NUR 209 MED SURG II EXAM 2 STUDY
GUIDE - RN PREP FOR MS 2 EXAM 2 |
2026 UPDATE | WITH COMPLETE
SOLUTIONS.
Lasix (furosemide) - answer- loop diuretic
Eliminate fluids from the body
Used for CHF, cirrhosis, HTN and pulmonary edema
Got its name from "Lasts six hours"
The nurse is reviewing medications that have been ordered for a patient whom a loop
diuretic has been newly prescribed. The loop diuretic may have a possible interaction
with which of the following?
a) Vitamin C
b) Warfarin
c) Penecillins
d) NSAIDS - answer- Answer-NSAIDS
Rationale-The reduction in vascular resistance induced by loop diuretics may be
impeded when these drugs aretaken concurrently with NSAIDS because these two drug
classes have opposite effects on prostaglandin activity.
Levothyroxine (Synthroid) - answer- thyroid hormone
Increases metabolic rate
controls protein synthesis
Increases cardiac output
Increases HR
used for hypothyroidism
give on empty stomach - In the AM, start with low doses, watch for angina
When teaching a patient who has a new prescription for thyroid hormone, the nurse
should instruct the patient to notify the physician if what adverse effect is noted?
, a) Palpitations
b) Headache
c) Anxiety
d) Appetite changes - answer- Answer - Palpitations
Rationale- The most significant adverse effect is cardiac dysrhythmia with the risk for
life threatening or fatal irregularities.
Methimazole (Tapazole) - answer- thyroid hormone antagonist (Antithyroid)
Inhibits synthesis of thyroid hormones by decreasing iodine use in thyroglobin and
iodothyronine
Used in hyperthyroidism
When monitoring the lab values of a patient who is taking antityroid drugs, the nurse
knows to watch for
a) Decreased platelet count
b) Decreased white blood cell counts
c) Decreased BUN
d) Increased blood glucose levels - answer- Answer b: Decreased White blood cell
count
Rationale: With antithyroid medications the nurse should be aware of possible toxic
reactions such as agranulocytosis, panycytopena, and life threatening hepatitis.
Calcitonin - answer- Parathyroid agent (calcium regulator)
Decreases bone resorption and blood calcium levels
Increases deposits of calcium in bone
Opposes parathyroid hormone
Used in hypercalcemia
What statement by the patient would cause the nurse to hold Calcitonin?
a) I am allergic to bananas
b) Strawberries give me a rash
c) Salmon makes my throat swell
d) Bee stings make my skin swell - answer- Answer-c: Salmon makes my throat swell
Rationale: Contraindications to calcitonin use include allergy to salmon (the drug is
salmon derived)
GUIDE - RN PREP FOR MS 2 EXAM 2 |
2026 UPDATE | WITH COMPLETE
SOLUTIONS.
Lasix (furosemide) - answer- loop diuretic
Eliminate fluids from the body
Used for CHF, cirrhosis, HTN and pulmonary edema
Got its name from "Lasts six hours"
The nurse is reviewing medications that have been ordered for a patient whom a loop
diuretic has been newly prescribed. The loop diuretic may have a possible interaction
with which of the following?
a) Vitamin C
b) Warfarin
c) Penecillins
d) NSAIDS - answer- Answer-NSAIDS
Rationale-The reduction in vascular resistance induced by loop diuretics may be
impeded when these drugs aretaken concurrently with NSAIDS because these two drug
classes have opposite effects on prostaglandin activity.
Levothyroxine (Synthroid) - answer- thyroid hormone
Increases metabolic rate
controls protein synthesis
Increases cardiac output
Increases HR
used for hypothyroidism
give on empty stomach - In the AM, start with low doses, watch for angina
When teaching a patient who has a new prescription for thyroid hormone, the nurse
should instruct the patient to notify the physician if what adverse effect is noted?
, a) Palpitations
b) Headache
c) Anxiety
d) Appetite changes - answer- Answer - Palpitations
Rationale- The most significant adverse effect is cardiac dysrhythmia with the risk for
life threatening or fatal irregularities.
Methimazole (Tapazole) - answer- thyroid hormone antagonist (Antithyroid)
Inhibits synthesis of thyroid hormones by decreasing iodine use in thyroglobin and
iodothyronine
Used in hyperthyroidism
When monitoring the lab values of a patient who is taking antityroid drugs, the nurse
knows to watch for
a) Decreased platelet count
b) Decreased white blood cell counts
c) Decreased BUN
d) Increased blood glucose levels - answer- Answer b: Decreased White blood cell
count
Rationale: With antithyroid medications the nurse should be aware of possible toxic
reactions such as agranulocytosis, panycytopena, and life threatening hepatitis.
Calcitonin - answer- Parathyroid agent (calcium regulator)
Decreases bone resorption and blood calcium levels
Increases deposits of calcium in bone
Opposes parathyroid hormone
Used in hypercalcemia
What statement by the patient would cause the nurse to hold Calcitonin?
a) I am allergic to bananas
b) Strawberries give me a rash
c) Salmon makes my throat swell
d) Bee stings make my skin swell - answer- Answer-c: Salmon makes my throat swell
Rationale: Contraindications to calcitonin use include allergy to salmon (the drug is
salmon derived)
