NURS 615 exam 3 Version A& B 2026,||Verified Exam!!!
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615 exam prep 2026, graded A+||Newest Exam!!!
In hyperthyroid states, what organ system other than CV
must be evaluated to establish potential adverse issues?
a. The liver
b. The nails and skin
c. The eye
d. The ear - ANSWER-The eyes - think about Grave's
disease/hyperthyroidism and how it may cause
exophthalmos (bulging eyes)
levothyroxine MOA - ANSWER-Levothyroxine is a
synthetic thyroid hormone that is chemically identical to
levothyroxine T4 Which is naturally secreted by the
follicular cells of the thyroid gland.Like its naturally
secreted counterpart, levothyroxine is a chiral compound
in the L form.
Levothyroxine is used for? - ANSWER-It is used to treat
thyroid hormone deficiency and occasionally to prevent
the recurrence of thyroid cancer.
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Levothyroxine Adv. Effect - ANSWER-Adverse effects
include tachycardia and angina, more notably in the
elderly. Tachycardia, arrhythmias, nervousness, tremors,
chest pain
Elderly patients who are started on levothyroxine for
thyroid replacement should be monitored for:
a. Tachycardia and angina
b. Weight gain
c. Cold intolerance
d. Excessive sedation - ANSWER-Tachycardia and
angina. Also monitor for insomnia and nervousness.
Levothyroxine is a synthetic thyroid hormone that is
chemically identical to levothyroxine T4, which is naturally
secreted by the follicular cells of the thyroid gland.
What should you teach your patients when they are
prescribed levothyroxine? - ANSWER-Take medication on
an empty stomach preferably 30 minutes before breakfast.
What symptoms may indicate that a patient is taking too
much thyroid replacement hormone? - ANSWER-You'll
see symptoms of hyperthyroidism, tachycardia, insomnia
or nervousness.
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In hyperthyroid states, what organ system other than CV
must be evaluated to establish potential adverse issues?
a. The liver
b. The nails and skin
c. The eye
d. The ear - ANSWER-c. eyes
Who is at higher risk for side effects from levothyroxine? -
ANSWER-Elderly (watch for signs of hyperthyroid).
Monitor TSH
Labs to monitor for thyroid function and levels - ANSWER-
TSH, T3/T4
Synthroid: How/when to administer? - ANSWER-1st thing
in the morning with water and nothing else (no food or
other meds)
too much vs not enough thyroid - ANSWER-When there
isn't enough, we replace; when there is too much, we
suppress thyroid hormone synthesis or thyroid function.
Rapid-acting insulins - ANSWER-Lispro, Aspart, and
Glulisine.
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Rapid-acting insulins onset and duration - ANSWER-The
onset is about five minutes and a peek at one hour,
duration of about four or five hours.
Short acting or regular insulin given when? peak?
duration? - ANSWER-used around mealtime, taken about
30 to 45 minutes before eating. It peeks in three to four
hours, and duration is four to 10 hours.
Intermediate acting insulin - ANSWER-NPH
NPH insulin you have to do what before injecting? onset,
peak, injection of NPH? - ANSWER-Insulin looks cloudy
and has to be mixed before injected. Its onset is 1 to 1-1/2
and hours; peak of 4 to 10 hours, and duration of 12 to 24
hours.
Long acting insulin - ANSWER-glargine (Lantus)
detemir (Levemir)
Long acting insulin onset, duration, peak - ANSWER-
insulins onset 2 to 4 hours; duration 24 hours with little or
no peak.