front 1 Which patient should the nurse expect to be most likely to be treated with somatropin?
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front 2 What assessment finding indicates to the nurse that vasopressin has been effective?
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front 3 The nurse admitting a patient with acromegaly anticipates administering which medication?
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Octreotide suppresses growth hormone that causes acromegaly |
front 4 Which patient statement demonstrates understanding of the nurse’s teaching for levothyroxine?
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front 5 What nursing diagnosis is a priority for a patient receiving desmopressin (DDAVP)?
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Desmopressin (DDAVP) is a form of antidiuretic hormone, which increases sodium and water retention, leading to an alteration in fluid volume. Although the other nursing diagnoses may be appropriate, they are not a priority using Maslow hierarchy of needs. |
front 6 The nurse is caring for a patient who has just started taking levothyroxine. What assessment finding is a priority for the nurse to address?
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front 7 The nurse is caring for a patient who is taking levothyroxine and warfarin. Which intervention is a priority for the nurse?
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front 8 A patient receiving propylthiouracil (PTU) asks the nurse how this medication will help relieve symptoms. Which statement is the nurse’s bestresponse?
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front 9 The patient is taking an antithyroid medication. Which foods should the nurse teach the patient to avoid eating?
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front 10 What should the nurse include in the plan of care for the patient beginning prednisone therapy?
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front 11 A patient asks the nurse to explain the action of glucocorticoids. Which statement is the nurse’s best response?
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front 12 The nurse is caring for several patients who will be receiving glucocorticoid therapy. Which patient should be assessed first based on clinical diagnosis?
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front 13 When assessing for potential side effects of fludrocortisone, what is a priority for the nurse to monitor?
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front 14 A nurse is providing discharge teaching for a patient receiving glucocorticoids. Which medication should the nurse expect to be included for pain management?
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front 15 The patient is receiving corticotropin for ACTH deficiency. Which statement by the patient indicates a need for additional teaching?
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front 16 After administering corticotropin, what assessments are priorities for the nurse? (Select all that apply.)
| back 16 Changes in vision, Glucose levels, Intake and output, Serum sodium levels Corticotropin can cause cataracts and glaucoma, so the nurse needs to monitor for changes in vision. Corticotropin stimulates the release of adrenal hormones, which can lead to sodium and fluid retention as well as hyperglycemia. Corticotropin can cause sodium and fluid retention, so that intake and output should be monitored. Serum sodium levels should be monitored, as sodium retention can be a result of corticotropin administration. C-reactive protein, acid and alkaline phosphatase levels are not indicated for monitoring. |
front 17 The parents of an 11-year-old boy ask about growth hormone therapy
for their child who is shorter than his 10-year-old sister. The nurse
will tell the parents that growth hormone | back 17 c. is given after tests prove that it is necessary. |
front 18 The nurse is caring for a patient who is receiving growth hormone.
Which assessment will the nurse monitor daily? | back 18 d. Serum glucose |
front 19 The parents of a 16-year-old boy who plays football want their child
to receive growth hormone to improve muscle strength. What will the
nurse tell the parents? | back 19 d. "Using growth hormone to build muscle mass is not recommended." |
front 20 Which would be a contraindication for hormone therapy with somatropin
(Genotropin) in a school-age child? | back 20 d. Prader-Willi syndrome |
front 21 A child exhibits acromegaly caused by a tumor that cannot be
destroyed with radiation. Which medication will most likely be used to
treat this child? | back 21 a. Bromocriptine mesylate (Parlodel) |
front 22 The nurse is caring for a patient who has hypothyroidism. To assist
in differentiating between primary and secondary hypothyroidism, the
nurse will expect the provider to order which drug? | back 22 d. Thyrotropin (Thytropar) |
front 23 The nurse administers intravenous corticotropin (Acthar) to a
patient. A serum cortisol level drawn 60 minutes later shows no change
in serum cortisol levels from prior to the dose. What is the nurse's
first action? | back 23 a. Notify the provider to discuss a possible non-functioning adrenal gland. |
front 24 The nurse provides teaching for a patient receiving corticotropin.
The nurse will instruct the patient to contact the provider if which
condition occurs? | back 24 a. Bruising |
front 25 The nurse is caring for a patient who has experienced head trauma in
a motor vehicle accident. The patient is having excessive output of
dilute urine. The nurse will notify the provider and will anticipate
administering which medication? | back 25 d. Vasopressin (Pitressin) |
front 26 The nurse is preparing to administer piperacillin to a patient to
treat an infection caused by pseudomonas. The nurse learns that the
patient receives corticotropin to treat multiple sclerosis. The nurse
will request an order for | back 26 d. serum electrolytes. |
front 27 The nurse is caring for a patient who is receiving desmopressin
acetate (DDAVP). Which assessments are important while caring for this
patient? | back 27 d. Urine output and serum sodium |
front 28 A 35-year-old woman reports lethargy, difficulty remembering things,
facial edema, dry skin, and cessation of menses. The nurse notes a
heart rate of 60 beats per minute and a weight increase of 5 pounds
from a previous visit. The nurse will notify the provider of which
possible condition? | back 28 d. Myxedema |
front 29 A patient is admitted to the hospital to treat hypothyroidism. For
rapid improvement in symptoms, the nurse will expect to administer
which medication? | back 29 b. Liothyronine (Cytomel) |
front 30 A patient who takes warfarin (Coumadin) and digoxin (Lanoxin)
develops hypothyroidism and will begin taking levothyroxine
(Synthroid). The nurse anticipates which potential adjustments in
dosing for this patient? | back 30 c. Increased digoxin and decreased warfarin |
front 31 A patient who takes the oral antidiabetic agent metformin
(Glucophage) will begin taking levothyroxine (Synthroid). The nurse
will teach this patient to monitor for | back 31 a. hyperglycemia. |
front 32 A patient who has hyperthyroidism will begin treatment with an
antithyroid medication. The patient asks the nurse about dietary
requirements. The nurse will counsel the patient to avoid which
food(s)? | back 32 d. Shellfish |
front 33 The nurse is caring for a patient who is being treated for
hypothyroidism. The patient reports insomnia, nervousness, and
flushing of the skin. Before notifying the provider, the nurse will
perform which action? | back 33 b. Check the patient's heart rate to assess for tachycardia. |
front 34 A patient with Graves disease exhibits tachycardia, heat intolerance,
and exophthalmos. Prior to surgery, which drug is used to alter
thyroid hormone levels? | back 34 c. Propylthiouracil (PTU) |
front 35 A patient has hypocalcemia caused by parathyroid hormone deficiency.
Which medication will the nurse anticipate giving to this
patient? | back 35 b. Calcitriol |
front 36 A patient is receiving a glucocorticoid medication to treat an
inflammatory condition, and the provider has ordered a slow taper in
order to discontinue this medication. The nurse explains to the
patient that this is done to prevent which condition? | back 36 b. Adrenocortical insufficiency |
front 37 A patient is taking prednisolone and fludrocortisone (Florinef). When
teaching this patient about dietary intake, the nurse will instruct
the patient to consume a diet | back 37 c. high in protein. |
front 38 A patient who takes high-dose aspirin to treat arthritis will need to
take prednisone to treat an acute flare of symptoms. What action will
the nurse perform? | back 38 d. Request an order for enteric-coated aspirin. |