PNM FINAL EXAM 2025 LATEST
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The physician has prescribed fluticasone (Flovent®) to treat a patient's asthma. What
important information should the nurse emphasize when teaching the patient about this
medication?
The medication is to be taken every day on a continuous schedule, even if
symptoms improve.
Which drug is used in the treatment of acute attacks of bronchial asthma?
, salbutamol (Ventolin®)
A patient has prescriptions for two inhalers. One inhaler is a bronchodilator; the other is a
corticosteroid. Which instruction should the nurse give the patient regarding these inhalers?
The bronchodilator should be taken first.
A patient has recently been placed on inhaled corticosteroids. Which common adverse effects
should the nurse discuss with the patient?
Oral candidiasis and dry mouth
After receiving a nebulizer treatment with a β-agonist, the patient reports feeling slightly
nervous and wonders whether the asthma is getting worse. What is the nurse's best answer to
the patient's concern?
"Feeling a little nervous is an expected adverse effect. Let me take your pulse to
check it."
For which condition would the nurse anticipate treatment with montelukast (Singulair®)?
Prophylaxis of asthma in children
A patient newly diagnosed with hypothyroidism received a prescription for a thyroid drug. In
addition to assessing for hypersensitivity and myocardial infarction, for what should the nurse
also assess before administering the thyroid drug?
Adrenal insufficiency
A patient with hypothyroidism is given a prescription for levothyroxine (Synthroid®). When
the nurse explains that levothyroxine is a synthetic form of the thyroid hormone, the patient
states that a more natural form of drug would be personally preferred. What is the nurse's best
explanation to the patient for the use of levothyroxine?
Because the half-life of levothyroxine is longer than that of the natural forms,
once-a-day dosing is possible.
The nurse is discussing thyroid replacement therapy and establishing treatment goals with a
patient. What important adverse effects should the nurse discuss with the patient?
Tachycardia, dysrhythmias, weight loss, and fever
When teaching a patient on antithyroid medication about diet, which direction should be
included?
Avoid foods containing iodine.
, A patient is taking propylthiouracil for hyperthyroidism and asks the nurse how this
medication works. In answer to the patient's question, the nurse tells the patient that
propylthiouracil
Impedes the formation of thyroid hormone
A patient has been diagnosed with hypothyroidism and has started thyroid replacement
therapy with levothyroxine (Synthroid®). After 1 week, the patient tells the nurse that she
feels no better. The nurse would best tell the patient that
levothyroxine does not reach its peak effect for several months.
Which drugs should be avoided while taking thyroid replacement preparations?
Anticoagulants
Which symptoms indicate a too-high dose of thyroid replacement hormone?
Anxiety, weight loss, and insomnia
Which condition may be caused by low levels of thyroid hormone in youth?
Cretinism
A patient has been taking levothyroxine (Synthroid) for more than a decade for primary
hypothyroidism. She tells the nurse that her cousin can get her the same medication in a
generic form from a pharmaceutical supply company. What would be best for the nurse to say
to the patient?
"It's better not to switch brands until we check with your doctor."
A patient has been diagnosed with primary hypothyroidism. Which statement accurately
describes this condition?
The abnormality is in the thyroid gland itself.
Which instruction is correct for a patient taking an antihistamine?
Take the medication with food, even though doing so may slightly reduce the
absorption of the drug.
How does the antitussive dextromethorphan (Benylin DM-E®) work to suppress the cough
reflex?
Through a direct action on the cough centre
Which antihistamine is commonly used in the treatment of motion sickness?
cyproheptadine hydrochloride
During a routine checkup, the patient reports an inability to take the prescribed antihistamine
because of one of its most common adverse effects. The physician prescribes another
NEWEST UPDATE WITH
ACTUAL QUESTIONS AND
DETAILED VERIFIED ANSWERS
WITH RATIONALES (100%
CORRECT) //BRAND NEW!!
/ALREADY GRADED A+ WITH
GUARANTEED SUCCESS AFTER
DOWNLOAD (ALL YOU NEED TO
PASS YOUR EXAMS
The physician has prescribed fluticasone (Flovent®) to treat a patient's asthma. What
important information should the nurse emphasize when teaching the patient about this
medication?
The medication is to be taken every day on a continuous schedule, even if
symptoms improve.
Which drug is used in the treatment of acute attacks of bronchial asthma?
, salbutamol (Ventolin®)
A patient has prescriptions for two inhalers. One inhaler is a bronchodilator; the other is a
corticosteroid. Which instruction should the nurse give the patient regarding these inhalers?
The bronchodilator should be taken first.
A patient has recently been placed on inhaled corticosteroids. Which common adverse effects
should the nurse discuss with the patient?
Oral candidiasis and dry mouth
After receiving a nebulizer treatment with a β-agonist, the patient reports feeling slightly
nervous and wonders whether the asthma is getting worse. What is the nurse's best answer to
the patient's concern?
"Feeling a little nervous is an expected adverse effect. Let me take your pulse to
check it."
For which condition would the nurse anticipate treatment with montelukast (Singulair®)?
Prophylaxis of asthma in children
A patient newly diagnosed with hypothyroidism received a prescription for a thyroid drug. In
addition to assessing for hypersensitivity and myocardial infarction, for what should the nurse
also assess before administering the thyroid drug?
Adrenal insufficiency
A patient with hypothyroidism is given a prescription for levothyroxine (Synthroid®). When
the nurse explains that levothyroxine is a synthetic form of the thyroid hormone, the patient
states that a more natural form of drug would be personally preferred. What is the nurse's best
explanation to the patient for the use of levothyroxine?
Because the half-life of levothyroxine is longer than that of the natural forms,
once-a-day dosing is possible.
The nurse is discussing thyroid replacement therapy and establishing treatment goals with a
patient. What important adverse effects should the nurse discuss with the patient?
Tachycardia, dysrhythmias, weight loss, and fever
When teaching a patient on antithyroid medication about diet, which direction should be
included?
Avoid foods containing iodine.
, A patient is taking propylthiouracil for hyperthyroidism and asks the nurse how this
medication works. In answer to the patient's question, the nurse tells the patient that
propylthiouracil
Impedes the formation of thyroid hormone
A patient has been diagnosed with hypothyroidism and has started thyroid replacement
therapy with levothyroxine (Synthroid®). After 1 week, the patient tells the nurse that she
feels no better. The nurse would best tell the patient that
levothyroxine does not reach its peak effect for several months.
Which drugs should be avoided while taking thyroid replacement preparations?
Anticoagulants
Which symptoms indicate a too-high dose of thyroid replacement hormone?
Anxiety, weight loss, and insomnia
Which condition may be caused by low levels of thyroid hormone in youth?
Cretinism
A patient has been taking levothyroxine (Synthroid) for more than a decade for primary
hypothyroidism. She tells the nurse that her cousin can get her the same medication in a
generic form from a pharmaceutical supply company. What would be best for the nurse to say
to the patient?
"It's better not to switch brands until we check with your doctor."
A patient has been diagnosed with primary hypothyroidism. Which statement accurately
describes this condition?
The abnormality is in the thyroid gland itself.
Which instruction is correct for a patient taking an antihistamine?
Take the medication with food, even though doing so may slightly reduce the
absorption of the drug.
How does the antitussive dextromethorphan (Benylin DM-E®) work to suppress the cough
reflex?
Through a direct action on the cough centre
Which antihistamine is commonly used in the treatment of motion sickness?
cyproheptadine hydrochloride
During a routine checkup, the patient reports an inability to take the prescribed antihistamine
because of one of its most common adverse effects. The physician prescribes another
