EXAM QUESTIONS AND ANSWERS BEST GRADED A+ NEW UPDAT
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• A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse knows tha
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t the actionof this drug is to
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A) decreasefthefamountfoffthyroid-stimulatingfhormonefcirculatingfinfthefblood.
B) increasefthefamountfoffthyroid-stimulatingfhormonefcirculatingfinfthefblood.
C) increasefthefamountfoffT4fandfdecreasefthefamountfoffT3fproducedfbyfthefthyroid.
D) inhibitfsynthesisfoffT3fandfT4fbyfthefthyroidfgland.
D) inhibit synthesis of T3 and T4 by the thyroid gland.
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PTU is an adjunct therapy used to control hyperthyroidism by inhibiting production of thyroid hor
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mones (D). Itis often prescribed in preparation for thyroidectomy or radioactive iodine therapy. Th
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yroid-
stimulating hormone (TSH) is produced by the pituitary gland, and PTU does not affect the pituitary
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(A and B). PTU inhibitsthe synthesis of all thyroid hormones--both T3 and T4(C).
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• A client has myxedema, which results from a deficiency of thyroid hormone synthesis in adults
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. The nurseknows that which medication should be contraindicated for this client?
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A) Liothyroninef(Cytomel)ftofreplacefiodine.
B) Furosemidef(Lasix)fforfrelieffofffluidfretention.
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C) Pentobarbitalfsodiumf(NembutalfSodium)fforfsleep.
D) Nitroglycerinf(Nitrostat)fforfanginafpain.
C) Pentobarbital sodium (Nembutal Sodium) for sleep.
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Persons with myxedema are dangerously hypersensitive to narcotics, barbiturates (C), and anes
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thetics. Theydo tolerate liothyronine (Cytomel) (A) and usually receive iodine replacement thera
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py. These clients are alsosusceptible to heart problems such as angina for which nitroglycerin (Ni
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trostat) (D) would be indicated, and congestive heart failure for which furosemide (Lasix) (B) wou
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ld be indicated.
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• Which change in data indicates to the nurse that the desired effect of the angiotensin II
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receptorantagonist valsartan (Diovan) has been achieved?
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A) Dependentfedemafreducedffromf+3ftof+1.
B) SerumfHDLfincreasedffromf35ftof55fmg/dl.
C) Pulsefratefreducedffromf150ftof90fbeats/minute.
D) Bloodfpressurefreducedffromf160/90ftof130/80.
D) Blood pressure reduced from 160/90 to 130/80.
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Diovan is an angiotensin receptor blocker, prescribed for the treatment of hypertension. The desi
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red effect isa decrease in blood pressure (D). (A, B, and C) do not describe effects of Diovan.
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• A client is receiving digoxin for the onset of supraventricular tachycardia (SVT). Which laborat
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ory findingsshould the nurse identify that places this client at risk?
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A) Hypokalemia.
B) Hyponatremia.
C) Hypercalcemia.
D) Lowfuricfacidflevels.
A) Hypokalemia.
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Hypokalemia affects myocardial contractility, so (A) places this client at greatest risk for dysrhy
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thmias thatmay be unresponsive to drug therapy. Although an imbalance of serum electrolyte
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s, (B and C), can effect cardiac rhythm, the greatest risk for the client receiving digoxin is (A). (D)
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does not cause any interactions related to digoxin therapy for supraventricular tachycardia (SV
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T).
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• Which dosing schedule should the nurse teach the client to observe for a controlled-
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release oxycodoneprescription?
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A) Asfneeded.
B) Everyf12fhours.
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