Pharmacology Practice Questions Exam 2
Which of the following patients would be taking a glucocorticoid in low doses for replacement therapy? A - A patient with Addison's disease B - A patient with rheumatoid arthritis C - A patient with systemic lupus erythematosus D - A patient with Cushing's syndrome
A - A patient with Addison's disease
For the most consistent absorption, into which site should insulin be injected? A - Abdomen B - Deltoid C - Vastus Lateralis D - Gluteus maximus
A - Abdomen
What is the major cause of blindness among American adults? A - Diabetes B - Acute Glaucoma C - Renal Disease D - HTN
A - Diabetes
The nurse manages care for a diabetic patient on metformin. Which laboratory result would create the greatest concern? A - Elevated creatinine B - Anemia C - Decreased platelets D - Increased Iron
A - Elevated creatinine
A nurse is caring for a patient with T2DM who requires insulin prior to each meal. Which of the following medications is an appropriate choice for this patient? A - Insulin Aspart (Novolog) B - NPH insulin (Humulin N, Novolin N) C - Insulin Glargine (Lantus) D - 1 & 2 E - None of the above
A - Insulin Aspart (Novolog)
A patient who is receiving chemotherapy complains of nausea. Which of the following prescribed medications should the nurse administer? A - Ondansetron (Zofran) B - Prochlorperazine (Compazine) C - Dexamethasone (Decadron) D - Promethazine (Phenergan)
A - Ondansetron (Zofran)
An operating room nurse prepares a client with type 2 DM for surgery. Which type of insulin will the surgical nurse have available? A - Regular Insulin (Humulin R) B - Isophane insulin suspension (NPH insulin) C - Insulin zinc suspension (Lente Insulin) D - Insulin glargine (Lantus)
A - Regular Insulin (Humulin R)
A patient with type 1 DM reports mixing NPH and Humalog to allow for one injection. The nurse should inform the patient that: A - This is an acceptable practice B - These two forms of insulin are not compatible and cannot be mixed. C - Mixing these two forms of insulin may increase the overall potency of the products. D - You must draw the cloudy insulin 1st then the clear.
A - This is an acceptable practice
A nurse is caring for four clients who have peptic ulcer disease. The nurse should identify misoprostol is contraindicated for which of the following clients? A - a client who is pregnant B - a client who has osteoarthritis C - a client who has a kidney stone D - a client who has a urinary tract infection
A - a client who is pregnant
The nurse is counseling the patient who is to take magnesium hydroxide. Crucial information is that she should: A - augment fluid intake B - restrict liquids C - use with mineral oil to avoid irritation D - expect immediate results
A - augment fluid intake
A nurse is caring for a client who is taking propylthiouracil. Which of the following findings should the nurse monitor for as an adverse effect of this medication? A - bradycardia B - insomnia C - heat intolerance D - weight loss
A - bradycardia
A patient is taking finasteride (Proscar) for benign prostatic hyperplasia (BPH). The nurse should explain that this medication: A - decreases the size of the prostate gland B - relaxes smooth muscle of the prostate gland C - reduces the risk of prostate cancer D - improves sexual performance during intercourse
A - decreases the size of the prostate gland
Histamine 2 receptor antagonists are not useful in prevention of which of the following conditions? (select all that apply) A - erosion of the gut wall B - osteoporosis C - heart failure D - hepatotoxicity
A - erosion of the gut wall
Bulk forming laxatives: A - function like dietary fiber B - act within 2 to 6 hours C - produce a semifluid stool D - are used to prepare the bowel for diagnostic procedures
A - function like dietary fiber
The nurse assesses a newly diagnosed patient for short-term complications of diabetes. This assessment includes: A - hyperglycemia, hypoglycemia, & ketoacidosis B - cranial nerve testing for peripheral neuropathy C - pedal pulse palpation for arterial insufficiency D - auscultation of carotids for bruits associated with athersclerosis
A - hyperglycemia, hypoglycemia, & ketoacidosis
Deepening of the voice and changes in hair patterns in females from use of androgens is usually A - irreversible B - reversible
A - irreversible
Vincristine (Oncovin) is prescribed for a patient with bladder cancer. The nurse will teach the patient to expect: A - peripheral neuropathies B - hair loss C - nausea and vomiting D - bone marrow suppression
A - peripheral neuropathies
When administering an antiemetic to a patient with post-operative nausea and vomiting, the patient develops extrapyramidal effects. Which of the following categories of agents is most likely responsible? A - phenothyazines B - glucocorticoids C - cannaboids D - serotonin receptor antagonists
A - phenothyazines
Patient education for those who require pancreatic enzyme supplementation includes that they: A - should only be taken with every meal & snack B - are only required if meals are fatty C - should be taken at bedtime D - are used when meals are missed
A - should only be taken with every meal & snack
A patient develops severe nausea and vomiting from chemotherapy. These symptoms are caused by: A - stimulation of the chemoreceptor trigger zone. B - anxiety and anticipatory grieving. C - increased peristalsis of the gastrointestinal tract. D - injury of the epithelial lining of the esophagus and stomach.
A - stimulation of the chemoreceptor trigger zone.
The nurse is evaluating a patient on chemotherapy. Which actions would be appropriate to assess for the most serious consequence of chemotherapy-induced toxicity? A - taking the patient's temperature and checkin neutrophil count B - instructing the patient regarding neutropenia diet C - administering erythropoietin for fatigue D - ordering a wig for patient's alopecia
A - taking the patient's temperature and checkin neutrophil count
Which of the following is true regarding Insulin in the body? (Select all that apply) A - A hormone B - Produced by the pancreas C - A steroid D - Produced by the pituitary gland
A and B
A nurse is caring for a client who has breast cancer and asks why the treatment plan contains a combination therapy of cyclophosphamide, methotrexate, and fluorouracil. The response by the nurse should include the combination chemotherapy is used to do which of the following? (Select all that apply) A - decreased medication resistance B - attack cancer cells at different stages of cell growth C - Block chemotherapy agent from entering healthy cells D - stimulate immune system E - decrease injury to normal body cells
A, B, E
The nurse is educating a patient about their new T1DM diagnosis. Which of the following statements would indicate the patient needs further education? (Select all that apply) A - I will take oral diabetic medications for the rest of my life. B - I will take a combination of oral diabetic medications for the rest of my life. C - I will need to take insulin for the rest of my life. D - My body can no longer produce insulin on its own. E - I will need to need to be able to recognize when my blood sugar is too low which is called hyperglycemia.
A, B, E
A patient recently diagnosed with type 2 diabetes asks a nurse, "Why did I get this condition?" Select the nurse's correct response. You may select more than one answer. A - "There is a strong family association, so it may be hereditary." B - "The condition is related to autoimmune destruction of the pancreatic cells." C - "The condition is strongly related to obesity." D - "The definitive cause of type 2 DM is unknown." E - "The disease is likely after abdominal trauma."
A, C, D
A nurse is explaining the mechanism of action of combination oral contraceptives to a group of clients. The nurse should tell the client that which of the following actions occur with the use of combination oral contraceptives? (Select all that apply) A - thickening the cervical mucus B - inducing maturation of ovarian follicle C - increasing development of the corpus luteum D - Altering the endometrial lining E - inhibiting ovulation
A, D, E
A female patient is receiving misoprostol with a nonsteroidal anti-inflammatory agent. An important component of patient education is: A - to use medication with food B - avoidance of pregnancy C - use of laxatives to balance constipating effects D - use o these drugs simultaneously can precipitate a gastrointestinal bleeding
B - avoidance of pregnancy
A 39 yr. old patient is planning a cruise & has been given a prescription for scopolamine. Which of the following side effects will the nurse describe? A - nausea & vomiting B - blurred vision & drowsiness C - itching & diarrhea D - hearing loss & salivation
B - blurred vision & drowsiness
A patient on anti-ulcer therapy complains of reduced libido and impotence. The nurse informs him that it may be associated with: A - nizatidine B - cimetidine C - ranitidine D - famotidine
B - cimetidine
A patient is prescribed amoxicillin and tetracycline to treat peptic ulcer disease. The nurse will instruct the patient that this Medication will: A - prevent gastrointestinal infections that cause gastric bleeding. B - destroy the bacteria in the stomach that are causing ulceration. C - reduce gastric acid production and alkalize the stomach fluids. D - decrease the secretion of pepsin in the stomach.
B - destroy the bacteria in the stomach that are causing ulceration.
The nurse is caring for a 66-year old female postoperative total knee replacement patient who has been taking estrogen to relieve menopausal symptoms and increase bone mineral density. Which of the following nursing assessment findings would be of most concern to the nurse? A - dizziness with position changes B - dyspnea while resting C - nausea and vomiting D - vaginal spotting of sanguineous discharge
B - dyspnea while resting
Optimal use of chemotherapy drugs in combination requires: A - drugs should have the same mechanism of action B - each drug should be effective by itself C - toxicities should be the same D - each drug should have the same mechanism of action
B - each drug should be effective by itself
A patient is prescribed levothyroxine (Synthroid) for treatment of hypothyroidism. Which statement made by the patient indicates understanding of the medication teaching? A - "I will take the medication with food to prevent stomach upset." B - "I will call my doctor if I experience sweating, trouble sleeping, or chest pain." C - "I can take an antacid with this medication if stomach upset occurs." D - "I will take the medication before bed because of possible drowsiness."
B - "I will call my doctor if I experience sweating, trouble sleeping, or chest pain."
A nurse is teaching a client who will begin taking aluminum hydroxide. Which of the following information should the nurse include in the teaching?" A - "if constipation develops, switch to a calcium-based antacid" B - "take this medication two hours before or after other medications" C - "this medication increases the risk for pneumonia" D - "have your magnesium level monitored while taking this medication"
B - "take this medication two hours before or after other medications"
Which of the following patients would be at greatest risk for pregnancy when using the contraceptive patch (Ortho Evra) as a contraceptive? A - A 19-year-old with multiple sexual partners B - A 25-Year-old who has a BMI of 32 C - A 37-year-old who is anemic D - A 40-year-old who smokes 2 packs of cigarettes per day.
B - A 25-Year-old who has a BMI of 32
Administration of high dose, long term therapy with glucocorticoids have multiple side and adverse effects. Which of the following is not a possible adverse effects the patient may experience? A - Elevated blood pressure and potassium loss B - Decreased blood pressure and sodium loss C - Weight gain around the face and abdomen D - PUD E - Glucose intolerance
B - Decreased blood pressure and sodium loss
Which type of insulin may be administered IV? A - Exubera B - Humulin R C - Humulin N D - Lantus
B - Humulin R
A patient has been admitted to the ICU under your care. On the assessment of the patient, the vital signs reveal the following: heart rate of 125, respirations 35, temperature 103.5, and the patient is sweating and appears anxious. Upon review of the patients medications, which of the following drugs is the patient most likely experiencing overdosage of? A - Methimazole (Tapazole) B - Levothyroxine (synthroid) C - Lorazepam (Ativan) D - None of the Above
B - Levothyroxine (synthroid)
A male patient is receiving chemotherapy. Which of the following laboratory results will require chemotherapy to be withheld? A - Platelet count of 157,000/mm3 B - Neutrophil count of 375/mm3 C - Hemoglobin of 12.2 g/dL D - Partial thromboplastin time of 35 seconds
B - Neutrophil count of 375/mm3 Rationale: Severe neutropenia (neutrophil counts less than 500/mm3) is an indication for withholding chemotherapy. Severe neutropenia may result in life-threatening infections.
Which of the following is considered the most effective in suppressing gastric acid secretion? A - Calcium carbonate (tums) B - Omeprazole C - Magnesium hydroxide (MOM) D - Sucralfate
B - Omeprazole
The nurse is teaching a class about hormone replacement therapy (HRT) to a group of premenopausal women. The nurse will include which of the following as a risk of HRT? A - Osteoporosis B - Stroke C - Impaired wound healing D - Diabetes mellitus, type 2
B - Stroke
Which of the following drugs is approved for every day dosing if a man anticipates sexual activity at least twice a week? A - Sildenafil (Viagra) B - Tadalafil (Cialis) C - Vardenafil (Levitra) D - Proscar
B - Tadalafil (Cialis)
The nurse is helping a patient weigh the risks and benefits of chemotherapy in her particular case. Which of the following factors would favor withholding chemotherapy? A - a high Karnofsky score B - a tumor minimally responsive to therapy C - advanced age D - a patient in good general health
B - a tumor minimally responsive to therapy
A female patient with renal failure and anemia has been prescribed an androgen. The patient asks how this drug will help improve her red blood cell (RBC) count. The basis fo the nurse's response should be that the drug.. A - delays the destruction of old RBCs B - increases absorption of iron from the GI tract C - promotes the release of intrinsic factor D - stimulates the production of blood cells
B - increases absorption of iron from the GI tract
The mechanism of action of sildenafil (Viagra) is to? A - activate guanylyl cyclase, the enzyme that makes cyclic guanosine monophosphate (cGMP) B - inhibit removal of cyclic cGMP by phosphodiesterase type 5 (PDE-5) C - stimulate the release of PDE-5 D - stimulate sexual arousal, which activates the parasympathetic nervous system, causing the release of nitric oxide.
B - inhibit removal of cyclic cGMP by phosphodiesterase type 5 (PDE-5)
A female patient contacts a clinic nurse to determine the action to take after she forgot to take her oral contraceptive (Ortho Tri- Cyclen) for the past 2 days. The nurse should counsel the patient to: A - take the omitted doses together with the next scheduled dose B - take two doses per day on the following 2 days C - terminate oral contraceptive use until menstruation occurs D - take a dose immediately and an additional dose at bedtime
B - take two doses per day on the following 2 days
A nurse is teaching a client who has a new prescription for omeprazole. Which of the following information should the nurse include in the teaching? A - take this medication at bedtime B - this medication decreases the production of gastric acid C - take this medication two hours after eating D - this medication can cause hyperkalemia
B - this medication decreases the production of gastric acid
A newly diagnosed patient with diabetes expresses concern about losing vision. Which intervention(s) should be included in the plan of care to reduce this risk? You may select more than one answer. A - The initiation of reliable contraception to avoid pregnancy B - Ways to reduce hyperglycemic episodes C - The use of a prokinetic drug such as metoclopramide D - Smoking cessation E - The importance of consistently taking antihypertensive drugs
B, D, E
The orders are to administer high-dose methotrexate by vein. The nurse should expect to also administer: A - vitamin C B - calcium C - leucovorin D - diuretics
C - leucovorin
A patient with systemic lupus erythematosus is prescribed prednisone. The nurse will monitor the patient for: A - hypotension. B - elevated potassium levels. C - neck and back pain. D - hypoglycemia.
C - neck and back pain.
A nurse is providing medication teaching to a 12-year-old male patient with hypogonadism. Which statement made by the patient indicates an understanding of the prescribed medication, testosterone enanthate (Delatestryl)? A - "I will grow significantly taller while taking this medication." B - "Sexual changes in my body will occur within 4 to 6 months." C - "I will come to the clinic every 4 weeks for shots of testosterone." D - "If the medication causes stomach upset, I can take it with food."
C - "I will come to the clinic every 4 weeks for shots of testosterone."
A patient is prescribed rosiglitazone (Avandia) Glitazone for type 2 diabetes mellitus. Which of the following statements made by the patient indicates an understanding of medication teaching? A - "The medication will reduce my triglyceride levels." B - "The medication will also help prevent heart problems." C - "The medication will increase high-density lipoproteins." D - "The medication may cause low blood sugar."
C - "The medication will increase high-density lipoproteins."
Which of the following patients who are prescribed oral contraceptives would be the most at risk for developing a thrombosis? A - A 25-year-old patient who drinks 3 to 4 alcoholic drinks per day B - A 45-year-old patient who has a family history of stroke C - A 22-year-old patient who smokes 2 packs of cigarettes per day D - A 29-year-old patient who has used oral contraception for 10 years
C - A 22-year-old patient who smokes 2 packs of cigarettes per day
A patient has been prescribed sildenafil (Viagra) for erectile dysfunction. Which of the following should the nurse include in the teaching plan? A - Take the medication on an empty stomach B - Drink plenty of fluids to prevent priapism C - Avoid taking nitroglycerin with this drug D - Constipation is a common adverse effect
C - Avoid taking nitroglycerin with this drug
A nurse is teaching a class on laxative use to an elderly group. Which type of laxative will the nurse teach the group to avoid? A - Magnesium hydroxide (Milk of Magnesia) B - Docusate sodium (Colace) C - Bisacodyl (Dulcolax) D - Polyethylene glycol (MiraLax)
C - Bisacodyl (Dulcolax)
An index of average glucose levels over the preceding 2-3 months? A - FPG B - OGTT C - HbA1C D - NPH
C - HbA1C
Insulin Lantus is prescribed for a hospitalized diabetic patient. When will the nurse administer this drug? A - Approximately 15-30 minutes before each meal. B - In the morning and at 4PM C - Once daily at bedtime D - After meals and at bedtime
C - Once daily at bedtime
A woman with type 1 DM has recently become pregnant. The nurse plans a blood glucose testing schedule for her. What is the recommended monitoring schedule? A - Before each meal and before bed B - In the morning for a fasting level and at 4PM for the peak level. C - Six or seven times per day D - Three times per day, along with urine glucose testing
C - Six or seven times per day
A patient is taking estrogen (Premarin) 0.3 mg/day. Which of the following should be included to reduce the risk of a cardiovascular event such as a stroke or myocardial infarction? A - Reduce aerobic activities B - Increase dietary intake of trans fat C - Stop smoking D - Take the medication with food
C - Stop smoking
A nurse is teaching a client who takes phenytoin and has a new prescription for sucralfate tablets. Which of the following instructions should the nurse include? A - take an and acid with the sucralfate B - take sucralfate with a glass of milk C - allow a 2 hr interval between these medications D - chew the sucralfate thoroughly before swallowing
C - allow a 2 hr interval between these medications
Which of the following drug categories are known to exacerbate constipation? A - antacids B - bulking agents C - anticholinergics D - b vitamins
C - anticholinergics
Which of the following body tissues is most at risk for toxicity from chemotherapy? A - teeth B - liver C - bone marrow D - heart
C - bone marrow
When instructing a patient regarding infection prevention the nurse should inform him that the highest risk of sustaining infection is between: A - days 1 and 3 of chemotherapy B - days 5 and 7 of chemotherapy C - days 10 and 14 of chemotherapy D - the day before the next cycle of chemotherapy begins
C - days 10 and 14 of chemotherapy
Advantages of subdermal contraceptive implants include: A - consistency of plasma levels of the hormones B - easy to remove C - highly effective contraception D - low incidence of adverse effects
C - highly effective contraception
A patient taking pharmacologic doses of glucocorticoids should be instructed to: A - increase intake of dietary sodium. B - take antibiotics to prevent infections. C - never abruptly withdraw therapy. D - have an eye examination every year.
C - never abruptly withdraw therapy.
A nurse is teaching a client about the use of insulin to treat type one diabetes mellitus. For which of the following types of insulin should the nurse tell the clients to expect a peak effect 1 to 5 hours after administration? A - insulin glargine B - NPH insulin C - regular insulin D - insulin lispro
C - regular insulin
A patient arrives to the emergency department with signs and symptoms of a bowel obstruction. Which of the following medication orders would the nurse be most concerned about? A - promethazine B - omeprazole C - senna (ex-lax) D - ondansetron
C - senna (ex-lax)
A 19-year-old healthy patient who has been taking a combination oral contraceptive for 2 years is involved in an automobile accident and undergoes surgical reduction and fixation of multiple fractures of both lower extremities. A critical assessment finding that should be reported to the prescriber because it could be related to adverse effects of the oral contraceptives in this situation is? A - capillary refill of 2 seconds B - diaphoresis C - sudden dyspnea D - temperature 100 degrees F (37.8 C)
C - sudden dyspnea
The major impediment to chemotherapy's success in treating cancer is: A - patient reluctance B - reimbursement by insurers C - toxicity to normal tissues D - difficulty attaining venous access
C - toxicity to normal tissues
Which of the following statements about birth control are true? (Select all that apply) A - Cervical caps are more effective in women who have already had babies B - Diaphragm with spermicide is more effective than male condoms with typical and optimal use. C - Failure rates during the first year of use are 50 times more common with typical use of combination oral contraceptives. D - IUD's are only recommended for persons at low risk for STI/STD. E - Surgical sterilization is the most common form of birth control in the United States. F - The most effective pharmacologic forms or birth control have the most adverse effects. G - When used exactly as directed, combination oral contraceptives are more effective than vasectomy.
C, D
A nurse is teaching a client about Cimetidine. Which of the following are adverse effects of some cimetidine? (select all that apply) A - increased libido B - insomnia C - enlargement of breast tissue D - confusion E - decreased sperm count
C, D, E
When assessing the history of a patient who is seeking an oral contraceptive prescription, it is important for the nurse to assess for use of the over-the-counter alternative therapy of? A - echinacea B - garlic C - ginko bilboa D - st. john's wort
D - st. john's wort
The patient has a platelet count of 3,000. When he complains of joint pains, the nurse should instruct him to: A - take 2 regular strength aspirin B - take 2 over-the-counter strength ibuprofen tablets C - take 2 prescription strength ibuprofen tablets D - take 2 acetaminophen tablets
D - take 2 acetaminophen tablets
Which client has the highest risk for type 2 diabetes? A - A 20-year-old man who drinks a can of beer every evening. B - A 35-year-old man with a family history of pancreatic cancer C - A 50-year-old woman with a family history of type 1 DM D - A 55-year-old woman who is 5'3" tall and weighs 194lbs.
D - A 55-year-old woman who is 5'3" tall and weighs 194lbs.
Which of the following sudden changes in a patient taking sildenafil (Viagra) should be monitored, but do not warrant consulting the prescriber before continuing to use the drug for erectile dysfunction (ED)? A - Blurring of vision B - Chest pain during sexual activity C - Difficulty hearing out of one ear D - Drop in BP from 140/80mm HG to 133/75mm Hg with brief dizziness with position changes.
D - Drop in BP from 140/80mm HG to 133/75mm Hg with brief dizziness with position changes.
Which of these findings, occurring 4 hours after sexual activity, would be an emergency situation for a patient who uses sildenafil (Viagra)? A - Blood pressure 160/80mm hg B - Diarrhea C - Headache D - Erection still present
D - Erection still present
A patient is prescribed insulin glargine (Lantus). Which of the following should the nurse include in the discharge instructions? A - The insulin will have a cloudy appearance in the vial. B - The insulin should be injected twice daily (before breakfast and dinner). C - The patient should mix Lantus with the intermediate-acting insulin. D - The patient will have less risk of hypoglycemic reactions with this insulin.
D - The patient will have less risk of hypoglycemic reactions with this insulin.
When metronidazole [Flagyl] is a component of the H. pylori treatment regimen, the patient must be instructed to do what? A - take the drug with aspirin B - take the drug with food C - take the drug on an empty stomach D - avoid alcohol
D - avoid alcohol
Match the following medication with the correct mechanism of action: promethazine (phenergan) A - serotonin agonist B - serotonin antagonist C - dopamine agonist D - dopamine antagonist
D - dopamine antagonist
A patient with ulcer disease asks the nurse about dietary changes that may help relieve symptoms. The best advice would be to: A - avoid spicy foods B - eat a bland diet C - have a serving of milk or cream with each meal D - eat small frequent meals
D - eat small frequent meals
A patient with hyperthyroidism is taking propylthiouracil (PTU). The nurse will monitor the patient for: A - gingival hyperplasia. B - dyspnea and a dry cough. C - blurred vision and nystagmus. D - fever and sore throat.
D - fever and sore throat.
Nurse is caring for a client who has been taking acarbose for type two diabetes mellitus. Which of the following laboratory test should the nurse plan to monitor? A - WBC B - amylase C - platelet count D - liver function tests
D - liver function tests
If a patient has a history of multiple partners, which of the following methods of birth control that do not require daily dosing is contraindicated? A - contraceptive patch (ortho evra) B - levonorgestrel subdermal implant (norplant) C - intramuscular medroxyprogesterone acetate (depo-provera D - progesterone T (progestasert) IUD E - vaginal contraceptive ring (nuvaring)
D - progesterone T (progestasert) IUD
A patient is prescribed long-acting morphine to treat severe pain. If the patient complains of constipation, the nurse will recommend: A - polycarbophil (FiberCon). B - mineral oil. C - psyllium (Metamucil). D - senna (Senokot).
D - senna (Senokot).
The high school nurse is planning a teaching presentation on the use of anabolic steroids. Developmentally, discussion of which effects of anabolic steroid use would most likely discourage the use of anabolic steroids by male high school athletes? A - atherosclerosis B - hypertension C - liver damage D - testicular shrinkage
D - testicular shrinkage
A type 1 DM patient on insulin reports taking propranolol for HTN. This provokes the concern that: A - the beta blocker can produce insulin resistance B - the two agents used together will increase the risk of ketoacidosis C - the propranolol will increase insulin requirements because of receptor blocking D - the beta blocker can mask the symptoms of hypoglycemia
D - the beta blocker can mask the symptoms of hypoglycemia
The nurse is caring for an older adult client who has hypothyroidism and a new prescription for a leothyroxine. Which of the following dosage schedule should the nurse expect for this client? A - the client will start at a high dosage, and the amount will be tapered as needed B - the client will remain on the initial dosage during the course of treatment C - the clients dosage will be adjusted daily based on blood levels D - the client will start on a low dosage, which can be gradually increased
D - the client will start on a low dosage, which can be gradually increased
Which of the following would not be an acceptable use of postmenopausal estrogen hormone replacement therapy? A - Discomfort during sexual intercourse B - hot flashes after total abdominal hysterectomy and bilateral salpingoophorectomy C - low bone mineral density D - urinary incontinence
D - urinary incontinence
A patient is prescribed cimetidine (Tagamet) and aluminum hydroxide (Maalox) for the treatment of peptic ulcer disease. The nurse should teach the patient to: A - drink an 8-ounce glass of water when taking these medications. B - take the medications together to increase the effectiveness. C - administer the cimetidine 4 hours before the Maalox. D - wait at least 1 hour between the administration of the two medications.
D - wait at least 1 hour between the administration of the two medications.
A male patient is prescribed a transdermal testosterone gel (AndroGel). The nurse will teach the patient to: A - apply the gel to the genital area every morning B - leave the patch in contact with the skin for 24 hours C - avoid showering or swimming after gel application D - keep the treated area covered with clothing
D. keep the treated area covered with clothing
Symptoms of type 2 Diabetes result from a combination of impaired insulin secretion and insulin resistance. true or false
true
