NURS 3110 Exam 3 Questions With Complete Solutions
Which should the nurse instruct a client to report that has been
prescribed methimazole (Tapazole)? Select all that apply. (3)
a) Unexplained bruising
b) Anxiety
c) Decrease sense of taste
d) Weight loss
e) Intolerance to cold
a) Unexplained bruising
c) Decrease sense of taste
e) Intolerance to cold
Which assessment finding should the nurse recognize is an
adverse CNS effect of mitotane (Lysodren)? Select all that
apply. (4)
a) Confusion
b) Tinnitus
c) Lethargy
d) Increasing depression
e) Dizziness
a) Confusion
c) Lethargy
d) Increasing depression
e) Dizziness
,Which should the nurse monitor a client for that has been on
long-term steroid therapy?
a) Weight loss
b) Ulcerative colitis
c) Muscle wasting
d) Acute closed angle glaucoma
c) Muscle wasting
Which should the nurse anticipate will be included in a client's
treatment plan to limit the incidence of serious adverse effects
when prescribing corticosteroids?
a) Administer oral doses of the prescription whenever possible
b) Administer small doses over a period of several weeks
c) Administer large doses for acute conditions then discontinue
the prescription
d) Administer steroids every other day
d) Administer steroids every other day
Which should the nurse be most concerned about during the
treatment of a client experiencing a thyroid storm?
a) The client develops crackles in both lung bases
b) The client becomes hyperglycemic
c) The client requires a second dose of propylthiouracil
d) The client begins to shiver
d) The client begins to shiver
,Which result from the diagnostic testing with cosyntropin
(Cortrosyn) for adrenocortical insufficiency indicates secondary
adrenocortical insufficiency has occurred?
a) The client experiences flushing following the injection.
b) The client's urine cortisol fails to rise following the injection.
c) The client has carpal spasms following injection.
d) The client's plasma level of cortisol rises following the
injection.
d) The client's plasma level of cortisol rises following the
injection.
A client with Addison's disease is experiencing nausea,
vomiting, and confusion. Which priority intervention should the
nurse anticipate to be included in the plan of care?
a) Administration of intravenous diuretic.
b) Placement of a nasogastric tube.
c) Administration of intravenous hydrocortisone.
d) Immediate endotracheal intubation.
c) Administration of intravenous hydrocortisone.
Which statement made by a client indicates an understanding of
the education for corticosteroid therapy? Select all that apply.
(3)
a) "If I cannot take my medicine for more than 2 days, I will
contact my healthcare provider."
b) "I will take my medication at the same time every day."
, c) "I will take my medication with food or a meal."
d) "I will avoid dairy products while taking this medication."
e) "If I notice my vision is changing, I will contact my health
care provider."
b) "I will take my medication at the same time every day."
c) "I will take my medication with food or a meal."
e) "If I notice my vision is changing, I will contact my health
care provider."
Which information should the nurse include in the teaching for
the client prescribed long-term corticosteroid therapy? Select all
that apply. (2)
a) Avoid carbonated beverages
b) Participate in regular weight-bearing exercises
c) Avoid taking calcium supplements
d) Take your prescription with food or milk
e) Avoid caffeine in the diet
a) Avoid carbonated beverages
b) Participate in regular weight-bearing exercises
Which information should the nurse include in the education of
a client when explaining type 1 diabetes mellitus?
a) "The exocrine function of the pancreas is not working."
b) "The target cells are resistant to insulin."
c) "Your alpha cells should be able to secrete insulin, but they
cannot."
d) "Your pancreas cannot secrete insulin."
Which should the nurse instruct a client to report that has been
prescribed methimazole (Tapazole)? Select all that apply. (3)
a) Unexplained bruising
b) Anxiety
c) Decrease sense of taste
d) Weight loss
e) Intolerance to cold
a) Unexplained bruising
c) Decrease sense of taste
e) Intolerance to cold
Which assessment finding should the nurse recognize is an
adverse CNS effect of mitotane (Lysodren)? Select all that
apply. (4)
a) Confusion
b) Tinnitus
c) Lethargy
d) Increasing depression
e) Dizziness
a) Confusion
c) Lethargy
d) Increasing depression
e) Dizziness
,Which should the nurse monitor a client for that has been on
long-term steroid therapy?
a) Weight loss
b) Ulcerative colitis
c) Muscle wasting
d) Acute closed angle glaucoma
c) Muscle wasting
Which should the nurse anticipate will be included in a client's
treatment plan to limit the incidence of serious adverse effects
when prescribing corticosteroids?
a) Administer oral doses of the prescription whenever possible
b) Administer small doses over a period of several weeks
c) Administer large doses for acute conditions then discontinue
the prescription
d) Administer steroids every other day
d) Administer steroids every other day
Which should the nurse be most concerned about during the
treatment of a client experiencing a thyroid storm?
a) The client develops crackles in both lung bases
b) The client becomes hyperglycemic
c) The client requires a second dose of propylthiouracil
d) The client begins to shiver
d) The client begins to shiver
,Which result from the diagnostic testing with cosyntropin
(Cortrosyn) for adrenocortical insufficiency indicates secondary
adrenocortical insufficiency has occurred?
a) The client experiences flushing following the injection.
b) The client's urine cortisol fails to rise following the injection.
c) The client has carpal spasms following injection.
d) The client's plasma level of cortisol rises following the
injection.
d) The client's plasma level of cortisol rises following the
injection.
A client with Addison's disease is experiencing nausea,
vomiting, and confusion. Which priority intervention should the
nurse anticipate to be included in the plan of care?
a) Administration of intravenous diuretic.
b) Placement of a nasogastric tube.
c) Administration of intravenous hydrocortisone.
d) Immediate endotracheal intubation.
c) Administration of intravenous hydrocortisone.
Which statement made by a client indicates an understanding of
the education for corticosteroid therapy? Select all that apply.
(3)
a) "If I cannot take my medicine for more than 2 days, I will
contact my healthcare provider."
b) "I will take my medication at the same time every day."
, c) "I will take my medication with food or a meal."
d) "I will avoid dairy products while taking this medication."
e) "If I notice my vision is changing, I will contact my health
care provider."
b) "I will take my medication at the same time every day."
c) "I will take my medication with food or a meal."
e) "If I notice my vision is changing, I will contact my health
care provider."
Which information should the nurse include in the teaching for
the client prescribed long-term corticosteroid therapy? Select all
that apply. (2)
a) Avoid carbonated beverages
b) Participate in regular weight-bearing exercises
c) Avoid taking calcium supplements
d) Take your prescription with food or milk
e) Avoid caffeine in the diet
a) Avoid carbonated beverages
b) Participate in regular weight-bearing exercises
Which information should the nurse include in the education of
a client when explaining type 1 diabetes mellitus?
a) "The exocrine function of the pancreas is not working."
b) "The target cells are resistant to insulin."
c) "Your alpha cells should be able to secrete insulin, but they
cannot."
d) "Your pancreas cannot secrete insulin."
