Nurs 2470 evolve exam 1 test prep
Levothyroxine 12.5 mcg orally each day is prescribed for a client with hypothyroidism. The pharmacy dispensed 90 tablets with each tablet containing 12.5 mcg. Six weeks later, the healthcare provider increases the client's dose to 25 mcg daily and gives the client a prescription to be filled at the pharmacy. The client asks the nurse whether the tablets in the original prescription can be used before filling the new prescription. How many of the original tablets should the nurse instruct the client to take daily? Record your answer using a whole number. _____ tablets
2
A client has been taking levothyroxine for hypothyroidism for 3 months. The nurse suspects that a decrease in dosage is needed when the client exhibits which clinical manifestations?
tremors and heat intolerance
A 16-year-old adolescent with recently diagnosed type 1 diabetes will receive NPH insulin subcutaneously. The nurse teaches the adolescent about peak action of the drug and the risk for hypoglycemia. How many hours after NPH insulin administration does the insulin peak?
4 to 12 hours
Which hormonal deficiency causes diabetes insipidus in a client?
ADH
What should the nurse assess to determine if a client is experiencing the therapeutic effect of valsartan?
BP
Which Food and Drug Administration pregnancy risk category do drugs that have not undergone any studies in animal and pregnant women belong to?
Category C
Which statement is true regarding drug absorption in infants?
absorption of drugs through the intramuscular route in rapid
A client is receiving metoprolol. Which side effect should the nurse teach the client to expect?
dizziness with strenuous activity
A client with supraventricular tachycardia (SVT) has a heart rate of 170 beats per minute. Following treatment with diltiazem hydrochloride, what assessment indicates to the nurse that the diltiazem hydrochloride is effective?
heart rate of 110 BPM
A healthcare provider prescribes enalapril for a client. Which is the most important nursing action?
monitor the patient's BP during therapy
A drug is administered to a client in her third trimester of pregnancy. Which statement regarding the drug administration is correct?
the dose of a drug should be increased for pregnant patients
Levothyroxine 0.125 mg by mouth is prescribed for a client with hypothyroidism. The only tablets available contain 25 mcg (25 µg) per tablet. How many tablets should the nurse administer? Record your answer using a whole number.
5
A client is prescribed metformin extended release to control type 2 diabetes mellitus. Which statement made by this client indicates the need for further education?
"i will stop taking metformin for 24 hours before and after having a test involving dye"
A nurse prepares to administer extended-release metformin to an older adult who has asked that it be crushed because it is difficult to swallow. What will prompt the nurse to ask the provider for a different form of metformin?
extended-release formulations are designed to be released slowly, and crushing the tablet will prevent this from occuring
A client with hypertension has received a prescription for metoprolol. Which information should the nurse include when teaching this client about metoprolol?
do not abruptly discontinue this medication
The nurse is preparing discharge instructions for a client who was prescribed enalapril for treatment of hypertension. Which instruction is appropriate for the nurse to include in the client's teaching?
do not change to a standing position suddenly
Which statement is true regarding infant pharmacokinetics?
drugs have relatively easy access to an infant's CNS
A 13-year-old child with type 1 diabetes is receiving 15 units of regular insulin and 20 units of NPH insulin at 7:00 AM each day. At what time does the nurse anticipate a hypoglycemic reaction from the NPH insulin to occur?
In the afternoon
The nurse is teaching an adolescent with type 1 diabetes who is prescribed a combination of regular insulin and an intermediate-acting insulin to be administered in the morning and throughout the day. The nurse asks the adolescent at what time of day the second dose of NPH insulin should be administered. Which response by the adolescent demonstrates the teaching has been effective?
at dinnertime
A nurse is caring for an elderly client with dementia who has developed dehydration as a result of vomiting and diarrhea. Which assessment best reflects the fluid balance of this client?
blood lab results
Metoprolol is prescribed for a client with hypertension. For which side effect should the nurse monitor the client?
bradycardia
What should the nurse include in a teaching plan to help reduce the side effects associated with diltiazem?
change slowly from sitting to standing
What is the action of the vasopressin hormone released from the client's posterior pituitary?
helps produce concentrated urine
Valsartan, an angiotensin II receptor antagonist, is prescribed for a client. For which possible side effects should the nurse monitor the client?
irregular pulse rate and orthostatic hypertension
Which hormone is released from the posterior pituitary gland?
oxytocin
Which hormones are secreted by the posterior pituitary gland?
oxytocin and ADH
A nurse is providing postoperative care for a client who has begun taking levothyroxine after undergoing a thyroidectomy. Which findings in the client may indicate potential thyrotoxic crisis?
rapid heartbeat and tremors
A client is receiving clonidine for hypertension. What side effect of clonidine will the nurse include when providing drug education?
xerostomia
