NURS 6630 MIDTERM EXAM 4 A+ GRADED LATEST 2022 WALDEN UNIVERSITY
1 out of 1 points
A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before
the drug therapy begins, a priority action by the nurse will be to assess
the patient's
Response The nurse should assess the patient's alcohol consumption
Feedback
:
before therapy is initiated. Concomitant alcohol use increases
the rate of glyburide metabolism and may cause a disulfiram-
like reaction. Even though the patient's blood pressure should
be assessed, it is not as important as making sure that the
patient is aware of the serious reaction that alcohol can cause
while on glyburide. The amount of salt used in the patient's diet
is important as well as the patient's potassium level, but not
specifically in relation to the use of glyburide.
• Question 2
1 out of 1 points
A nurse is caring for a male patient who has a spinal cord injury due to a
motorcycle accident. He has been taking dantrolene (Dantrium) for 2
weeks. The nurse will monitor which of the following?
Response The nurse will monitor alanine aminotransferase and total
Feedback
:
bilirubin levels, because a serious adverse effect of dantrolene
is drug-induced hepatitis. The nurse will also educate the
patient and family concerning signs and symptoms of hepatitis.
Prothrombin time and partial thromboplastin time would be
monitored for someone taking an anticoagulant, not for
someone taking dantrolene. Urine specific gravity is part of a
urinalysis and would be used to assess urinary function, which is
not affected by dantrolene use. Follicle-stimulating hormone
level is important to the female reproductive system and would
not be assessed in a male.
• Question 3
1 out of 1 points
Following an assessment by her primary care provider, a 70-year-old
resident of an assisted living facility has begun taking daily oral doses of
levothyroxine. Which of the following assessment findings should prompt
the nurse to withhold a scheduled dose of levothyroxine?
Response If the pulse rate is greater than 100 bpm, it is necessary to
Feedback:
withhold a levothyroxine dose in an older adult. Anorexia,
recent vaccination, and recent falls do not necessary indicate a
need to withhold this medication.
• Question 4
1 out of 1 points
A 43-year-old woman was diagnosed with multiple sclerosis 2 years ago
This study source was downloaded by 100000839450224 from CourseHero.com on 01-10-2022 06:43:02 GMT -06:00
https://www.coursehero.com/file/15017005/Wk-6-Endocrine-MS/
, and has experienced a recent exacerbation of her symptoms, including
muscle spasticity. Consequently, she has been prescribed Dantrolene
(Dantrium). In light of this new addition to her drug regimen, what
teaching point should the woman's nurse provide?
Response Dantrolene causes weakness because of its generalized
Feedback:
reduction of muscle contraction. It is not associated with drug
dependence, hyperglycemia, hypoglycemia, or hallucinations.
• Question 5
1 out of 1 points
A patient is taking gabapentin (Neurontin) for spasticity associated with
multiple sclerosis. Which of the following should be the priority for
monitoring?
Response Gabapentin is not metabolized and is excreted unchanged in
Feedback:
the urine. Therefore, it is important to monitor renal function.
Hepatic, cardiac, and respiratory functions are not
compromised with this drug.
• Question 6
1 out of 1 points
A patient with type 1 diabetes has been admitted to the hospital for
orthopedic surgery and the care team anticipates some disruptions to the
patient's blood glucose levels in the days following surgery. Which of the
following insulin regimens is most likely to achieve adequate glycemic
control?
Response Subcutaneous insulin therapy for type 1 diabetes frequently
Feedback
:
consists of daily injections of mixtures of short-acting regular
insulin with intermediate-acting insulins; multiple doses of
regular insulin before each meal in association with one or two
daily doses of long-acting insulin may also be used. Frequent,
fixed doses of rapid-acting or intermediate-acting insulin may
result in unsafe blood sugar levels.
• Question 7
1 out of 1 points
A 34-year-old male patient is prescribed methimazole (MMI). The nurse will
advise him to report which of the following immediately?
Response The nurse should ask the patient to report immediately if he
Feedback
:
notices decreased cardiac rate, intolerance to cold, or weight
gain. These are indications of hypothyroidism resulting from
antithyroid therapy, and if the medication is continued
unchanged, insidious goitrogenic hypothyroidism may occur.
Vertigo, drowsiness, loss of appetite, and epigastric distress are
possible adverse effects of the therapy but would not present
an immediate risk to the patient's health.
This study source was downloaded by 100000839450224 from CourseHero.com on 01-10-2022 06:43:02 GMT -06:00
https://www.coursehero.com/file/15017005/Wk-6-Endocrine-MS/
1 out of 1 points
A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before
the drug therapy begins, a priority action by the nurse will be to assess
the patient's
Response The nurse should assess the patient's alcohol consumption
Feedback
:
before therapy is initiated. Concomitant alcohol use increases
the rate of glyburide metabolism and may cause a disulfiram-
like reaction. Even though the patient's blood pressure should
be assessed, it is not as important as making sure that the
patient is aware of the serious reaction that alcohol can cause
while on glyburide. The amount of salt used in the patient's diet
is important as well as the patient's potassium level, but not
specifically in relation to the use of glyburide.
• Question 2
1 out of 1 points
A nurse is caring for a male patient who has a spinal cord injury due to a
motorcycle accident. He has been taking dantrolene (Dantrium) for 2
weeks. The nurse will monitor which of the following?
Response The nurse will monitor alanine aminotransferase and total
Feedback
:
bilirubin levels, because a serious adverse effect of dantrolene
is drug-induced hepatitis. The nurse will also educate the
patient and family concerning signs and symptoms of hepatitis.
Prothrombin time and partial thromboplastin time would be
monitored for someone taking an anticoagulant, not for
someone taking dantrolene. Urine specific gravity is part of a
urinalysis and would be used to assess urinary function, which is
not affected by dantrolene use. Follicle-stimulating hormone
level is important to the female reproductive system and would
not be assessed in a male.
• Question 3
1 out of 1 points
Following an assessment by her primary care provider, a 70-year-old
resident of an assisted living facility has begun taking daily oral doses of
levothyroxine. Which of the following assessment findings should prompt
the nurse to withhold a scheduled dose of levothyroxine?
Response If the pulse rate is greater than 100 bpm, it is necessary to
Feedback:
withhold a levothyroxine dose in an older adult. Anorexia,
recent vaccination, and recent falls do not necessary indicate a
need to withhold this medication.
• Question 4
1 out of 1 points
A 43-year-old woman was diagnosed with multiple sclerosis 2 years ago
This study source was downloaded by 100000839450224 from CourseHero.com on 01-10-2022 06:43:02 GMT -06:00
https://www.coursehero.com/file/15017005/Wk-6-Endocrine-MS/
, and has experienced a recent exacerbation of her symptoms, including
muscle spasticity. Consequently, she has been prescribed Dantrolene
(Dantrium). In light of this new addition to her drug regimen, what
teaching point should the woman's nurse provide?
Response Dantrolene causes weakness because of its generalized
Feedback:
reduction of muscle contraction. It is not associated with drug
dependence, hyperglycemia, hypoglycemia, or hallucinations.
• Question 5
1 out of 1 points
A patient is taking gabapentin (Neurontin) for spasticity associated with
multiple sclerosis. Which of the following should be the priority for
monitoring?
Response Gabapentin is not metabolized and is excreted unchanged in
Feedback:
the urine. Therefore, it is important to monitor renal function.
Hepatic, cardiac, and respiratory functions are not
compromised with this drug.
• Question 6
1 out of 1 points
A patient with type 1 diabetes has been admitted to the hospital for
orthopedic surgery and the care team anticipates some disruptions to the
patient's blood glucose levels in the days following surgery. Which of the
following insulin regimens is most likely to achieve adequate glycemic
control?
Response Subcutaneous insulin therapy for type 1 diabetes frequently
Feedback
:
consists of daily injections of mixtures of short-acting regular
insulin with intermediate-acting insulins; multiple doses of
regular insulin before each meal in association with one or two
daily doses of long-acting insulin may also be used. Frequent,
fixed doses of rapid-acting or intermediate-acting insulin may
result in unsafe blood sugar levels.
• Question 7
1 out of 1 points
A 34-year-old male patient is prescribed methimazole (MMI). The nurse will
advise him to report which of the following immediately?
Response The nurse should ask the patient to report immediately if he
Feedback
:
notices decreased cardiac rate, intolerance to cold, or weight
gain. These are indications of hypothyroidism resulting from
antithyroid therapy, and if the medication is continued
unchanged, insidious goitrogenic hypothyroidism may occur.
Vertigo, drowsiness, loss of appetite, and epigastric distress are
possible adverse effects of the therapy but would not present
an immediate risk to the patient's health.
This study source was downloaded by 100000839450224 from CourseHero.com on 01-10-2022 06:43:02 GMT -06:00
https://www.coursehero.com/file/15017005/Wk-6-Endocrine-MS/
