NURS 617 Exam 3 Latest Update 2024-2025 Actual
Exam | Questions and 100% Verified Correct
Answers| Graded A+
Advantage to using premixed insulin compared to taking Glargine and Aspart - ANSWER Less
injections
Advantage of taking Glargine and aspart instead of a premixed insulin - ANSWER More prandial
coverage for lunch and snacks.
What types of patients are likely to have the greatest challenges using insulin - ANSWER Patients
with neuropathy and retinopathy might find it difficult to draw up their insulin and might
benefit from prefilled insulin syringes with aids such as clicks and magnifiers.
How long do you wait between dosing changes for Levothyroxine - ANSWER start low and go
slow method. For adults, start at 50mcg daily and increase in incr. of 25 every 2-4 weeks. For
older adults, start at 25-50 mcg and increase by 12.5-25 mcg every 6-8 weeks.
Lower doses and longer intervals are recommended for those with CV disease or long standing
hypothyroidism.
How to determine appropriate dosage size for Levothyroxine - ANSWER For adults with no CV
impairment start at 50mcg/day and increase by 25mcg every 2-4 weeks.
For Older adults with no CV impairment start at 25-50mcg and increase by 12.5-25 mcg every 6-
8 weeks
Lower doses and longer intervals are recommended for those with CV impairment and those
with long standing hypothyroidism.
Therapy is decided by TSH levels as well. Most adults require a dose less than 200mcg and a
dose of >300mcg lack of adherence or malabsorption.
, What drugs are capable of having a drug-drug interaction with Synthroid. - ANSWER Potentiates
effects of adrenergic agonists.
May inhibit adrenergic blocking drugs
Which medication is best for chronic hypothyroidism - ANSWER Levothyroxine
Which thyroid medication is most cardiotoxic - ANSWER Liothyronine
Which thyroid medication has the disadvantage of not having content stability - ANSWER Liotrix
What are some advantages of Liothyronine over Levothyroxine - ANSWER Liothyronine has a
faster onset of action and is more potent.
Advantage of using Levothyroxine over Liothyronine - ANSWER Less cardiotoxic and has a longer
duration of action meaning that even if some doses are missed thyroid levels can remain
therapeutic.
What are some signs of Thyroid medication toxicity? - ANSWER irritability, insomnia,
tachycardia, arrhythmias, elevated blood pressure, anxiety, weight loss, all similar signs of
hyperthyroidism.
Which antithyroid drug is used in pregnancy - ANSWER Propylthiouracil
Which antithyroid drug has a black box warning for liver injury - ANSWER Propylthiouracil
Advantages of Methimazole over Propylthiouracil - ANSWER Methimazole is more potent, less
toxic, not protein bound, and does not carry black box warning about liver damage
Exam | Questions and 100% Verified Correct
Answers| Graded A+
Advantage to using premixed insulin compared to taking Glargine and Aspart - ANSWER Less
injections
Advantage of taking Glargine and aspart instead of a premixed insulin - ANSWER More prandial
coverage for lunch and snacks.
What types of patients are likely to have the greatest challenges using insulin - ANSWER Patients
with neuropathy and retinopathy might find it difficult to draw up their insulin and might
benefit from prefilled insulin syringes with aids such as clicks and magnifiers.
How long do you wait between dosing changes for Levothyroxine - ANSWER start low and go
slow method. For adults, start at 50mcg daily and increase in incr. of 25 every 2-4 weeks. For
older adults, start at 25-50 mcg and increase by 12.5-25 mcg every 6-8 weeks.
Lower doses and longer intervals are recommended for those with CV disease or long standing
hypothyroidism.
How to determine appropriate dosage size for Levothyroxine - ANSWER For adults with no CV
impairment start at 50mcg/day and increase by 25mcg every 2-4 weeks.
For Older adults with no CV impairment start at 25-50mcg and increase by 12.5-25 mcg every 6-
8 weeks
Lower doses and longer intervals are recommended for those with CV impairment and those
with long standing hypothyroidism.
Therapy is decided by TSH levels as well. Most adults require a dose less than 200mcg and a
dose of >300mcg lack of adherence or malabsorption.
, What drugs are capable of having a drug-drug interaction with Synthroid. - ANSWER Potentiates
effects of adrenergic agonists.
May inhibit adrenergic blocking drugs
Which medication is best for chronic hypothyroidism - ANSWER Levothyroxine
Which thyroid medication is most cardiotoxic - ANSWER Liothyronine
Which thyroid medication has the disadvantage of not having content stability - ANSWER Liotrix
What are some advantages of Liothyronine over Levothyroxine - ANSWER Liothyronine has a
faster onset of action and is more potent.
Advantage of using Levothyroxine over Liothyronine - ANSWER Less cardiotoxic and has a longer
duration of action meaning that even if some doses are missed thyroid levels can remain
therapeutic.
What are some signs of Thyroid medication toxicity? - ANSWER irritability, insomnia,
tachycardia, arrhythmias, elevated blood pressure, anxiety, weight loss, all similar signs of
hyperthyroidism.
Which antithyroid drug is used in pregnancy - ANSWER Propylthiouracil
Which antithyroid drug has a black box warning for liver injury - ANSWER Propylthiouracil
Advantages of Methimazole over Propylthiouracil - ANSWER Methimazole is more potent, less
toxic, not protein bound, and does not carry black box warning about liver damage
