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NUR 354 Exam 4 Study Questions And Answers All
Latest Quizzes Rated A+
1. A charge nurse is asked which insulins can be given via the IV route. The nurse knows the correct
answer is what?
a. Short acting regular insulin (humalin)
2. Discuss some considerations when discharging a newly Type 1 diabetic patient home with insulin
injections.
a. Rotate injection sites
b. Check blood sugar frequently
c. Clear to cloudy rule (withdraw regular or rapid acting first)
3. What is the most important teaching point for a patient with prescribed insulin therapy?
a. Signs and symptoms of hypoglycemia
b. INJECTION INSTRUCTIONS
c. CHECK BLOOD GLUCOSE AS PRESECRIBED
4. What lab value is most important to monitor in relation to a diabetic patient’s overall glucose control?
What are the parameters of this lab value?
a. A1C: should be less than 6.5%
5. Within what time frame would we want our diabetic patient to eat if we are scheduled to administer
insulin lispro at 0800?
a. within 15 minutes
6. Be able to list the steps to mix regular insulin and intermediate insulin.
a. Inject air into intermediate
b. Inject air into regular
c. Withdraw regular
d. Withdraw intermediate
7. What are some consequences of overmedication with propylthiouracil?
a. Hypothyroidism
8. Discuss the adverse effects of propylthiouracil.
a. Liver damage
b. Agranulocytosis
c. Pregnancy category D
d. Interacts with warfarin
e. HYPOTHYROIDISM
9. What lab value do we use to measure the effectiveness of medication for thyroid disorders?
a. TSH
10. When a patient is started on levothyroxine, it is important to monitor thyroid function periodically.
, lOMoAR cPSD| 56927468
How often would we measure thyroid function after initiating therapy and after any dose adjustments?
a. 6-8 weeks
11. If a patient is being medicated for hyperthyroidism, what would we expect from their lab work to
indicate therapy is effective? What about hypothyroidism?
a. For hyperthyroidism their TSH would go up. For hypothyroidism TSH would go down.
12. Discuss signs and symptoms of hypothyroidism.
a. Myxedema, weight gain, hair loss, cold intolerance, decreased metabolic rate, yellow
discoloration of skin, goiter, lethargy, dry skin, muscle aches, constipation, facial and eyelid
edema, slow speech, thick tongue, anorexia, bradycardia
13. Discuss signs and symptoms of hyperthyroidism.
a. Increased body temperature, tachycardia, weight loss, increased metabolism, anxiety
14. What questions would you ask a patient experiencing insomnia related to taking synthetic thyroid
hormone replacement?
a. When are you taking your medication?
15. Discuss possible adverse effects for patients taking desmopressin. What condition/disorder does this
patient likely have to be prescribed desmopressin?
a. Desmopressin treats diabetes insipidus
b. Adverse effects: headache, nasal congestion, nausea, water intoxication, thromboembolic
disorder, hyponatremia
16. A patient has been prescribed levothyroxine for hypothyroidism. Six weeks later, a TSH level is
checked and the results are high. What might be possible explanations for this?
a. The dosage isn’t high enough and needs to be adjusted
17. What are possible undesired effects of levothyroxine?
a. Symptoms of hyperthyroidism
18. What beverage needs to be avoided when taking metformin due to potential liver toxicity?
a. Alcohol
19. What are some of the benefits of taking metformin related to its mechanism of action related to
glucose and insulin?
a. Metformin decreases insulin resistance without posing a risk for hypoglycemia
20. A patient with Type 2 diabetes has just been prescribed metformin. The patient is also asking
questions about other over-the-counter supplements and herbs to treat diabetes. What would be the
nurse’s best therapeutic response?
a. You should avoid garlic and ginseng as these can increase hypoglycemia with metformin
b. WHICH SUPPLEMENTS ARE YOU THINKING ABOUT TAKING? WHAT DO YOU
KNOW ABOUT THESE HERBS? (ASK MORE QUESTIONS)
21. What are the potential adverse effects of metformin?
a. Metallic taste, GI upset, lactic acidosis, headache, anorexia
NUR 354 Exam 4 Study Questions And Answers All
Latest Quizzes Rated A+
1. A charge nurse is asked which insulins can be given via the IV route. The nurse knows the correct
answer is what?
a. Short acting regular insulin (humalin)
2. Discuss some considerations when discharging a newly Type 1 diabetic patient home with insulin
injections.
a. Rotate injection sites
b. Check blood sugar frequently
c. Clear to cloudy rule (withdraw regular or rapid acting first)
3. What is the most important teaching point for a patient with prescribed insulin therapy?
a. Signs and symptoms of hypoglycemia
b. INJECTION INSTRUCTIONS
c. CHECK BLOOD GLUCOSE AS PRESECRIBED
4. What lab value is most important to monitor in relation to a diabetic patient’s overall glucose control?
What are the parameters of this lab value?
a. A1C: should be less than 6.5%
5. Within what time frame would we want our diabetic patient to eat if we are scheduled to administer
insulin lispro at 0800?
a. within 15 minutes
6. Be able to list the steps to mix regular insulin and intermediate insulin.
a. Inject air into intermediate
b. Inject air into regular
c. Withdraw regular
d. Withdraw intermediate
7. What are some consequences of overmedication with propylthiouracil?
a. Hypothyroidism
8. Discuss the adverse effects of propylthiouracil.
a. Liver damage
b. Agranulocytosis
c. Pregnancy category D
d. Interacts with warfarin
e. HYPOTHYROIDISM
9. What lab value do we use to measure the effectiveness of medication for thyroid disorders?
a. TSH
10. When a patient is started on levothyroxine, it is important to monitor thyroid function periodically.
, lOMoAR cPSD| 56927468
How often would we measure thyroid function after initiating therapy and after any dose adjustments?
a. 6-8 weeks
11. If a patient is being medicated for hyperthyroidism, what would we expect from their lab work to
indicate therapy is effective? What about hypothyroidism?
a. For hyperthyroidism their TSH would go up. For hypothyroidism TSH would go down.
12. Discuss signs and symptoms of hypothyroidism.
a. Myxedema, weight gain, hair loss, cold intolerance, decreased metabolic rate, yellow
discoloration of skin, goiter, lethargy, dry skin, muscle aches, constipation, facial and eyelid
edema, slow speech, thick tongue, anorexia, bradycardia
13. Discuss signs and symptoms of hyperthyroidism.
a. Increased body temperature, tachycardia, weight loss, increased metabolism, anxiety
14. What questions would you ask a patient experiencing insomnia related to taking synthetic thyroid
hormone replacement?
a. When are you taking your medication?
15. Discuss possible adverse effects for patients taking desmopressin. What condition/disorder does this
patient likely have to be prescribed desmopressin?
a. Desmopressin treats diabetes insipidus
b. Adverse effects: headache, nasal congestion, nausea, water intoxication, thromboembolic
disorder, hyponatremia
16. A patient has been prescribed levothyroxine for hypothyroidism. Six weeks later, a TSH level is
checked and the results are high. What might be possible explanations for this?
a. The dosage isn’t high enough and needs to be adjusted
17. What are possible undesired effects of levothyroxine?
a. Symptoms of hyperthyroidism
18. What beverage needs to be avoided when taking metformin due to potential liver toxicity?
a. Alcohol
19. What are some of the benefits of taking metformin related to its mechanism of action related to
glucose and insulin?
a. Metformin decreases insulin resistance without posing a risk for hypoglycemia
20. A patient with Type 2 diabetes has just been prescribed metformin. The patient is also asking
questions about other over-the-counter supplements and herbs to treat diabetes. What would be the
nurse’s best therapeutic response?
a. You should avoid garlic and ginseng as these can increase hypoglycemia with metformin
b. WHICH SUPPLEMENTS ARE YOU THINKING ABOUT TAKING? WHAT DO YOU
KNOW ABOUT THESE HERBS? (ASK MORE QUESTIONS)
21. What are the potential adverse effects of metformin?
a. Metallic taste, GI upset, lactic acidosis, headache, anorexia
