PNM 300 Test 3 Questions with Verified Solutions Graded A+
A patient newly diagnosed with hypothyroidism received a prescription for a thyroid drug. In
addition to assessing for hypersensitivity and myocardial infarction, for what should the nurse
also assess before administering the thyroid drug?
a. Infections
b. Diabetes mellitus
c. Lupus erythematosus
d. Adrenal insufficiency - Answers D. Adrenal insufficiency
A patient with hypothyroidism is given a prescription for levothyroxine (Synthroid®). When the
nurse explains that levothyroxine is a synthetic form of the thyroid hormone, the patient states
that a more natural form of drug would be personally preferred. What is the nurse's best
explanation to the patient for the use of levothyroxine?
a. The synthetic form has a stronger effect than the natural forms.
b. Levothyroxine is less expensive than the natural forms.
c. The oral form has fewer adverse effects on the gastrointestinal tract.
d. Because the half-life of levothyroxine is longer than that of the natural forms, once-a-day
dosing is possible. - Answers D.
-levothyroxine has a long half-life and its effects are more predictable than natural forms
The nurse is discussing thyroid replacement therapy and establishing treatment goals with a
patient. What important adverse effects should the nurse discuss with the patient?
a. Edema, anemia, and hepatitis
b. Pruritus, myalgia, leukopenia, and paresthesia
c. Tachycardia, dysrhythmias, weight loss, and fever
d. Skin pigment changes, bleeding, and menstrual irregularities - Answers C.
** too much thyroid = hyperthyroidism symptoms
A patient on antithyroid medication should avoid foods containing iodine? T/F. - Answers TRUE.
A patient has been diagnosed with hypothyroidism and has started thyroid replacement therapy
with levothyroxine (Synthroid®). After 1 week, the patient tells the nurse that she feels no better.
,The nurse would best tell the patient that
a. she will probably require surgery for a cure.
b. levothyroxine does not reach its peak effect for several months.
c. she probably did not take her medication as instructed.
d. her diet may be causing absorption problems. - Answers B.
The therapeutic effects of thyroid drugs may take several months to occur.
Which drugs should be avoided while taking thyroid replacement preparations? - Answers
Anticoagulants, digoxin, hypoglycemic and cholestyramine drugs
Which condition may be caused by low levels of thyroid hormone in youth?
a. Goiter
b. Myxedema
c. Cretinism
d. Addison's disease - Answers C. cretinism = abnormal physical + mental development
A patient has been taking levothyroxine (Synthroid) for more than a decade for primary
hypothyroidism. She tells the nurse that her cousin can get her the same medication in a generic
form from a pharmaceutical supply company. What would be best for the nurse to say to the
patient?
a. "That would be a great way to save money."
b. "There's no difference in brands of this medication."
c. "Switching the form of medication should never be done; once you start with a certain brand,
you must stay with it."
d. "It's better not to switch brands until we check with your doctor." - Answers D.
Switching between different brands of levothyroxine during treatment can destabilize the course
of treatment and should be minimized. If a switch is made, the patient should be closely
monitored.
A patient has been diagnosed with primary hypothyroidism.
Which statement accurately describes this condition?
, a. The hypothalamus is not secreting thyrotropin-releasing hormone; therefore, thyroid-
stimulating hormone (TSH) is not released from the pituitary gland.
b. The pituitary gland is dysfunctional and is not secreting TSH.
c. The abnormality is in the thyroid gland itself.
d. The abnormality is caused by an excess intake of iodine. - Answers C.
Primary hypothyroidism stems from an abnormality in the thyroid gland itself and occurs when
the thyroid gland is not able to perform one of its many functions.
Which are the two thyroid hormones produced by the thyroid gland? - Answers Thyroxine (T4)
and tri-iodothyronine (T3)
Which is a true statement about Humulin-N® insulin?
a. It is a long-acting insulin.
b. It is a rapid-acting insulin.
c. It is an intermediate-acting insulin.
d. It is given based on blood glucose levels measured before meals. - Answers C. intermediate-
acting insulin
What early signs of hypoglycemia should the nurse should tell the patient about?
a. Urticaria and rash
b. Nausea and diarrhea
c. Irritability and confusion
d. Fruity, acetone odour to the breath - Answers C.
irritability + confusion are early signs of HYPOglycemia
which should you draw up first cloudy insulin or clear? - Answers when mixing, draw up clear (ie.
regular insulin) first!
A patient who has type 2 diabetes is scheduled for a laparoscopy and has been NPO since
midnight. The patient is concerned about having to hold the medication. What is the best action
for the nurse to take regarding the administration of the patient's oral antidiabetic drug?
a. Give the patient half the original dose.
A patient newly diagnosed with hypothyroidism received a prescription for a thyroid drug. In
addition to assessing for hypersensitivity and myocardial infarction, for what should the nurse
also assess before administering the thyroid drug?
a. Infections
b. Diabetes mellitus
c. Lupus erythematosus
d. Adrenal insufficiency - Answers D. Adrenal insufficiency
A patient with hypothyroidism is given a prescription for levothyroxine (Synthroid®). When the
nurse explains that levothyroxine is a synthetic form of the thyroid hormone, the patient states
that a more natural form of drug would be personally preferred. What is the nurse's best
explanation to the patient for the use of levothyroxine?
a. The synthetic form has a stronger effect than the natural forms.
b. Levothyroxine is less expensive than the natural forms.
c. The oral form has fewer adverse effects on the gastrointestinal tract.
d. Because the half-life of levothyroxine is longer than that of the natural forms, once-a-day
dosing is possible. - Answers D.
-levothyroxine has a long half-life and its effects are more predictable than natural forms
The nurse is discussing thyroid replacement therapy and establishing treatment goals with a
patient. What important adverse effects should the nurse discuss with the patient?
a. Edema, anemia, and hepatitis
b. Pruritus, myalgia, leukopenia, and paresthesia
c. Tachycardia, dysrhythmias, weight loss, and fever
d. Skin pigment changes, bleeding, and menstrual irregularities - Answers C.
** too much thyroid = hyperthyroidism symptoms
A patient on antithyroid medication should avoid foods containing iodine? T/F. - Answers TRUE.
A patient has been diagnosed with hypothyroidism and has started thyroid replacement therapy
with levothyroxine (Synthroid®). After 1 week, the patient tells the nurse that she feels no better.
,The nurse would best tell the patient that
a. she will probably require surgery for a cure.
b. levothyroxine does not reach its peak effect for several months.
c. she probably did not take her medication as instructed.
d. her diet may be causing absorption problems. - Answers B.
The therapeutic effects of thyroid drugs may take several months to occur.
Which drugs should be avoided while taking thyroid replacement preparations? - Answers
Anticoagulants, digoxin, hypoglycemic and cholestyramine drugs
Which condition may be caused by low levels of thyroid hormone in youth?
a. Goiter
b. Myxedema
c. Cretinism
d. Addison's disease - Answers C. cretinism = abnormal physical + mental development
A patient has been taking levothyroxine (Synthroid) for more than a decade for primary
hypothyroidism. She tells the nurse that her cousin can get her the same medication in a generic
form from a pharmaceutical supply company. What would be best for the nurse to say to the
patient?
a. "That would be a great way to save money."
b. "There's no difference in brands of this medication."
c. "Switching the form of medication should never be done; once you start with a certain brand,
you must stay with it."
d. "It's better not to switch brands until we check with your doctor." - Answers D.
Switching between different brands of levothyroxine during treatment can destabilize the course
of treatment and should be minimized. If a switch is made, the patient should be closely
monitored.
A patient has been diagnosed with primary hypothyroidism.
Which statement accurately describes this condition?
, a. The hypothalamus is not secreting thyrotropin-releasing hormone; therefore, thyroid-
stimulating hormone (TSH) is not released from the pituitary gland.
b. The pituitary gland is dysfunctional and is not secreting TSH.
c. The abnormality is in the thyroid gland itself.
d. The abnormality is caused by an excess intake of iodine. - Answers C.
Primary hypothyroidism stems from an abnormality in the thyroid gland itself and occurs when
the thyroid gland is not able to perform one of its many functions.
Which are the two thyroid hormones produced by the thyroid gland? - Answers Thyroxine (T4)
and tri-iodothyronine (T3)
Which is a true statement about Humulin-N® insulin?
a. It is a long-acting insulin.
b. It is a rapid-acting insulin.
c. It is an intermediate-acting insulin.
d. It is given based on blood glucose levels measured before meals. - Answers C. intermediate-
acting insulin
What early signs of hypoglycemia should the nurse should tell the patient about?
a. Urticaria and rash
b. Nausea and diarrhea
c. Irritability and confusion
d. Fruity, acetone odour to the breath - Answers C.
irritability + confusion are early signs of HYPOglycemia
which should you draw up first cloudy insulin or clear? - Answers when mixing, draw up clear (ie.
regular insulin) first!
A patient who has type 2 diabetes is scheduled for a laparoscopy and has been NPO since
midnight. The patient is concerned about having to hold the medication. What is the best action
for the nurse to take regarding the administration of the patient's oral antidiabetic drug?
a. Give the patient half the original dose.
