescribed desmopressin, the nurse should prioritize what values? Select all that apply. sodium (Na) potassium (K) hemoglobin (Hgb) leukocytes (WBC) partial thromboplastin time (PTT)

sodium (Na) potassium (K)

Which needs to be used in a child prior to the closure of the bone epiphyses in order to exert its effects? somatropin folic stimulating hormone luteinizing hormone prolactin

somatropin

A client with thyrotoxicosis is prescribed levothyroxine. The nurse would prioritize which finding on assessment? Tachycardia Agranulocytosis Loss of hair Skin rash

tachycardia