Nurs 323 Midterm Exam Questions and Correct Answers
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Course
NUR 323
Institution
NUR 323
The nurse knows that TSH levels in patients with primary hypothyroidism who are not on thyroid replacement therapy will be elevated
The nurse will teach patients on levothyroxine (T4) to take the medication ________________ when they ask about whether the medication should be taken with or without...
Nurs 323 Midterm Exam Questions and
Correct Answers
The nurse knows that TSH levels in patients with primary hypothyroidism who are not
on thyroid replacement therapy will be ✅elevated
The nurse will teach patients on levothyroxine (T4) to take the medication
________________ when they ask about whether the medication should be taken with
or without food ✅without
The nurse knows that medications from the oral antidiabetic drug family sulfonylureas
lower blood sugar by doing this ✅increasing insulin release form beta cells of the
pancreas
The nurse known that when a patient is on spironolactone (aldactone) that they must be
careful about consuming too much of this electrolyte ✅potassium
The nurse knows that the minimum amount of urine output that a patient should have
per hour is ✅30 mL/hr
When caring for a patient on methimazole (tapazole), the nurse should monitor for
which concerning and serious side affect of tixucuty ✅agranulocytosis
Which two diuretics cause the most concern for hypokalemia? ✅HCTZ and furosemide
(lasix)
Fastest IV potassium can be given is ✅10 mEq/hr
The nurse knows that patients on medications like metformin (glucophage) from the
biguanides family of antidiabetic drugs need to monitor for toxicity of this organ
✅kidney
The lab value of concern to the nurse when assessing a patient's long term of
maintenance of blood sugar level is ✅HGB A1C
Why could beta blockers be given to a patient with hyperthyroidism? ✅treat symptoms
When is PTU preferred over tapazole? ✅first trimester of pregnancy and thyroid storm
The nurse knows that the difference between cardio selective and nonselective beta
blockers is that nonselective beta blockers also block which receptors? what does that
cause? ✅beta 2 blocking causes bronchoconstriction and inhibits glycogenolysis
, This is the best way to treat severe hypoglycemia in patients who are not awake, alert,
or oriented is by giving what? ✅IV Dextrose D5O
The nurse knows that some insulins can be mixed in one syringe for ease of
administration, which can not be mixed? ✅long acting insulins glargine/lantus
When reviewing labs for a patient who is being switched from furosemide to HCTZ, the
nurse knows that this organ needs to be functioning adequately in order to do this
✅kidney
Which drug do we become concerned about a patient taking in the presence of
hypokalemia related to diuretic use? ✅digoxin, as K+ decreases, digoxin levels
increase causing toxicity risk
What is the prototype drug for nonselective beta blockers? ✅propranolol (inderal)
Alpha 1 agonists will do this to blood vessels ✅vasoconstrict
What is the prototype drug for cardio selective beta blockers? ✅metoprolol
Nonselective beta blockers are problematic in diabetic patients because they can cause
this side effect related to blood sugar ✅hypoglycemia
epinephrine ✅stimulated all alpha and beta receptors - nonselective
norepinephrine ✅stimulates all alpha receptors and beta 1
albuterol ✅beta 2 agonist
Neosynephrine (phenylephrine) ✅alpha 1 agonist
When your body can't use glucose for energy it uses ? ✅fats
What is the byproduct of fat? ✅ketones
If ketones increase, Ph ? ✅decreases
electrolyte abnormality in DKA due to lack of inculin ✅hyperkalemia
What of the following may indicate your patient is hypoglycemic? Select all that apply
a) confusion
b) seizures
c) diaphoresis
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