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TEST BANK FOR LILLEY'S PHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE 4TH EDITION BY KARA SEALOCK, CYDNEE SENEVIRATNE CHAPTER( 1-58 )EXAM 2024 WITH ACTUAL QUESTIONS AND COMPLETE 100% VERIFIED CORRECT AND WELL EXPLAINED ANSWERS WITH RATIONALES GRAD

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TEST BANK FOR LILLEY'S PHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE 4TH EDITION BY KARA SEALOCK, CYDNEE SENEVIRATNE CHAPTER( 1-58 )EXAM 2024 WITH ACTUAL QUESTIONS AND COMPLETE 100% VERIFIED CORRECT AND WELL EXPLAINED ANSWERS WITH RATIONALES GRADED A+ BY EXPERTS LATEST VERSION 2024 WITH GUARANTEED SUCCESS AFTER DOWNLOAD ALREADYPASSED!!!!!!! (PROVEN ITS ALL YOU NEED TO EXCEL IN YOUR EXAMS A patient newly diagnosed with hypothyroidism received a prescription for a thyroid drug. In addition to assessing for hypersensitivity and myocardial infarction, for what should the nurse also assess before administering the thyroid drug? a. Infections Diabetes mellitus Lupus erythematosus Adrenal insufficiency ANS: D Adrenal insufficiency is a contraindication to the administration of thyroid drugs. DIF: Cognitive Level: Comprehension A patient with hypothyroidism is given a prescription for levothyroxine (Synthroid®). When the nurse explains that levothyroxine is a synthetic form of the thyroid hormone, the patient states that a more natural form of drug would be personally preferred. What is the nurse’s best explanation to the patient for the use of levothyroxine? a. The synthetic form has a stronger effect than the natural forms. Levothyroxine is less expensive than the natural forms. The oral form has fewer adverse effects on the gastrointestinal tract. Because the half-life of levothyroxine is longer than that of the natural forms, once-a-day dosing is possible. ANS: D An advantage of levothyroxine over the natural forms is that it needs to be administered only once a day because of its long half-life. As well, its effects are more predictable than those of natural thyroid preparations. DIF: Cognitive Level: Analysis The nurse is discussing thyroid replacement therapy and establishing treatment goals with a patient. What important adverse effects should the nurse discuss with the patient? a. Edema, anemia, and hepatitis Pruritus, myalgia, leukopenia, and paresthesia Tachycardia, dysrhythmias, weight loss, and fever Skin pigment changes, bleeding, and menstrual irregularities ANS: C Some of the more serious adverse effects of thyroid drugs are tachycardia, dysrhythmias, weight loss, and fever. DIF: Cognitive Level: Analysis When teaching a patient on antithyroid medication about diet, which direction should be included? a. Use iodized salt when cooking. Avoid foods containing iodine. Increase fluid intake to 2 500 mL per day. Increase intake of sodium- and potassium-containing foods. ANS: B Clients on antithyroid therapy should avoid iodine-containing foods. DIF: Cognitive Level: Application 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. Blocks the action of thyroid hormone Impedes the formation of thyroid hormone Destroys overactive cells in the thyroid gland Inactivates already existing thyroid hormone in the bloodstream ANS: B Propylthiouracil impedes the formation of thyroid hormone but has no effect on already existing thyroid hormone. DIF: Cognitive Level: Comprehension 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 will probably require surgery for a cure. levothyroxine does not reach its peak effect for several months. she probably did not take her medication as instructed. her diet may be causing absorption problems. ANS: B The therapeutic effects of thyroid drugs may take several months to occur. Patients taking thyroid drugs should be aware of this fact. DIF: Cognitive Level: Analysis

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Uploaded on
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Number of pages
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2024/2025
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, lOMoARcPSD| 22352696




TEST BANK FOR LILLEY'S PHARMACO
FOR CANADIAN HEALTH CARE PRACT
EDITION BY KARA SEALOCK, CYD
SENEVIRATNE CHAPTER( 1-58 )EXAM 20
ACTUAL QUESTIONS AND COMPLETE
VERIFIED CORRECT AND WELL EXPL
ANSWERS WITH RATIONALES GRADED
EXPERTS LATEST VERSION 2024 W
GUARANTEED SUCCESS AFTER DOWN
ALREADYPASSED!!!!!!! (PROVEN ITS A
NEED TO EXCEL IN YOUR EXAM

, lOMoARcPSD| 22352696




6.




Chapter 01: Nursing Practice in Canada and Drug Therapy Sealock: Lilley’s Pharmacology for Cana
4th Edition

MULTIPLE CHOICE

Potential adverse effects of methylcellulose (bulk forming) laxatives? Select all
A) fluid/electrolyte disturbances
B) decreased vit absorbtion
C) gas formation
D) darkened stools
E) discoloured urine a, c
1. To avoid fecal impaction, psyllium (Metamucil®) should be administered with at least how man
A. 4 oz
B. 6 oz
C. 8 oz
D. 10 oz c
2. How does magnesium hydroxide (Phillips Milk of Magnesia®) alleviate constipat
A. It causes water absorption into the colon.
B. It directly irritates intestinal mucosa.
C. It allows more fat to be absorbed into the stool.
D. It absorbs water to increase bulk within the colon. a
3. Related to its mechanism of action, what is an additive effect of lactulose?
A. Reducing ammonia levels

, lOMoARcPSD| 22352696




Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
A) fewer episodes of diabetic ketoacidosis
B) weightloss of 2.3 kg
C) hemoglobin A1c levels less than 7%
D) glucose levels of 9.5 mmol/L c
Patient with type 2 diabetes is scheduled for an MRI with contrast dye, nurse notices the patient is on metformi
action by nurse is appropriate?
A) proceed with MRI
B) notify radiology department that patient is receiving Metformin
C) hold metformin day of the test, and 48 hours after test
D) hold 2 days before test c
Patient with type 2 diabetes has new prescription of repaglinide (gluconorm), she keeps missing meals, and she'
take it or what to do. Nurses best response?
A) try not to skip meals, if that happens you need to skip that dose of repaglinide.
B) we will need to change your prescription because you dont eat meals on a regular basi
C) take the pill when you first remember you missed it
D) take both pills with the next meal, and try to eat a little extra to make up for it a
Patient's blood glucose level= 2.3 mmol/L, feels a little cloudy headed. what action by the nurse i
A) administer 2 packets of table sugar
B) administer oral glucose in the form of a semisolid gel
C) administer 50% dextrose IV push
D) administer morning dose of insulin lispro. b
Patient taking metformin for type 2 diabetes, what are some adverse effects?
A) abdominal bloating
B) nausea
C) diarrhea
D) headache
E) weight gain
F) metallic taste a, b, c, f
The nurse is preparing a patient for a computed tomography scan using iodine contrast media. Which medica
question if prescribed one day before the scheduled procedure?
A acarbose (Glucobay®)
B pioglitazone (Actos®)
C repaglinide (GlucoNorm®)
D metformin (Glucophage®) d
Which oral hypoglycemic drug has a quick onset and short duration of action, enabling the patient to take the
before eating and to skip the dose if he or she does not eat?
A acarbose (Glucobay)
B metformin (Glucophage)
C repaglinide (GlucoNorm)
D pioglitazone (Actos) c
The nurse is providing education to a patient who has been prescribed glipizide. The nurse explains that this med
when administered at which time?
A At bedtime
B In the morning
C 15 minutes postprandial
D 30 minutes before a meal d
Nitroglycerin patch, most appropriate for?
A) relieve exertional angina
B) to relieve palpations
C) to prevent occurrence of angina
D) to stop an episode of angina c

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