1
NR 565 Final Exam
______________ should be used with caution in patients with renal dysfunction,
cardiovascular disease, dehydration, and diabetes mellitus (can cause hyperglycemia).
m
These agents are contraindicated in older adults, and patients with heart failure. -
.co
ANSWER saline agents
ail
gm
2 hour post-load plasma glucose in an oral glucose tolerance test greater than or equal to
200 mg/dL. The test uses a glucose load containing the equivalent of 75 g anhydrous
r@
glucose dissolved in water.
he
a. Pre-diabetes
hig
b. Diabetes mellitus - ANSWER b
ing
A newly pregnant mother shows understanding go hypothyroidism in pregnant women
fly
by stating (select all that apply)
a. I can keep my current dose of levothyroxine
b. I know that if I don't take my medicine, it can cause permanent damage to my fetus
c. I will need to increase my dose of medication for a shirt time
, 2
d. my baby will start to maker her won thyroid hormone in week 3 - ANSWER b,c
increase dose upto 50% starting in weeks 4-8 and level off at week 16. It can cause
neurophysiological damage, low IQ, retardation mentally and physically
A patient comes into the clinic complaining of sore throat and fever. She has recently
m
started Methimazole in the last 4 weeks. What does this suggest? - ANSWER
.co
Agranulocytosis. Must check CBC and LFTs. Labs may only catch in time since it
ail
progresses quickly
gm
A patient has a TSH of .28, a free T4 of 3, a free T3 over 650. What medication should
r@
she be started on? - ANSWER Methimazole, PTU, radioactive iodine.
he
hig
A patient has just been prescribed levothyroxine. The NP put in a lab order to check
TSH levels in:
ing
a. 4-6 weeks
fly
b. one week
c. 6-8 weeks
d. once a year - ANSWER c
, 3
A patient receives his first. lab results showing an A1C of 7.2%. What is the diagnosis? -
ANSWER Recheck and confirm diagnosis for diabetes
A patient reports taking an oral bisacodyl laxative for several years. Which of the
following instructions should be given to guide the discontinuation of the laxative?
m
a. Stop taking the oral laxative and use a suppository until normal motility resumes.
.co
b. Stop taking the laxative immediately and expect no stool for several days.
ail
c. Withdraw from the laxative slowly to avoid a rebound constipation effect.
gm
d. Switch to a bulk-forming laxative, such as methylcellulose.- ANSWER b
r@
A patient who has been taking senna for several days reports that her urine is yellowish
he
brown. Which of the following responses is the most appropriate response?
hig
a. It is a sign of toxicity; this drug must be discontinued.
b. It is an expected, harmless effect of senna.
ing
c. It indicates that renal failure has occurred.
fly
d. It is caused by dehydration, which is a laxative side effect.- ANSWER b
A patient with a history of bladder cancer and HF should avoid what class of DM
medications? - ANSWER pioglitazone
NR 565 Final Exam
______________ should be used with caution in patients with renal dysfunction,
cardiovascular disease, dehydration, and diabetes mellitus (can cause hyperglycemia).
m
These agents are contraindicated in older adults, and patients with heart failure. -
.co
ANSWER saline agents
ail
gm
2 hour post-load plasma glucose in an oral glucose tolerance test greater than or equal to
200 mg/dL. The test uses a glucose load containing the equivalent of 75 g anhydrous
r@
glucose dissolved in water.
he
a. Pre-diabetes
hig
b. Diabetes mellitus - ANSWER b
ing
A newly pregnant mother shows understanding go hypothyroidism in pregnant women
fly
by stating (select all that apply)
a. I can keep my current dose of levothyroxine
b. I know that if I don't take my medicine, it can cause permanent damage to my fetus
c. I will need to increase my dose of medication for a shirt time
, 2
d. my baby will start to maker her won thyroid hormone in week 3 - ANSWER b,c
increase dose upto 50% starting in weeks 4-8 and level off at week 16. It can cause
neurophysiological damage, low IQ, retardation mentally and physically
A patient comes into the clinic complaining of sore throat and fever. She has recently
m
started Methimazole in the last 4 weeks. What does this suggest? - ANSWER
.co
Agranulocytosis. Must check CBC and LFTs. Labs may only catch in time since it
ail
progresses quickly
gm
A patient has a TSH of .28, a free T4 of 3, a free T3 over 650. What medication should
r@
she be started on? - ANSWER Methimazole, PTU, radioactive iodine.
he
hig
A patient has just been prescribed levothyroxine. The NP put in a lab order to check
TSH levels in:
ing
a. 4-6 weeks
fly
b. one week
c. 6-8 weeks
d. once a year - ANSWER c
, 3
A patient receives his first. lab results showing an A1C of 7.2%. What is the diagnosis? -
ANSWER Recheck and confirm diagnosis for diabetes
A patient reports taking an oral bisacodyl laxative for several years. Which of the
following instructions should be given to guide the discontinuation of the laxative?
m
a. Stop taking the oral laxative and use a suppository until normal motility resumes.
.co
b. Stop taking the laxative immediately and expect no stool for several days.
ail
c. Withdraw from the laxative slowly to avoid a rebound constipation effect.
gm
d. Switch to a bulk-forming laxative, such as methylcellulose.- ANSWER b
r@
A patient who has been taking senna for several days reports that her urine is yellowish
he
brown. Which of the following responses is the most appropriate response?
hig
a. It is a sign of toxicity; this drug must be discontinued.
b. It is an expected, harmless effect of senna.
ing
c. It indicates that renal failure has occurred.
fly
d. It is caused by dehydration, which is a laxative side effect.- ANSWER b
A patient with a history of bladder cancer and HF should avoid what class of DM
medications? - ANSWER pioglitazone
