NURS6660Mi
dter
m Exam Quest
ions
Achi
ldi
sdi
agnosedwi
thh
ypot
hyr
oid
ism.
Then
urs
ean
tic
ipa
tesa
nor
derf
ort
hedr
ugofc
hoi
cewh
ent
rea
tin
g
ch
il
dren
,wh
ichiswhat
?
1
. A)Li
othyr
on i
ne( Cyt
ome l
)
2
. B)Li
otr
ix(Thyrolar
)
3
. C)Lev
othyroxi
n e(Synt
hroi
d)
4
. D)Methi
ma zol
e( Tapazol
e)
Ap at
ie
ntisa
tri
skforthr
ombos
isf
ormat
iona
ndistaki
nga
noralanti
coa
gu l
ant
.Thepat
ie
nthasbeenn
ewly
dia
gnosedwi
thh
ypoth
yroi
dis
mandpl
ace
donlevot
hyr
oxi
ne(
Syn
throi
d).Whatwil
lt
henu
rsemon
itort
hepa
tie
nt
for
?
1
. A)Tac
hycar
dia
2
. B)El
evat
edbodytemper
atur
e
3
. C)I
ncre
asedti
mes pe
ntsle
epin
g
4
. D)I
ncre
asedbrui
si
ngandb l
eedi
ng
,Th
en u
rseisp
rovi
di
ngpatie
nttea
chi
ngr
egard
ingt
hea
dmi
ni
st
rat
ionofl
evot
hyr
oxi
ne(
Syn
thr
oid
).
Whati
sthenur
se’
spri
ori
tytea
chi
ngpoi
nt?
1
. A)“
Taket
hemedi
cat
ionaf
terbre
akfast
.”
2
. B)“
Taket
hemedi
cat
ionwit
haf u
llgl
assofwate
r.”
3
. C)“
Remai
nint
heupr
ightp
osit
ionfor30minu
tesaft
erad
min
ist
eri
ng.
”
4
. D)“
Taket
hemedi
cat
ionbef
oregoingt
ob edatni
ght.
”
Th
enu
rsei
nst
ruc
tst
hep
ati
entwi
than
ewp
res
cri
pti
ont
otr
eath
ype
rth
yroi
di
sma
ndi
ncl
ude
sth
eimp
ort
anc
eof
r
egu
larl
abs
tud
iest
omon
itorf
orb
onema
rrows
upp
res
sion
,wh
ichc
anb
eana
dve
rsee
ffe
ctoft
hisdr
ug.
Wha
t
d
rugi
sth
enu
rset
eac
hin
gth
epa
tie
nta
bou
t?
1
. A)Me t
himazol
e(Tapaz
ole)
2
. B)Propyl
thi
our
acil
(PTU)
3
. C)Sodiu
mi odi
deI131(Ge
neri
c)
4
. D)Potassi
umiodi
de(Thyr
o-Bl
ock
)
,Whatas
ses
smentf
indi
ngswou
ldt
hen
urs
eex
pec
ttos
eei
nap
ati
entwh
oov
erd
ose
don
l
evot
hyr
oxi
ne(
Synt
hroi
d)?
1
. A)Nerv
ousness
,tachy
cardi
a,tre
mors
2
. B)Somnol
ence,br
adycar
d i
a,par
esthes
ia
3
. C)Hyper
gly
cemia,hy
pert
ension,ed
ema
4
. D)Buf
fal
oh ump,c
onsti
pati
on ,
sodiumlos
s
Af
teradmi
ni
st
eri
ngp
rop
ylt
hiou
rac
il(
PTU)
,wh
ate
ffe
ctwou
ldt
hen
urs
ean
tic
ipa
tet
hed
rugwi
l
lha
vei
nth
e
pa
tien
t’
sbody
?
1
. A)Tode
str
oypartofthet
hyroi
dg l
and
2
. B)Toi
nhi
bi
tprod
u ct
ionofth
y r
oidhor
moneintheth
yroi
dgland
3
. C)Tos
uppre
ssthea nt
eri
orpit
uit
aryg
lan
d’ssecr
eti
onofth
yroi
d-st
imula
tin
ghor
mon e(
TSH)
4
. D)Tos
uppre
sstheh yp
othal
amu s’
spr
oducti
onofth
yrot
ropi
n-r
ele
asin
gh or
mone(TRH)
Thenur
sepr
ovid
estea
chin
grega
rdi
ngl
evot
hyrox
inetoa5
5-y
ear-
oldpa
tie
ntdi
agn
osedwi
thHas
himot
o’
s
di
seas
e.Whatst
atemen
tma d
ebyth
epat
ientdoesth
enur
seint
erp
rett
ome a
nthatt
hedr
ugt
eachi
nghad
be
e nun
der
stood?
1
.A)“
Ica
nta
ket
hisme
dic
ati
ona
tan
yti
meofd
ay.
”
, 2
. B)“
Ishouldtaketh
isme di
cat
iononanempt
ystomachi
nthemor
nin
g.”
3
. C)“
Ima ytakethi
swithasipofwate
rint
hemorni
ng.
”
4
. D)“
IfI
fe e
l n
a u
seated
, I
ma yt
a k
ethi
sdru
gwit
ha nan
tac
id.
”
Thepati
entwit
hh yp
othyr
oidi
smtak
esle
vothyr
oxi
ned a
il
ya n
dh astr
ii
odoth
yron
ine(T3)
,thyr
oxi
ne(T4),
and
thy
roi
d-s
ti
mu la
tin
gh or
mon e(
TSH)le
vel
sdrawninthel
aborat
orytocheckappr
opri
ate
ne s
sofpres
c r
ibe
d
dosag
e.Wh atre
sult
swou l
dthenu
rseanal
yzeasin
dicat
ingtheneedforahi
gherdosageofmedi
cati
on?
1
. A)El
evat
edTSH,
elevat
edT3,
an dr
educedT4l
eve
ls
2
. B)Re
ducedTSH,
elevat
edT3andT4leve
ls
3
. C)El
evat
edTSH,
reducedT3andT4le
vels
4
. D)Redu
cedTSH,
T3 ,
andT4lev
e l
s
Apat
ie
ntp
rese
ntsatt
hecl
i
nicwi
thc
omp
lai
ntsofwe
igh
tlos
sde
spi
tea
nin
cre
ase
dap
pet
it
e.Th
enu
rse
as
sess
est
hispat
ie
ntf
orwhat
?
1
. A)Ch
ron
ict
hyroi
dit
is
2
. B)Hy
per
cal
cemia
3
. C)Hy
pot
hyr
oid
ism
4
. D)Hy
per
thy
roi
d i
sm
dter
m Exam Quest
ions
Achi
ldi
sdi
agnosedwi
thh
ypot
hyr
oid
ism.
Then
urs
ean
tic
ipa
tesa
nor
derf
ort
hedr
ugofc
hoi
cewh
ent
rea
tin
g
ch
il
dren
,wh
ichiswhat
?
1
. A)Li
othyr
on i
ne( Cyt
ome l
)
2
. B)Li
otr
ix(Thyrolar
)
3
. C)Lev
othyroxi
n e(Synt
hroi
d)
4
. D)Methi
ma zol
e( Tapazol
e)
Ap at
ie
ntisa
tri
skforthr
ombos
isf
ormat
iona
ndistaki
nga
noralanti
coa
gu l
ant
.Thepat
ie
nthasbeenn
ewly
dia
gnosedwi
thh
ypoth
yroi
dis
mandpl
ace
donlevot
hyr
oxi
ne(
Syn
throi
d).Whatwil
lt
henu
rsemon
itort
hepa
tie
nt
for
?
1
. A)Tac
hycar
dia
2
. B)El
evat
edbodytemper
atur
e
3
. C)I
ncre
asedti
mes pe
ntsle
epin
g
4
. D)I
ncre
asedbrui
si
ngandb l
eedi
ng
,Th
en u
rseisp
rovi
di
ngpatie
nttea
chi
ngr
egard
ingt
hea
dmi
ni
st
rat
ionofl
evot
hyr
oxi
ne(
Syn
thr
oid
).
Whati
sthenur
se’
spri
ori
tytea
chi
ngpoi
nt?
1
. A)“
Taket
hemedi
cat
ionaf
terbre
akfast
.”
2
. B)“
Taket
hemedi
cat
ionwit
haf u
llgl
assofwate
r.”
3
. C)“
Remai
nint
heupr
ightp
osit
ionfor30minu
tesaft
erad
min
ist
eri
ng.
”
4
. D)“
Taket
hemedi
cat
ionbef
oregoingt
ob edatni
ght.
”
Th
enu
rsei
nst
ruc
tst
hep
ati
entwi
than
ewp
res
cri
pti
ont
otr
eath
ype
rth
yroi
di
sma
ndi
ncl
ude
sth
eimp
ort
anc
eof
r
egu
larl
abs
tud
iest
omon
itorf
orb
onema
rrows
upp
res
sion
,wh
ichc
anb
eana
dve
rsee
ffe
ctoft
hisdr
ug.
Wha
t
d
rugi
sth
enu
rset
eac
hin
gth
epa
tie
nta
bou
t?
1
. A)Me t
himazol
e(Tapaz
ole)
2
. B)Propyl
thi
our
acil
(PTU)
3
. C)Sodiu
mi odi
deI131(Ge
neri
c)
4
. D)Potassi
umiodi
de(Thyr
o-Bl
ock
)
,Whatas
ses
smentf
indi
ngswou
ldt
hen
urs
eex
pec
ttos
eei
nap
ati
entwh
oov
erd
ose
don
l
evot
hyr
oxi
ne(
Synt
hroi
d)?
1
. A)Nerv
ousness
,tachy
cardi
a,tre
mors
2
. B)Somnol
ence,br
adycar
d i
a,par
esthes
ia
3
. C)Hyper
gly
cemia,hy
pert
ension,ed
ema
4
. D)Buf
fal
oh ump,c
onsti
pati
on ,
sodiumlos
s
Af
teradmi
ni
st
eri
ngp
rop
ylt
hiou
rac
il(
PTU)
,wh
ate
ffe
ctwou
ldt
hen
urs
ean
tic
ipa
tet
hed
rugwi
l
lha
vei
nth
e
pa
tien
t’
sbody
?
1
. A)Tode
str
oypartofthet
hyroi
dg l
and
2
. B)Toi
nhi
bi
tprod
u ct
ionofth
y r
oidhor
moneintheth
yroi
dgland
3
. C)Tos
uppre
ssthea nt
eri
orpit
uit
aryg
lan
d’ssecr
eti
onofth
yroi
d-st
imula
tin
ghor
mon e(
TSH)
4
. D)Tos
uppre
sstheh yp
othal
amu s’
spr
oducti
onofth
yrot
ropi
n-r
ele
asin
gh or
mone(TRH)
Thenur
sepr
ovid
estea
chin
grega
rdi
ngl
evot
hyrox
inetoa5
5-y
ear-
oldpa
tie
ntdi
agn
osedwi
thHas
himot
o’
s
di
seas
e.Whatst
atemen
tma d
ebyth
epat
ientdoesth
enur
seint
erp
rett
ome a
nthatt
hedr
ugt
eachi
nghad
be
e nun
der
stood?
1
.A)“
Ica
nta
ket
hisme
dic
ati
ona
tan
yti
meofd
ay.
”
, 2
. B)“
Ishouldtaketh
isme di
cat
iononanempt
ystomachi
nthemor
nin
g.”
3
. C)“
Ima ytakethi
swithasipofwate
rint
hemorni
ng.
”
4
. D)“
IfI
fe e
l n
a u
seated
, I
ma yt
a k
ethi
sdru
gwit
ha nan
tac
id.
”
Thepati
entwit
hh yp
othyr
oidi
smtak
esle
vothyr
oxi
ned a
il
ya n
dh astr
ii
odoth
yron
ine(T3)
,thyr
oxi
ne(T4),
and
thy
roi
d-s
ti
mu la
tin
gh or
mon e(
TSH)le
vel
sdrawninthel
aborat
orytocheckappr
opri
ate
ne s
sofpres
c r
ibe
d
dosag
e.Wh atre
sult
swou l
dthenu
rseanal
yzeasin
dicat
ingtheneedforahi
gherdosageofmedi
cati
on?
1
. A)El
evat
edTSH,
elevat
edT3,
an dr
educedT4l
eve
ls
2
. B)Re
ducedTSH,
elevat
edT3andT4leve
ls
3
. C)El
evat
edTSH,
reducedT3andT4le
vels
4
. D)Redu
cedTSH,
T3 ,
andT4lev
e l
s
Apat
ie
ntp
rese
ntsatt
hecl
i
nicwi
thc
omp
lai
ntsofwe
igh
tlos
sde
spi
tea
nin
cre
ase
dap
pet
it
e.Th
enu
rse
as
sess
est
hispat
ie
ntf
orwhat
?
1
. A)Ch
ron
ict
hyroi
dit
is
2
. B)Hy
per
cal
cemia
3
. C)Hy
pot
hyr
oid
ism
4
. D)Hy
per
thy
roi
d i
sm
