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Chapter 37 - Thyroid and Parathyroid Agents |Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)

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1. The nurse is teaching the patient, newly diagnosed with Graves’s disease, about the normal functioning of the thyroid gland. What hormone will the nurse tell the patient controls production and release of thyroid hormones? a. Thyrotropin-releasing hormone (TRH) b. Thyroid-stimulating hormone (TSH) c. Tetraiodothyronine d. Triiodothyronine Ans: B Feedback: Thyroid hormone production and release are regulated by the anterior pituitary hormone called thyroid- stimulating hormone (TSH)...

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Chapter 36 - Adrenocortical Agents |Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)

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1. The nurse administers fludrocortisone (Florinef) to a patient diagnosed with salt-losing adrenogenital syndrome and then assesses for what therapeutic action? a. Development of hypokalemia and elevated serum glucose level b. An increase in sodium and water reabsorption and potassium excretion c. Headache, edema, weakness, arrhythmias, and hypertension d. Sodium and water depletion along with potassium retention Ans: B Feedback: Fludrocortisone’s therapeutic effects include an incre...

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Chapter 34 - Introduction to the Endocrine System |Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)

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1. The nurse is discussing the endocrine system with a class of nursing students. What substance would the nurse label as a hormone? a. Acetylcholine b. Norepinephrine c. Nucleic acid d. Serotonin Ans: B Feedback: A hormone is secreted directly into the bloodstream and travels from the site of production to react with specific receptor sites to cause an action. Norepinephrine, which is a neurotransmitter, is a hormone when it is produced in the adrenal medulla, secreted into circulation...

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Chapter 35 - Hypothalamic and Pituitary Agents |Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)

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1. A patient suspected of having Cushing’s disease comes to the clinic. What drug might the nurse administer to test for adrenal function and responsiveness? a. Corticotropin b. Menotropins c. Thyrotropin alfa d. Chorionic gonadotropin Ans: A Feedback: Corticotropin (ACTH) and cosyntropin are used for diagnostic purposes to test adrenal function and responsiveness. Menotropin is a purified preparation of gonadotropins and is used as a fertility drug. Thyrotropin alfa is used as adjunc...

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Chapter 33 - Anticholinergic Agents |Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)

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1. A student asks the pharmacology instructor to explain the action of anticholinergic agents. What would be the instructor’s best response? a. They block nicotinic receptors. b. They compete with serotonin for muscarinic acetylcholine receptor sites. c. They act to block the effects of the parasympathetic nervous system. d. They increase norepinephrine at the neuromuscular junction. Ans: C Feedback: Drugs that are used to block the effects of acetylcholine are called anticholinergic ...

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Chapter 31 - Adrenergic Antagonists |Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)

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1. The nurse administers an adrenergic blocking agent in order to prevent release of what neurotransmitter? a. Epinephrine b. Norepinephrine c. Serotonin d. Gamma-aminobutyric acid (GABA) Ans: B Feedback: Adrenergic blocking agents prevent norepinephrine from being released from the adrenal medulla or from the nerve terminal from activating the receptor, which blocks sympathetic nervous system effects. Epinephrine, serotonin, and GABA are not associated with this process. 2. What med...

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Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch) |Chapters 26-30|

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Chapter 26 Narcotics, Narcotic Antagonists, and Antimigraine Agents Chapter 27 General and Local Anesthetic Agents Chapter 28 Neuromuscular Junction Blocking Agents Chapter 29 Introduction to the Autonomic Nervous System Chapter 30 Adrenergic Agonists

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Chapter 32 - Cholinergic Agonists |Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)

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1. The patient has had cevimeline (Evoxac) prescribed. What would be an appropriate dosing schedule for the nurse to administer this drug? a. Once a day b. Twice a day c. Three times a day d. Every 4 hours Ans: C Feedback: Cevimeline should be given three times a day with meals. Once or twice a day dosing would cause a decrease in therapeutic effects of the drug and every 4 hours could lead to toxicity. 2. A student asks the pharmacology instructor to describe the function of a choli...

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Chapter 30 - Adrenergic Agonists Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)

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1. A patient is admitted to the emergency department in shock. Isoproterenol (Isuprel) is administered. What would the nurse expect the effect of the isoproterenol to be? a. Increased blood pressure b. Decreased blood pressure c. Increased body temperature d. Decreased heart rate Ans: A Feedback: Isoproterenol stimulates beta-adrenergic receptors. Blood pressure is increased and heart rate is increased. Body temperature should not be affected. 2. What action do sympathomimetic drugs ...

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