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PN172 PHARM EXAM 4 Chapters 30, 31, 32, 33 Questions With Complete Solutions
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PN172 PHARM EXAM 4 Chapters 30, 31, 32, 33 Questions With Complete Solutions
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PN172 PHARM EXAM 4 Chapters 30, 31, 32, 33 QuestionsWith Complete Solutions
A 16-year-old boy who is taking somatropin comes into the
office because he had an asthma attack during a race at school.
Because of this new development, the nurse expects which
intervention to occur next?
a. He will need to stop participating in school physical education
classes.
b. The somatropin must be discontinued immediately.
c. The somatropin dosage may be adjusted.
d. His growth will be documented and monitored for changes.
Correct Answers ANS: C
Somatropin is to be used with caution in acute or chronic
illnesses, such as migraine headaches, epilepsy, and asthma. It
will not have to be immediately discontinued but will require
close monitoring. The patient's growth will be measured and
documented throughout therapy with somatropin
A 19-year-old student was diagnosed with hypothyroidism and
has started thyroid replacement therapy with levothyroxine
(Synthroid). After 1 week, she called the clinic to report that she
does not feel better. Which response from the nurse is correct?
a."It will probably require surgery for a cure to happen."
b."The full therapeutic effects may not occur for 3 to 4 weeks."
c."Is it possible that you did not take your medication as
instructed?"
d."Let's review your diet; it may be causing absorption
problems. Correct Answers ANS: B
,Patients need to understand that it may take up to 3 to 4 weeks to
see the full therapeutic effects of thyroid drugs. The other
options are incorrect
A 19-year-old woman has been diagnosed with hypothyroidism
and has started thyroid replacement therapy with levothyroxine
(Synthroid). After 6 months, she calls the nurse to say that she
feels better and wants to stop the medication. Which response by
the nurse is correct?
a."You can stop the medication if your symptoms have
improved."
b."You need to stay on the medication for at least 1 year before
a decision about stopping it can be made."
c."You need to stay on this medication until you become
pregnant."
d."Medication therapy for hypothyroidism is usually lifelong,
and you should not stop taking the medication. Correct Answers
ANS: D
These medications must never be abruptly discontinued, and
lifelong therapy is usually the norm. The other options are
incorrect
A 50-year-old man has been taking prednisone (Deltasone) as
part of treatment for bronchitis. He notices that the dosage of the
medication decreases. During a follow-up office visit, he asks
the nurse why he must continue the medication and why he
cannot just stop taking it now that he feels better. What is the
rational behind the tapering dosages?
,A.) Sudden discontinuation of this medication may result in
adrenal insufficiency.
B.) The patient would experience withdrawal symptoms if the
drug were discontinued abruptly.
C.) Cushing's syndrome may develop as a reaction to a sudden
drop in serum cortisone levels.
D.) Once the symptoms have started to disappear, lower dosages
are needed. Correct Answers A.) Sudden discontinuation of
this medication may result in adrenal insufficiency.
A 75-year-old woman with type 2 diabetes has recently been
placed on glipizide (Glucotrol), 10 mg daily. She asks the nurse
when the best time would be to take this medication. What is the
nurse's best response?
a. "Take this medication in the morning, 30 minutes before
breakfast."
b. "Take this medication in the evening with a snack."
c. "This medication needs to be taken after the midday meal."
d. "It does not matter what time of day you take this
medication." Correct Answers ANS: A
Glipizide is taken in the morning, 30 minutes before breakfast.
When taken at this time, it has a longer duration of action,
causing a constant amount of insulin to be released. This may be
beneficial in controlling blood glucose levels throughout the
day.
A child who weighs 44 lb and is experiencing growth failure is
to receive growth hormone therapy. The dosage ordered is 0.3
mg/kg per week, to be given as a series of one injection per day
for 6 days.
, a. What is the total dose per week that this child will receive?
b. What is the dose per injection? Correct Answers A - 6
mg/week
B - 1 mg/dose
A glucocorticoid is prescribed for a patient. The nurse checks
the patient's medical history knowing that glucocorticoid therapy
is contraindicated in which disorder?
a. Cerebral edema
b. Peptic ulcer disease
c. Tuberculous meningitis
d. Chronic obstructive pulmonary disease Correct Answers B
A nurse is administering octreotide to a patient who has a
metastatic carcinoid tumor. The patient asks about the purpose
of this drug. What is the nurse's best response?
a. "This drug helps reduce the size of your tumor."
b. "This drug works to prevent the spread of your tumor."
c. "This drug helps control the flushing and diarrhea that you are
experiencing."
d. "This drug reduces the nausea and vomiting you are having
from the chemotherapy.' Correct Answers c. "This drug helps
control the flushing and diarrhea that you are experiencing."
A patient has a diagnosis of primary hypothyroidism. Which
statement accurately describes this problem?
a.The hypothalamus is not secreting thyrotropin-releasing
hormone (TRH), therefore thyroid-stimulating hormone (TSH)
is not released from the pituitary gland
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