NUR2474/ NUR 2474 PHARMACOLOGY
FINAL EXAM NEWEST ACTUAL EXAM WITH
COMPLETE QUESTIONS AND DETAILED
ANSWERS GRADED A | BRAND NEW!!!
1. A nurse is teaching a patient who has been diagnosed with
hypothyroidism about levothyroxine (Synthroid). Which
statement by the patient indicates a need for further teaching?
a. "I should not take heartburn medication without consulting
my provider."
b. "I should report insomnia, tremors, and an increased heart
rate to my provider." c. "If I take a multivitamin with iron, I
should take it 4 hours after the Synthroid."
d."If I take calcium supplements, I may need to decrease my
dose of Synthroid." - ✔✔✔ Correct Answer > d."If I take
calcium supplements, I may need to decrease my dose of
Synthroid."
*this statement is incorrect since calcium interferes with the
absorption of Synthroid, it may need to be increased not
decreased.
,2. A patient with hypothyroidism begins taking PO
levothyroxine (Synthroid). The nurse assesses the patient at the
beginning of the shift and notes a heart rate of 62 beats per
minute and a temperature of 97.2° F. The patient is lethargic
and difficult to arouse. The nurse will contact the provider to
request an order for which drug?
a. Beta blocker
b. Increased dose of PO levothyroxine
c. Intravenous levothyroxine
d. Methimazole (Tapazole) - ✔✔✔ Correct Answer > c.
Intravenous levothyroxine
*IV allows for a more rapid correction of thyroid hormone
levels especially hypothyroidism with symptoms of myxedema
coma or severe hypothyroidism. This is considered a medical
emergency.
3. A patient is admitted to the hospital and will begin taking
levothyroxine (Synthroid). The nurse learns that the patient
also takes warfarin (Coumadin). The nurse will notify the
provider to discuss _____ the _____ dose.
,a. reducing levothyroxine
b. reducing warfarin
c. increasing levothyroxine
d. increasing warfarin - ✔✔✔ Correct Answer > b. reducing
warfarin
*Levothyroxine (Synthroid) can potentially increase the effects
of warfarin, leading to an increased risk of bleeding.
4. An older adult patient is diagnosed with hypothyroidism. The
initial free T4 level is 0.5 mg/dL, and the TSH level is 8
microunits/mL. The prescriber orders levothyroxine
(Levothroid) 100 mcg/day PO. What will the nurse do?
a. Administer the medication as ordered.
b. Contact the provider to discuss giving the levothyroxine IV.
c. Request an order to give desiccated thyroid (Armour
Thyroid).
d. Suggest that the provider lower the dose. - ✔✔✔ Correct
Answer > d. Suggest that the provider lower the dose.
, *normal TSH is 0.4-4.
5. A 1-year-old child with cretinism has been receiving 8
mcg/kg/day of levothyroxine (Synthroid). The child comes to
the clinic for a well-child check up. The nurse will expect the
provider to:
a. change the dose of levothyroxine to 6 mcg/kg/day.
b. discontinue the drug if the child's physical and mental
development is normal.
c. increase the dose to accommodate the child's increased
growth.
d. stop the drug for 4 weeks and check the child's TSH level. -
✔✔✔ Correct Answer > a. change the dose of levothyroxine to
6 mcg/kg/day.
*after 1 year of age, the organs are developed and higher does
is no longer needed.
6. A patient who is receiving a final dose of intravenous (IV)
cephalosporin begins to complain of pain and irritation at the
infusion site. The nurse observes signs of redness at the IV
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