12/23/23,m8:16mP NRm293mATImPharmacologymFinalmReviewm2020mChamberlainmCollegemof
M mNu…
NRm293 mATImPharmacologymFinalmRe VIE W_2 020m–
mChamberlainm Collegemof mNursing
1) Amnursemismassessing ma mclientmwhomismtaking mlevothyroxine.mThemnursemsho uldmrecogniz emthatm
whichmofmthem following mfindingsmisma mmanifestationmofmlevothyroxinemoverdose?
a) Insomnia
i) Rationale:mLevothyroxinemoverdosemwillmresult minm manifestations mof m h
yperthyroidism,mwhichmincludemI nsomnia, mtachyc ardia,m andm hyperther
mia.
b) Constipation
i) Rationale:mConstipationmisma mmanifestationmofmhypothyroidismmandmi ndicatesmanmi na
dequatem dosemofmlevothyroxine.
c) Drowsiness
i) Rationale:mDrowsiness misma mmanifestationmofmhypothyroidismma ndmindicatesmanmina
dequatem dosemofmlevothyroxine.
d) Hypoactivemdeep-tendon mreflexes
i) Rationale:mHypoactivemdeep -
tendonmreflexesmaremmanifestations mofmhypothyroidismmandmindicatem anminadeq uatemdo semo
fmlevothyroxine.
2) Amnursemismreviewing mthemmedical mrecordmofma mclientmwhomhasmbeenmo nmlevothyroxinemfor msev
eral mmonths.m Whichmofmthemfollowing mfindingsmindicatesma mtherapeuticmr espo nsemtomthemm edic
ation?
a) Decreaseminmlevel mofmthyroxinem(T4)
i) Rationale:mIfmthemdosemofmthismmedicationmhasmb eenmadeq uate,mthemnursemsho uldmseem
anmincreasem inmthemT4.
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,12/23/23,m8:16mP NRm293mATImPharmacologymFinalmReviewm2020mChamberlainmCollegemof
M mNu…
b) Increaseminmweight
i) Rationale:mIfmthemdosemofmthismmedicationmhasmb eenmadeq uate,mthemnursemsho uldmseema
mdecreaseminm weight,masmhypothyroidismmcausesma mdecreaseminm metabolismmwithmweightmg
ain.
c) Increaseminmhr mofmsleepmper mnight
i) Rationale:mIfmthemdosemofmthismmedicationmhasmb eenmadeq uate,mthemnursemsho uldmseema
mdecreaseminm themhr mofmsleepmper mnight,masmhypothyroidismmcaus esmsluggishness mwithminc
reasedmhr mofmsleep.
d) Decreaseminmlevelmof mthyroidmstimulatingmhormo nem (TSH).
i) Rationale:mInmhypothyroidism,mthemnonfu nctioningmthyroidm glandmis munablemto
m respondmto mthemTSH,mandmno mendogenous mthyroidmhormones maremreleased.m
This mresults m inm anm elevationm of m them TSHm levelm as m them anter ior m pituitarym co
ntinues m to m releasem them TSHmto mstimulatemthemthyroidmgland.
Administrationmof mexogenous mthyroidmhormones,msuchmas mlevothyroxine,mturns moff
mthis m feedback mloop,mwhichmresults minmamdecreasedmlevelmof mTSH.
3) Amnursemismreviewing mthemmedicationmlistmfor ma mclientmwhomhasma mnew mdiagnosismofmtypem2mdia
betesmmellitus.m Themnursemshouldmrecogniz emwhichmofmthemfollowing mmedicatio nsmcanmcaus emglu
cosemintolerance?
a) Ranitidine
i) Serummcreatininemlevels
b) Guafenesin
i) Drowsiness mandmdizziness
c) Prednisone
i) Glucosemintolerancemandmhyperglyc emia,mp atient mmight mreq uiremincreasedmdos
agemof m hypoglycemic mmed.
d) Atorvastatin
i) Thyroidmfunctionmtests.
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,12/23/23,m8:16mP NRm293mATImPharmacologymFinalmReviewm2020mChamberlainmCollegemof
M mNu…
Thismismampreview
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M mNu…
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M mNu…
NRm293 mATImPharmacologymFinalmRe VIE W_2 020m–
mChamberlainm Collegemof mNursing
1) Amnursemismassessing ma mclientmwhomismtaking mlevothyroxine.mThemnursemsho uldmrecogniz emthatm
whichmofmthem following mfindingsmisma mmanifestationmofmlevothyroxinemoverdose?
a) Insomnia
i) Rationale:mLevothyroxinemoverdosemwillmresult minm manifestations mof m h
yperthyroidism,mwhichmincludemI nsomnia, mtachyc ardia,m andm hyperther
mia.
b) Constipation
i) Rationale:mConstipationmisma mmanifestationmofmhypothyroidismmandmi ndicatesmanmi na
dequatem dosemofmlevothyroxine.
c) Drowsiness
i) Rationale:mDrowsiness misma mmanifestationmofmhypothyroidismma ndmindicatesmanmina
dequatem dosemofmlevothyroxine.
d) Hypoactivemdeep-tendon mreflexes
i) Rationale:mHypoactivemdeep -
tendonmreflexesmaremmanifestations mofmhypothyroidismmandmindicatem anminadeq uatemdo semo
fmlevothyroxine.
2) Amnursemismreviewing mthemmedical mrecordmofma mclientmwhomhasmbeenmo nmlevothyroxinemfor msev
eral mmonths.m Whichmofmthemfollowing mfindingsmindicatesma mtherapeuticmr espo nsemtomthemm edic
ation?
a) Decreaseminmlevel mofmthyroxinem(T4)
i) Rationale:mIfmthemdosemofmthismmedicationmhasmb eenmadeq uate,mthemnursemsho uldmseem
anmincreasem inmthemT4.
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,12/23/23,m8:16mP NRm293mATImPharmacologymFinalmReviewm2020mChamberlainmCollegemof
M mNu…
b) Increaseminmweight
i) Rationale:mIfmthemdosemofmthismmedicationmhasmb eenmadeq uate,mthemnursemsho uldmseema
mdecreaseminm weight,masmhypothyroidismmcausesma mdecreaseminm metabolismmwithmweightmg
ain.
c) Increaseminmhr mofmsleepmper mnight
i) Rationale:mIfmthemdosemofmthismmedicationmhasmb eenmadeq uate,mthemnursemsho uldmseema
mdecreaseminm themhr mofmsleepmper mnight,masmhypothyroidismmcaus esmsluggishness mwithminc
reasedmhr mofmsleep.
d) Decreaseminmlevelmof mthyroidmstimulatingmhormo nem (TSH).
i) Rationale:mInmhypothyroidism,mthemnonfu nctioningmthyroidm glandmis munablemto
m respondmto mthemTSH,mandmno mendogenous mthyroidmhormones maremreleased.m
This mresults m inm anm elevationm of m them TSHm levelm as m them anter ior m pituitarym co
ntinues m to m releasem them TSHmto mstimulatemthemthyroidmgland.
Administrationmof mexogenous mthyroidmhormones,msuchmas mlevothyroxine,mturns moff
mthis m feedback mloop,mwhichmresults minmamdecreasedmlevelmof mTSH.
3) Amnursemismreviewing mthemmedicationmlistmfor ma mclientmwhomhasma mnew mdiagnosismofmtypem2mdia
betesmmellitus.m Themnursemshouldmrecogniz emwhichmofmthemfollowing mmedicatio nsmcanmcaus emglu
cosemintolerance?
a) Ranitidine
i) Serummcreatininemlevels
b) Guafenesin
i) Drowsiness mandmdizziness
c) Prednisone
i) Glucosemintolerancemandmhyperglyc emia,mp atient mmight mreq uiremincreasedmdos
agemof m hypoglycemic mmed.
d) Atorvastatin
i) Thyroidmfunctionmtests.
about:blank 2/63
,12/23/23,m8:16mP NRm293mATImPharmacologymFinalmReviewm2020mChamberlainmCollegemof
M mNu…
Thismismampreview
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, 12/23/23,m8:16mP NRm293mATImPharmacologymFinalmReviewm2020mChamberlainmCollegemof
M mNu…
Do myoumwantmf ullmaccess?mGo mPr
emiummand munlockmall m38mpages
Accessm tom allm documen
ts m GetmUnlimitedmDownl
oadsm Improvemyourm gra
des
Upgrade
Becomem Premium m tom unlock
Upload
Sharemyourmdoc um ents
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