INTRODUCTORY CLINICAL
PHARMACOLOGY EXAM TEST.
1.A nurse completing a preadministration assessment on a 70-year-old client prior to the
administration of levothyroxine may confuse which of the following symptoms of
hypothyroidism with which symptoms associated with the aging process? Select all that
apply.
A) Constipation
B) Confusion
C) Unsteady gait
D) Decreased visual acuity
E) Cold intolerance Answer: B, C, E Response:
The symptoms of hypothyroidism may be confused with symptoms associated with
aging, such as depression, cold intolerance, weight gain, confusion, or unsteady gait.
2. During ongoing assessment the nurse should observe a client taking levothyroxine for
which of the following indicating a therapeutic response? Select all that apply.
A) Weight loss
B) Mild diuresis
C) Increased appetite
D) Increased mental activity
E) Decreased pulse rate Answer: A, B, C, D Response:
Signs of therapeutic response to levothyroxine include weight loss; mild diuresis;
increased appetite; increased pulse rate; decreased puffiness of face, hands, and feet;
and client report of increased mental activity and increased sense of well-being.
3. A nurse educating a client and his family about levothyroxine for the treatment of
hypothyroidism should include which of the following information? Select all that
apply.
A) Therapy is lifelong.
B) Drug is taken in the evening.
C) Therapy needs to be evaluated every week initially.
D) Weekly weights are needed with significant changes reported.
E) Changing brands of the drug is okay. Answer: A, D Response:
A nurse educating a client and his family about levothyroxine includes the following:
therapy is lifelong, dose is taken in the morning before breakfast, therapy needs to be
evaluated every 2 weeks initially, weekly weights are needed and significant changes
are reported to the physician, and the client should not change brands of the drug
without consulting the physician.
4. When teaching a client about his prescribed levothyroxine therapy, the nurse determines
that the teaching was successful when the client states that he will contact his primary
health care provider if which of the following occur? Select all that apply.
A) Constipation
B) Palpitations
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, INTRODUCTORY CLINICAL
PHARMACOLOGY EXAM TEST.
C) Excessive diaphoresis
D) Significant weight changes
E) Chest pain Answer: B, C, D, E Response:
The client taking levothyroxine should contact his primary health care provider if any of
the following occur: headache, nervousness, palpitations, diarrhea, excessive
diaphoresis, heat intolerance, chest pain, increased pulse rate, significant weight
changes, or any unusual physical change or event.
5. A nurse is providing care to a client with hyperthyroidism. Which treatment modalities
would the nurse anticipate being used? Select all that apply.
A) Levothyroxine (Synthroid)
B) Methimazole (Tapazole)
C) Radioactive iodine (131I)
D) Propylthiouracil (PTU)
E) Subtotal thyroidectomy Answer: B, C, D, E Response:
Methimazole (Tapazole), propylthiouracil (PTU), radioactive iodine (131I), and subtotal
thyroidectomy are treatment modalities used in the treatment of clients with
hyperthyroidism.
6. The nurse should monitor a client receiving radioactive iodine (131I) for which of the
following severe reactions? Select all that apply.
A) Agranulocytosis
B) Exfoliative dermatitis
C) Hypoprothrombinemia
D) Seizures E) Stroke
Answer: A, B,
C
Response:
The nurse should monitor a client receiving radioactive iodine (131I) for severe reactions
including agranulocytosis, exfoliative dermatitis, hypoprothrombinemia, and
granulocytopenia.
7. A nurse caring for a client who is receiving warfarin (Coumadin) will monitor for signs
of bleeding if which of the following thyroid hormone–regulating drugs is initiated?
Select all that apply.
A) Propylthiouracil (PTU)
B) Desiccated thyroid (Armour Thyroid)
C) Liotrix (Thyrolar)
D) Methimazole (Tapazole)
E) Liothyronine (Triostat) Answer: A, B, C, D, E Response:
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PHARMACOLOGY EXAM TEST.
1.A nurse completing a preadministration assessment on a 70-year-old client prior to the
administration of levothyroxine may confuse which of the following symptoms of
hypothyroidism with which symptoms associated with the aging process? Select all that
apply.
A) Constipation
B) Confusion
C) Unsteady gait
D) Decreased visual acuity
E) Cold intolerance Answer: B, C, E Response:
The symptoms of hypothyroidism may be confused with symptoms associated with
aging, such as depression, cold intolerance, weight gain, confusion, or unsteady gait.
2. During ongoing assessment the nurse should observe a client taking levothyroxine for
which of the following indicating a therapeutic response? Select all that apply.
A) Weight loss
B) Mild diuresis
C) Increased appetite
D) Increased mental activity
E) Decreased pulse rate Answer: A, B, C, D Response:
Signs of therapeutic response to levothyroxine include weight loss; mild diuresis;
increased appetite; increased pulse rate; decreased puffiness of face, hands, and feet;
and client report of increased mental activity and increased sense of well-being.
3. A nurse educating a client and his family about levothyroxine for the treatment of
hypothyroidism should include which of the following information? Select all that
apply.
A) Therapy is lifelong.
B) Drug is taken in the evening.
C) Therapy needs to be evaluated every week initially.
D) Weekly weights are needed with significant changes reported.
E) Changing brands of the drug is okay. Answer: A, D Response:
A nurse educating a client and his family about levothyroxine includes the following:
therapy is lifelong, dose is taken in the morning before breakfast, therapy needs to be
evaluated every 2 weeks initially, weekly weights are needed and significant changes
are reported to the physician, and the client should not change brands of the drug
without consulting the physician.
4. When teaching a client about his prescribed levothyroxine therapy, the nurse determines
that the teaching was successful when the client states that he will contact his primary
health care provider if which of the following occur? Select all that apply.
A) Constipation
B) Palpitations
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, INTRODUCTORY CLINICAL
PHARMACOLOGY EXAM TEST.
C) Excessive diaphoresis
D) Significant weight changes
E) Chest pain Answer: B, C, D, E Response:
The client taking levothyroxine should contact his primary health care provider if any of
the following occur: headache, nervousness, palpitations, diarrhea, excessive
diaphoresis, heat intolerance, chest pain, increased pulse rate, significant weight
changes, or any unusual physical change or event.
5. A nurse is providing care to a client with hyperthyroidism. Which treatment modalities
would the nurse anticipate being used? Select all that apply.
A) Levothyroxine (Synthroid)
B) Methimazole (Tapazole)
C) Radioactive iodine (131I)
D) Propylthiouracil (PTU)
E) Subtotal thyroidectomy Answer: B, C, D, E Response:
Methimazole (Tapazole), propylthiouracil (PTU), radioactive iodine (131I), and subtotal
thyroidectomy are treatment modalities used in the treatment of clients with
hyperthyroidism.
6. The nurse should monitor a client receiving radioactive iodine (131I) for which of the
following severe reactions? Select all that apply.
A) Agranulocytosis
B) Exfoliative dermatitis
C) Hypoprothrombinemia
D) Seizures E) Stroke
Answer: A, B,
C
Response:
The nurse should monitor a client receiving radioactive iodine (131I) for severe reactions
including agranulocytosis, exfoliative dermatitis, hypoprothrombinemia, and
granulocytopenia.
7. A nurse caring for a client who is receiving warfarin (Coumadin) will monitor for signs
of bleeding if which of the following thyroid hormone–regulating drugs is initiated?
Select all that apply.
A) Propylthiouracil (PTU)
B) Desiccated thyroid (Armour Thyroid)
C) Liotrix (Thyrolar)
D) Methimazole (Tapazole)
E) Liothyronine (Triostat) Answer: A, B, C, D, E Response:
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