Med Surg Pharmacology Nurs 206-Final
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exam questions with answers \| \| \|
Lasix (furosemide) - CORRECT ANSWERS ✔✔loop diuretic
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Eliminate fluids from the body \| \| \| \|
Used for CHF, cirrhosis, HTN and pulmonary edema
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Got its name from "Lasts six hours"
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The nurse is reviewing medications that have been ordered for a
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patient whom a loop diuretic has been newly prescribed. The
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loop diuretic may have a possible interaction with which of the
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following?
a) Vitamin C
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b) Warfarin
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c) Penecillins
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d) NSAIDS - CORRECT ANSWERS ✔✔Answer-NSAIDS
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Rationale-The reduction in vascular resistance induced by loop \| \| \| \| \| \| \| \|
diuretics may be impeded when these drugs aretaken
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concurrently with NSAIDS because these two drug classes have
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opposite effects on prostaglandin activity.
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,Levothyroxine (Synthroid) - CORRECT ANSWERS ✔✔thyroid\| \| \| \| \| \|
hormone
Increases metabolic rate \| \|
controls protein synthesis \| \|
Increases cardiac output \| \| \|
Increases HR \|
used for hypothyroidism
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give on empty stomach - In the AM, start with low doses, watch
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for angina
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When teaching a patient who has a new prescription for thyroid
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hormone, the nurse should instruct the patient to notify the
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physician if what adverse effect is noted?
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a) Palpitations
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b) Headache
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c) Anxiety
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d) Appetite changes - CORRECT ANSWERS ✔✔Answer -
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Palpitations
, Rationale- The most significant adverse effect is cardiac
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dysrhythmia with the risk for life threatening or fatal
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irregularities.
Methimazole (Tapazole) - CORRECT ANSWERS ✔✔thyroid
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hormone antagonist (Antithyroid)
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Inhibits synthesis of thyroid hormones by decreasing iodine use
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in thyroglobin and iodothyronine
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Used in hyperthyroidism
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When monitoring the lab values of a patient who is taking
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antityroid drugs, the nurse knows to watch for
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a) Decreased platelet count
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b) Decreased white blood cell counts
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c) Decreased BUN
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d) Increased blood glucose levels - CORRECT ANSWERS
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✔✔Answer b: Decreased White blood cell count
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Rationale: With antithyroid medications the nurse should be
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aware of possible toxic reactions such as agranulocytosis,
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panycytopena, and life threatening hepatitis. \| \| \| \|
Calcitonin - CORRECT ANSWERS ✔✔Parathyroid agent (calcium
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regulator) \|
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exam questions with answers \| \| \|
Lasix (furosemide) - CORRECT ANSWERS ✔✔loop diuretic
\| \| \| \| \| \|
Eliminate fluids from the body \| \| \| \|
Used for CHF, cirrhosis, HTN and pulmonary edema
\| \| \| \| \| \| \|
Got its name from "Lasts six hours"
\| \| \| \| \| \|
The nurse is reviewing medications that have been ordered for a
\| \| \| \| \| \| \| \| \| \| \|
patient whom a loop diuretic has been newly prescribed. The
\| \| \| \| \| \| \| \| \| \|
loop diuretic may have a possible interaction with which of the
\| \| \| \| \| \| \| \| \| \| \|
following?
a) Vitamin C
\| \|
b) Warfarin
\|
c) Penecillins
\|
d) NSAIDS - CORRECT ANSWERS ✔✔Answer-NSAIDS
\| \| \| \| \|
Rationale-The reduction in vascular resistance induced by loop \| \| \| \| \| \| \| \|
diuretics may be impeded when these drugs aretaken
\| \| \| \| \| \| \| \|
concurrently with NSAIDS because these two drug classes have
\| \| \| \| \| \| \| \| \|
opposite effects on prostaglandin activity.
\| \| \| \|
,Levothyroxine (Synthroid) - CORRECT ANSWERS ✔✔thyroid\| \| \| \| \| \|
hormone
Increases metabolic rate \| \|
controls protein synthesis \| \|
Increases cardiac output \| \| \|
Increases HR \|
used for hypothyroidism
\| \| \|
give on empty stomach - In the AM, start with low doses, watch
\| \| \| \| \| \| \| \| \| \| \| \| \|
for angina
\|
When teaching a patient who has a new prescription for thyroid
\| \| \| \| \| \| \| \| \| \| \|
hormone, the nurse should instruct the patient to notify the
\| \| \| \| \| \| \| \| \| \|
physician if what adverse effect is noted?
\| \| \| \| \| \|
a) Palpitations
\|
b) Headache
\|
c) Anxiety
\|
d) Appetite changes - CORRECT ANSWERS ✔✔Answer -
\| \| \| \| \| \| \| \|
Palpitations
, Rationale- The most significant adverse effect is cardiac
\| \| \| \| \| \| \| \|
dysrhythmia with the risk for life threatening or fatal
\| \| \| \| \| \| \| \| \|
irregularities.
Methimazole (Tapazole) - CORRECT ANSWERS ✔✔thyroid
\| \| \| \| \| \|
hormone antagonist (Antithyroid)
\| \| \|
Inhibits synthesis of thyroid hormones by decreasing iodine use
\| \| \| \| \| \| \| \| \|
in thyroglobin and iodothyronine
\| \| \| \|
Used in hyperthyroidism
\| \|
When monitoring the lab values of a patient who is taking
\| \| \| \| \| \| \| \| \| \| \|
antityroid drugs, the nurse knows to watch for
\| \| \| \| \| \| \|
a) Decreased platelet count
\| \| \|
b) Decreased white blood cell counts
\| \| \| \| \|
c) Decreased BUN
\| \|
d) Increased blood glucose levels - CORRECT ANSWERS
\| \| \| \| \| \| \| \|
✔✔Answer b: Decreased White blood cell count
\| \| \| \| \| \|
Rationale: With antithyroid medications the nurse should be
\| \| \| \| \| \| \| \|
aware of possible toxic reactions such as agranulocytosis,
\| \| \| \| \| \| \| \|
panycytopena, and life threatening hepatitis. \| \| \| \|
Calcitonin - CORRECT ANSWERS ✔✔Parathyroid agent (calcium
\| \| \| \| \| \| \|
regulator) \|
