NURS 316 Final Exam Questions and
answers
which effect does the nurse expect to see in a patient receiving hydrocortisone,
the drug form of cortisol - ✅✅reduction of scar tissue formation
- hydrocortisone (cortisol) has anti-inflammatory effects including reduction of
inflammatory leukocyte functions and scar tissue formation. it also promotes
renal retention of sodium leading to edema and htn
when administering octreotide (Sandostatin) to a patient, it is most important for
the nurse to assess which parameter - ✅✅blood glucose
- octreotide (Sandostatin) may cause alterations in blood glucose levels, closely
monitor blood glucose during therapy
a patient will be receiving somatropin. the nurse expects that the pt has which
disorder - ✅✅hypopituitary dwarfism
,- somatropin is human GH used for the treatment of hypopituitary dwarfism.
Cosyntropin is used for the diagnosis of adrenocortical insufficiency. Octreotide is
used for esophageal varices. Vasopressin is indicated for septic shock.
a patient is in pulseless cardiac arrest. which medication does the nurse anticipate
administering - ✅✅vasopressin
- vasopressin is also a potent vasoconstrictor in larger doses and is used in
hypotensive emergencies such as vasodilatory shock (septic shock) also used in
pulseless cardiac arrest. desmopressin is useful in treating certain blood disorders.
Cosyntropin is used in the diagnosis of adrenocortical insufficiency. somatropin
and somatrem are effecting In stimulating skeletal muscle growth with
inadequate GH secretion
a patient has been taking levothyroxine for 6 months. After this months
laboratory work, the nurse practitioner tells the nurse that the patient is
euthyroid. What does that term mean? - ✅✅The patients thyroid hormone
levels are within normal limits
a patient who is taking thyroid replacement medication tells the nurse that she is
starting to experience cold intolerance, depression, constipation and dry skin.
What potential cause does the nurse assume - ✅✅inadequate doses of the
medication bc symptoms have returned
which information will the nurse include when teaching a patient about thyroid
replacement therapy - ✅✅take the medication in the morning on an empty
stomach, they are best on an empty stomach 1/2-1 hr before to enhance
absorption
, which would be the best menu choice for a patient who is taking an antithyroid
medication - ✅✅pasta with marinara. Avoid foods high in iodine i.e. soy, tofu
and seafood
A woman who has type 2 DM is now pregnant. She wants to know whether to
take her oral antidiabetic medication. What instructions will she receive? -
✅✅She will be switched to insulin therapy while she is pregnant.
the nurse has just administered the morning dose of a patients Humalog insulin.
Just after the injection the dietary department calls to inform the patient care
unit that breakfast trays will be 45 min late. what will the nurse do next -
✅✅give the patient food, such as cereal and skim milk, and juice b/c it is
essential they eat or profound hypoglycemia may occur
a patient with type 1 DM is admitted to the medical unit with an acute
exacerbation of COPD. He is placed on IVPB antibiotics, neb treatments with
albuterol, and an IV corticosteroid, and he is also taking a proton pump inhibit for
GERD. He takes a dose of glargine insulin every evening. This evening the nurse
notes that his blood glucose level is 170 mg/dL. The next morning his fasting
glucose is 202 mg/dL. What is the most likely cause of his elevated glucose levels.
- ✅✅the corticosteroid
after the 0700 report, the day shift nurse notices that a patient has a 0730 dose of
insulin due and goes to the automated dispensing machine to retrieve the insulin.
The nurse sees that the night shift nurse had removed the 0730 dose of insulin,
but the medication administration record has not even signed by the nurse. the
patient is confused and says she thinks the night nurse gave her the insulin. The
patients blood glucose level is 142 mg/dL. What will the dayshift nurse do? -
answers
which effect does the nurse expect to see in a patient receiving hydrocortisone,
the drug form of cortisol - ✅✅reduction of scar tissue formation
- hydrocortisone (cortisol) has anti-inflammatory effects including reduction of
inflammatory leukocyte functions and scar tissue formation. it also promotes
renal retention of sodium leading to edema and htn
when administering octreotide (Sandostatin) to a patient, it is most important for
the nurse to assess which parameter - ✅✅blood glucose
- octreotide (Sandostatin) may cause alterations in blood glucose levels, closely
monitor blood glucose during therapy
a patient will be receiving somatropin. the nurse expects that the pt has which
disorder - ✅✅hypopituitary dwarfism
,- somatropin is human GH used for the treatment of hypopituitary dwarfism.
Cosyntropin is used for the diagnosis of adrenocortical insufficiency. Octreotide is
used for esophageal varices. Vasopressin is indicated for septic shock.
a patient is in pulseless cardiac arrest. which medication does the nurse anticipate
administering - ✅✅vasopressin
- vasopressin is also a potent vasoconstrictor in larger doses and is used in
hypotensive emergencies such as vasodilatory shock (septic shock) also used in
pulseless cardiac arrest. desmopressin is useful in treating certain blood disorders.
Cosyntropin is used in the diagnosis of adrenocortical insufficiency. somatropin
and somatrem are effecting In stimulating skeletal muscle growth with
inadequate GH secretion
a patient has been taking levothyroxine for 6 months. After this months
laboratory work, the nurse practitioner tells the nurse that the patient is
euthyroid. What does that term mean? - ✅✅The patients thyroid hormone
levels are within normal limits
a patient who is taking thyroid replacement medication tells the nurse that she is
starting to experience cold intolerance, depression, constipation and dry skin.
What potential cause does the nurse assume - ✅✅inadequate doses of the
medication bc symptoms have returned
which information will the nurse include when teaching a patient about thyroid
replacement therapy - ✅✅take the medication in the morning on an empty
stomach, they are best on an empty stomach 1/2-1 hr before to enhance
absorption
, which would be the best menu choice for a patient who is taking an antithyroid
medication - ✅✅pasta with marinara. Avoid foods high in iodine i.e. soy, tofu
and seafood
A woman who has type 2 DM is now pregnant. She wants to know whether to
take her oral antidiabetic medication. What instructions will she receive? -
✅✅She will be switched to insulin therapy while she is pregnant.
the nurse has just administered the morning dose of a patients Humalog insulin.
Just after the injection the dietary department calls to inform the patient care
unit that breakfast trays will be 45 min late. what will the nurse do next -
✅✅give the patient food, such as cereal and skim milk, and juice b/c it is
essential they eat or profound hypoglycemia may occur
a patient with type 1 DM is admitted to the medical unit with an acute
exacerbation of COPD. He is placed on IVPB antibiotics, neb treatments with
albuterol, and an IV corticosteroid, and he is also taking a proton pump inhibit for
GERD. He takes a dose of glargine insulin every evening. This evening the nurse
notes that his blood glucose level is 170 mg/dL. The next morning his fasting
glucose is 202 mg/dL. What is the most likely cause of his elevated glucose levels.
- ✅✅the corticosteroid
after the 0700 report, the day shift nurse notices that a patient has a 0730 dose of
insulin due and goes to the automated dispensing machine to retrieve the insulin.
The nurse sees that the night shift nurse had removed the 0730 dose of insulin,
but the medication administration record has not even signed by the nurse. the
patient is confused and says she thinks the night nurse gave her the insulin. The
patients blood glucose level is 142 mg/dL. What will the dayshift nurse do? -
