NR 293 ATI PHARMACOLOGY FINAL REVIEW 2020-CHAMBERLAIN
COLLEGE OF NURSING QUESTIONS AND ANSWERS A+GRADE .
• A nurse is assessing a client who is taking levothyroxine. The
nurse should recognize which of the following findings is a
manifestation of levothyroxine overdose.
• Insomnia
• Rationale: Levothyroxine overdose will result in
manifestations of hyperthyroidism, which
include Insomnia, tachycardia, and
hyperthermia.
• Constipation
• Rationale: Constipation is a manifestation of
hypothyroidism and indicates an inadequate dose of
levothyroxine.
• Drowsiness
• Rationale: Drowsiness is a manifestation of
hypothyroidism and indicates an inadequate dose of
levothyroxine.
• Hypoactive deep-tendon reflexes
• Rationale: Hypoactive deep-tendon reflexes are
manifestations of hypothyroidism and indicate an inadequate
dose of levothyroxine.
• A nurse is reviewing the medical record of a client who has been
on levothyroxine for several months. Which of the following
findings indicates a therapeutic response to the medication?
, • Decrease in level of thyroxine (T4)
• Rationale: If the dose of this medication has been adequate,
the nurse should see an increase in the T4.
• Increase in weight
• Rationale: If the dose of this medication has been adequate,
the nurse should see a decrease in weight, as hypothyroidism
causes a decrease in metabolism with weight gain.
• Increase in hr of sleep per night
• Rationale: If the dose of this medication has been adequate,
the nurse should see a decrease in the hr of sleep per night, as
hypothyroidism causes sluggishness with increased hr of sleep.
• Decrease in level of thyroid stimulating hormone (TSH).
• Rationale: In hypothyroidism, the nonfunctioning
thyroid gland is unable to respond to the TSH, and no
endogenous thyroid hormones are released. This
results in an elevation of the TSH level as the anterior
pituitary continues to release the TSH to stimulate the
thyroid gland. Administration of exogenous thyroid
hormones, such as levothyroxine, turns off this
feedback loop, which results in a decreased level of
TSH.
• A nurse is reviewing the medication list for a client who has a new
diagnosis of type 2 diabetes mellitus. The nurse should recognize
which of the following medications can cause glucose intolerance.
, • Ranitidine
• Serum creatinine levels
• Guaifenesin
• Drowsiness and dizziness
• Prednisone
• With glucose intolerance and hyperglycemia, the
patient might require an increaseddosage of
hypoglycemic med.
• Atorvastatin
• Thyroid function tests.
• A nurse is caring for a client receiving mydriatic eye drops. Which of
the following clinical manifestations indicates to the nurse that the
client has developed a systemic anticholinergic effect?
• Seizures
• Tachypnea
• Constipation
• Mydriatic eye drops can cause systemic
anticholinergic effects such as constipation, dry
mouth, photophobia, and tachycardia.
• Hypothermia
• A nurse is caring for a client who has heart failure and is
receiving IV furosemide. The nurse should monitor the client for
which of the following electrolyte imbalances?
• Hypernatremia
, • Rationale: The nurse should monitor the client who is
receiving IV furosemide for hyponatremia.
• Hyperuricemia
• Rationale: The nurse should monitor the client who is
receiving IV furosemide for hyperuricemia. The nurse should
instruct the client to notify the provider of any tenderness or
swelling of the joints.
• Hypercalcemia
• Rationale: The nurse should monitor the client who is
receiving IV furosemide for hypocalcemia.
• Hyperchloremia
• Rationale: The nurse should monitor the client who is
receiving IV furosemide for hypochloremia.
• A nurse is talking to a client who is taking a calcium supplement for
osteoporosis. The client tells the nurse she is experiencing flank
pain. Which of the following adverse effects should the nurse
suspect?
• Renal stones
• A nurse is caring for a client who is prescribed warfarin therapy for an
artificial heart valve. Which of the following laboratory values should
the nurse monitor for a therapeutic effect of warfarin?
• Hemoglobin
• Prothrombin time (PT)
COLLEGE OF NURSING QUESTIONS AND ANSWERS A+GRADE .
• A nurse is assessing a client who is taking levothyroxine. The
nurse should recognize which of the following findings is a
manifestation of levothyroxine overdose.
• Insomnia
• Rationale: Levothyroxine overdose will result in
manifestations of hyperthyroidism, which
include Insomnia, tachycardia, and
hyperthermia.
• Constipation
• Rationale: Constipation is a manifestation of
hypothyroidism and indicates an inadequate dose of
levothyroxine.
• Drowsiness
• Rationale: Drowsiness is a manifestation of
hypothyroidism and indicates an inadequate dose of
levothyroxine.
• Hypoactive deep-tendon reflexes
• Rationale: Hypoactive deep-tendon reflexes are
manifestations of hypothyroidism and indicate an inadequate
dose of levothyroxine.
• A nurse is reviewing the medical record of a client who has been
on levothyroxine for several months. Which of the following
findings indicates a therapeutic response to the medication?
, • Decrease in level of thyroxine (T4)
• Rationale: If the dose of this medication has been adequate,
the nurse should see an increase in the T4.
• Increase in weight
• Rationale: If the dose of this medication has been adequate,
the nurse should see a decrease in weight, as hypothyroidism
causes a decrease in metabolism with weight gain.
• Increase in hr of sleep per night
• Rationale: If the dose of this medication has been adequate,
the nurse should see a decrease in the hr of sleep per night, as
hypothyroidism causes sluggishness with increased hr of sleep.
• Decrease in level of thyroid stimulating hormone (TSH).
• Rationale: In hypothyroidism, the nonfunctioning
thyroid gland is unable to respond to the TSH, and no
endogenous thyroid hormones are released. This
results in an elevation of the TSH level as the anterior
pituitary continues to release the TSH to stimulate the
thyroid gland. Administration of exogenous thyroid
hormones, such as levothyroxine, turns off this
feedback loop, which results in a decreased level of
TSH.
• A nurse is reviewing the medication list for a client who has a new
diagnosis of type 2 diabetes mellitus. The nurse should recognize
which of the following medications can cause glucose intolerance.
, • Ranitidine
• Serum creatinine levels
• Guaifenesin
• Drowsiness and dizziness
• Prednisone
• With glucose intolerance and hyperglycemia, the
patient might require an increaseddosage of
hypoglycemic med.
• Atorvastatin
• Thyroid function tests.
• A nurse is caring for a client receiving mydriatic eye drops. Which of
the following clinical manifestations indicates to the nurse that the
client has developed a systemic anticholinergic effect?
• Seizures
• Tachypnea
• Constipation
• Mydriatic eye drops can cause systemic
anticholinergic effects such as constipation, dry
mouth, photophobia, and tachycardia.
• Hypothermia
• A nurse is caring for a client who has heart failure and is
receiving IV furosemide. The nurse should monitor the client for
which of the following electrolyte imbalances?
• Hypernatremia
, • Rationale: The nurse should monitor the client who is
receiving IV furosemide for hyponatremia.
• Hyperuricemia
• Rationale: The nurse should monitor the client who is
receiving IV furosemide for hyperuricemia. The nurse should
instruct the client to notify the provider of any tenderness or
swelling of the joints.
• Hypercalcemia
• Rationale: The nurse should monitor the client who is
receiving IV furosemide for hypocalcemia.
• Hyperchloremia
• Rationale: The nurse should monitor the client who is
receiving IV furosemide for hypochloremia.
• A nurse is talking to a client who is taking a calcium supplement for
osteoporosis. The client tells the nurse she is experiencing flank
pain. Which of the following adverse effects should the nurse
suspect?
• Renal stones
• A nurse is caring for a client who is prescribed warfarin therapy for an
artificial heart valve. Which of the following laboratory values should
the nurse monitor for a therapeutic effect of warfarin?
• Hemoglobin
• Prothrombin time (PT)
