PHARMACOLOGY AND THE NURSING PROCESS-66

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Chapter 30: Pituitary Drugs 205 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ c. Lithium d. Penicillin CORRECT ANSWER: C Lithium may cause a decreased therapeutic effect of desmopressin. The other options are incorrect. DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOPIC: NURSING PROCESS: Assessment MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 6. A patient‘s medication order indicates that he is to receive a dose of cosyntropin (Cortrosyn). The nurse is aware that this drug is used to diagnose which condition? a. Adrenocortical insufficiency b. Diabetes insipidus c. Myasthenia gravis d. Pituitary dwarfism CORRECT ANSWER: A Cosyntropin is used for the diagnosis of adrenocortical insufficiency. The other options are incorrect. DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOPIC: NURSING PROCESS: Planning MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
Chapter 30: Pituitary Drugs 206 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ MULTIPLE RESPONSE 1. A patient is about to receive a dose of octreotide (Sandostatin). The nurse will assess for which contraindications or cautions? ( Select all that apply .) a. Carcinoid crisis b. Diarrhea c. Type 1 diabetes mellitus d. Gallbladder disease e. Chronic renal failure f. Esophageal varices CORRECT ANSWER: C, D, E Octreotide is used with caution in patients with diabetes (type 1 or 2), gallbladder impairment, or renal impairment. Carcinoid crisis, which may be associated with severe diarrhea and flushing, is an indication for octreotide; esophageal varices are also an indication. DIF: COGNITIVE LEVEL: Applying (Application) TOPIC: NURSING PROCESS: Assessment MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies COMPLETION
Chapter 30: Pituitary Drugs 207 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ 1. A patient is to receive vasopressin (Pitressin) 5 units subcut BID. The medication is available in a vial that contains 20 units/mL. Identify how many milliliters will the nurse draw up for this dose. (record CORRECT ANSWERwer using two decimal places) CORRECT ANSWER: DIF: COGNITIVE LEVEL: Applying (Application) TOPIC: NURSING PROCESS: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
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Chapter 31: Thyroid and Antithyroid Drugs 208 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ Chapter 31: Thyroid and Antithyroid Drugs MULTIPLE CHOICE 1. A patient, newly diagnosed with hypothyroidism, receives a prescription for a thyroid hormone replacement drug. The nurse assesses for which potential contraindication to this drug? a. Infection b. Diabetes mellitus c. Liver disease d. Recent myocardial infarction CORRECT ANSWER: D Contraindications to thyroid preparations include known drug allergy to a given drug product, recent myocardial infarction, adrenal insufficiency, and hyperthyroidism. The other options are incorrect. DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOPIC: NURSING PROCESS: Assessment MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 2. A patient with hypothyroidism is given a prescription for levothyroxine (Synthroid). When the nurse explains that this is a synthetic form of the thyroid hormone, he states that he prefers to receive more ― natura l‖ fo rms of drug s. What will the nurse explain to him about the advantage s
Chapter 31: Thyroid and Antithyroid Drugs 209 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ of levothyroxine? a. It has a stronger effect than the natural forms. b. Levothyroxine is less expensive than the natural forms. c. The synthetic form has fewer adverse effects on the gastrointestinal tract. d. The half-life of levothyroxine is long enough to permit once-daily dosing. CORRECT ANSWER: D One advantage of levothyroxine over the natural forms is that it can be administered only once a day because of its long half-life. The other options are incorrect. DIF: COGNITIVE LEVEL: Applying (Application) TOPIC: NURSING PROCESS: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 3. The order rea ds, ― Give levothyroxine (S ynthroid), 200 mg, PO once every morning .‖ Which action by the nurse is correct? a. Give the medication as ordered. b. Change the dose to 200 mcg because that is what the prescriber meant. c. Hold the drug until the prescriber returns to see the patient. d. Question the order because the dose is higher than 200 mcg. CORRECT ANSWER: D

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