Unit 1
c. Tablets
1. A patient is taking propylthiouracil for hyperthyroidism and asks the nurse how this medication works.
In answer to the patient's question, the nurse tells the patient that propylthiouracil
a. Impedes the formation of thyroid hormone
b. Inactivates already existing thyroid hormone in the bloodstream
c. Destroys overactive cells in the thyroid gland
d. Blocks the action of thyroid hormone
a. Impedes the formation of thyroid hormone
A) Cimetidine accelerates the metabolism of drugs processed by the liver cytochrome P450 microsomal oxidase system.
B) Cimetidine has no impact on the blood concentrations of drugs metabolized by the liver enzymes.
C) Cimetidine binds enzymes of the liver cytochrome P450 microsomal oxidase system and may elevate the blood concentrations of such drugs.
D) Cimetidine reduces the effectiveness of drugs metabolized by the cytochrome P450 microsomal oxidase system.
C) Cimetidine binds enzymes of the liver cytochrome P450 microsomal oxidase system and may elevate the blood concentrations of such drugs.
List any 3 side effects associated with Corticosteroids
Hyperglycemia
Weight gain
Sexual dysfunction
1. What are the five steps of the Nursing process?
Assessment
Diagnosis
Planning
Implementation
Evaluation
2. Drugs with a longer half life require more frequent dosing.
a. True
b. False
b. False
2. A patient has been diagnosed with hypothyroidism and has started thyroid replacement therapy with levothyroxine (Synthroid®). After 1 week, the patient tells the nurse that she feels no better. The nurse would best tell the patient that
a. she probably did not take her medication as instructed.
b. she will probably require surgery for a cure.
c. levothyroxine does not reach its peak effect for several months.
d. her diet may be causing absorption problems.
c. levothyroxine does not reach its peak effect for several months.
2. While caring for a patient with cirrhosis or hepatitis, the nurse knows that abnormalities in which phase of pharmacokinetics may occur?
a. Absorption
b. Distribution
c. Metabolism
d. Excretion
c. Metabolism
2. What early signs of hypoglycemia should the nurse should tell the patient about?
a. Fruity, acetone odour to the breath
b. Irritability and confusion
c. Urticaria and rash
d. Nausea and diarrhea
b. Irritability and confusion
2. Define Pharmacokinetics
Pharmacokinetics deals with a drug’s actions as it moves through the body.
3. In pharmacokinetics, what are the 4 stages of the drugs movement through the body?
Absorption, Distribution, Metabolism, and Excretion
8. Which symptoms indicate a too-high dose of thyroid replacement hormone?
a. Anxiety, weight loss, and insomnia
b.Drowsiness, coughing, and neck pain
c. Dry skin, weakness, and weight gain
d. Bradycardia, somnolence, and ataxia
a. Anxiety, weight loss, and insomnia
3. Loperamide is an opioid agonist that reduces gastrointestinal (GI) motility. In the context of its pharmacological action, for which medical condition would you anticipate the prescription of this drug?
A) Hypertension
B) Diabetes mellitus
C) Inflammatory bowel disease (IBD)
D) Liver cirrohsis
C) Inflammatory bowel disease (IBD)
3. A patient has just been prescribed insulin.
What should the nurse tell this patient to do to take the insulin correctly?
a. During times of illness, increase insulin dosage by 25%.
b. Use the injection site that is the most accessible.
c. When mixing insulins, draw the cloudy insulin (such as neutral protamine Hagedorn [NPH] insulin) up into the syringe first.
d. When mixing insulins, draw the clear insulin (such as regular insulin) up into the syringe first.
Question 4 (1 point)
d. When mixing insulins, draw the clear insulin (such as regular insulin) up into the syringe first.
3. What are the nursing considerations around Transdermal drugs
Transdermal drugs should
be placed on alternating
sites and on a clean, non-
hairy, non-irritated area,
and only after the
previously applied patch
has been removed and that
area cleansed and dried.
Transdermal drugs
generally come in a single-
dose, adhesive-backed
drug application system.
4. Completing a medication history is which part of the nursing process
c. Assessment
4. A patient has been diagnosed with primary hypothyroidism.
Which statement accurately describes this condition?
a. The abnormality is caused by an excess intake of iodine.
b. The hypothalamus is not secreting thyrotropin-releasing hormone; therefore, thyroid-stimulating hormone (TSH) is not released from the pituitary gland.
c. The pituitary gland is dysfunctional and is not secreting TSH.
d. The abnormality is in the thyroid gland itself.
d. The abnormality is in the thyroid gland itself.
4. Which of the following is a potential long-term effect associated with the use of Proton Pump Inhibitors (PPIs)?
A) Improved cognitive function
B) Enhanced muscle strength
C) Increased bone loss
D) Elevated blood pressure
C) Increased bone loss
4. The nurse is teaching a patient about self-injection of insulin.
What should the nurse tell the patient to do regarding injection sites?
a. Rotate sites within the same location for about 1 week before rotating to a new location.
b. Avoid the abdomen because absorption is irregular.
c. Choose a different site at random for each injection.
d. Give the injection in the same area each time to promote consistent absorption.
a. Rotate sites within the same location for about 1 week before rotating to a new location.
4. Which type of Insulin can be given via IV route?
Regular
a. Right route
12. Which are the two thyroid hormones produced by the thyroid gland?
a. Thyronine and liothyronine
b. Levothyroxine and thyroxine
c. Di-iodothyronine (T2) and tri-iodothyronine (T3)
d. Thyroxine and tri-iodothyronine
Question 13 (1 point)
d. Thyroxine and tri-iodothyronine
List any 3 Symptoms associated with GERD?
Difficulty Swallowing
Hoarseness
Dry cough
5. When should the nurse administer acarbose (Glucobay), an α-glucosidase inhibitor?
a. Thirty minutes before breakfast
b. Thirty minutes after breakfast
c. With the first bite of each main meal
d. Once daily, at bedtime
c. With the first bite of each main meal
5. Which type of Insulin does not have a peak?
Long acting. Example- Lantus