Nursing Pharm Nrsg 106 Week 5 Quiz Review
75 year old comes in she's having muscle twitching, nausea, and
headache. She's taking sodium bicarb 5-6 times a day for 3
weeks. Assess for which problem that may occur with overuse
of sodium bicarb.
A. Constipation
B. Metabolic alkalosis
C. Metabolic acidosis
D. Excessive gastric mucus. Correct Answers B. Metabolic
Alkalosis
A patient has been taking levothyroxine for more than a decade.
Today patient calls because she has a cousin that can get her the
same medication in generic form from a pharmaceutical
company. Which is the best advice?
A. This would be a great way to save money
B. This should never be done; once you start with a certain
brand, you must stay with it.
C. There is no difference in brands of this medication
D. It is better not to switch brands unless we check with your
doctor. Correct Answers D. It is better not to switch brands
unless we check with your doctor.
A patient is about to undergo a diagnostic bowel procedure.
Which drug for cleaning of the bowel is used?
A. Mineral oil
B. Lactulose (Enulose)
C. Polyethylene glycol 3350 (GLYTELY)
D. Docusate sodium (Colace) Correct Answers C.
Polyethylene glycol 3350
, A patient with COPD and type 2 diabetes has been treated for
pneumonia recently. Patient has been receiving IV
corticosteroids and antibiotics. Pneumonia has resolved but
blood glucose levels are still elevated. What is the best
explanation?
A. Corticosteroids may cause increase in blood glucose
B. Type 2 diabetes has converted to type 1
C. Hypoxia caused by COPD causes increased need for insulin
D. Antibiotics may cause increased levels of glucose. Correct
Answers A. Corticosteroids may cause and increase in blood
glucose.
A patient with hypothyroidism is given a script for
levothyroxine (Synthroid). When the nurse explains this is
synthetic form of thyroid hormone. Patient states that he prefers
more "natural" form of drugs. What are the advantages of
levothyroxine?
A. A synthetic form has fewer adverse effects on the GI tract
B. The half-life is long enough to permit one-daily dose.
C. Levothyroxine is less expensive than natural forms
D. It is stronger effect than the natural forms. Correct Answers
B. The half-life is long enough to permit one-daily dose.
A patient with type 2 diabetes is scheduled for oral endoscopy
and has NPO since 0000. Best action regarding administration of
oral antidiabetic drug?
A. Administer half the original dose
B. Withhold all meals as ordered
C. Give medication with sip of water
75 year old comes in she's having muscle twitching, nausea, and
headache. She's taking sodium bicarb 5-6 times a day for 3
weeks. Assess for which problem that may occur with overuse
of sodium bicarb.
A. Constipation
B. Metabolic alkalosis
C. Metabolic acidosis
D. Excessive gastric mucus. Correct Answers B. Metabolic
Alkalosis
A patient has been taking levothyroxine for more than a decade.
Today patient calls because she has a cousin that can get her the
same medication in generic form from a pharmaceutical
company. Which is the best advice?
A. This would be a great way to save money
B. This should never be done; once you start with a certain
brand, you must stay with it.
C. There is no difference in brands of this medication
D. It is better not to switch brands unless we check with your
doctor. Correct Answers D. It is better not to switch brands
unless we check with your doctor.
A patient is about to undergo a diagnostic bowel procedure.
Which drug for cleaning of the bowel is used?
A. Mineral oil
B. Lactulose (Enulose)
C. Polyethylene glycol 3350 (GLYTELY)
D. Docusate sodium (Colace) Correct Answers C.
Polyethylene glycol 3350
, A patient with COPD and type 2 diabetes has been treated for
pneumonia recently. Patient has been receiving IV
corticosteroids and antibiotics. Pneumonia has resolved but
blood glucose levels are still elevated. What is the best
explanation?
A. Corticosteroids may cause increase in blood glucose
B. Type 2 diabetes has converted to type 1
C. Hypoxia caused by COPD causes increased need for insulin
D. Antibiotics may cause increased levels of glucose. Correct
Answers A. Corticosteroids may cause and increase in blood
glucose.
A patient with hypothyroidism is given a script for
levothyroxine (Synthroid). When the nurse explains this is
synthetic form of thyroid hormone. Patient states that he prefers
more "natural" form of drugs. What are the advantages of
levothyroxine?
A. A synthetic form has fewer adverse effects on the GI tract
B. The half-life is long enough to permit one-daily dose.
C. Levothyroxine is less expensive than natural forms
D. It is stronger effect than the natural forms. Correct Answers
B. The half-life is long enough to permit one-daily dose.
A patient with type 2 diabetes is scheduled for oral endoscopy
and has NPO since 0000. Best action regarding administration of
oral antidiabetic drug?
A. Administer half the original dose
B. Withhold all meals as ordered
C. Give medication with sip of water
