NUR 521 Endocrine System Complete Answers
Which of the following information should be included in a nurses teaching plan for client that has just
been prescribed Octreotide acetate for acromegaly?
o Monitor effectiveness by assessing for increased serum growth hormone levels
o Need to moni...
Which of the following information should be included in a nurses teaching plan for client that has just
been prescribed Octreotide acetate for acromegaly?
o Monitor effectiveness by assessing for increased serum growth hormone levels
o Need to monitor serum blood glucose & TSH levels
o Teach oral dose timing
o Usually a short term therapy ✔️Need to monitor serum blood glucose & TSH levels
A nurse administers desmopressin acetate (DDAVP) to a client with diabetes insipidus. To evaluate the
effectiveness of the drug, the nurse should monitor the client's:
o Pulse rate
o Arterial blood pH
o Intake and output
o Serum glucose ✔️Intake and output
A practitioner selects which of the following drugs to decrease the growth rate and shrink tissue in a
patient with benign prosthetic hyperplasia by inhibiting Dihydrotestosterone formation:
o Finasteride (Proscar)
o Finasteride (Propecia)
o Terazosin (Hytrin)
o Tamsulosin (Flomax) ✔️finasteride (Proscar)
Which patient should NOT be prescribed alendronate (Fosamax) for osteoporosis?
o A patient on bed rest who must maintain a supine position.
o A female patient being treated for high blood pressure with an ACE inhibitor.
o A patient on a calorie restricted diet.
o A patient who is allergic to iodine/shellfish. ✔️A patient on bed rest who must maintain a supine
position.
, Mrs. Jones is c/o symptoms of "low blood glucose". You check her blood glucose level and it is 50 mg/dL.
You bring her 4 ounces orange juice, only to find her to be very drowsy, having slurred speech, and
disoriented. The best treatment for her hypoglycemia is:
o Give her the juice that you have prepared
o Give her ½ amp of D50W IV stat per protocol
o Give her regular dose of insulin that is ordered
o Watch her and recheck her blood glucose in 15 minutes ✔️Give her 1/2 amp of D50W IV stat per
protocol
Desmopressin acetate (DDAVP) is prescribed for the treatment of diabetes insipidus. The nurse
administering the medication monitors the client for which therapeutic response?
o Decreased peripheral edema
o Decreased blood pressure
o Decreased urinary output
o Decreased blood glucose level. ✔️Decreased urinary output
Sildenafil (Viagra) is contraindicated for which patient?
o 80 y/o male with diabetes mellitus
o 63 y/o male with hyperlipidemia
o 54 y/o male with hypertension
o 73 y/o male with history of unstable angina ✔️73 y/o male with history of unstable angina
A patient is started on Riserdronate (Actonel) for her osteoporosis. 4 days later she complains of chest
pain associated with swallowing. What may have prevented this?
o Taking the medication with 6-8 ounces of water
o Advising the patient to eat immediately after taking the medication
o Asking the patient to take omeprazole (Prilosec) for heart burn
o Nothing, this is a common side effect ✔️Taking the medication with 6-8 ounces of water
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