Advanced Pharmacology Nurs 5334 UT Arlington
Week 7 Endocrine Drugs Mini Quiz Questions and
Answers
What is the most commonly used thyroid replacement
drug? - ...ANSWER...✓✓ Levothyroxine
Why are the adverse effects for Levothyroxine similar to
signs of hyperthyroidism? - ...ANSWER...✓✓ We are
replacing thyroid hormone and if we see these adverse
effects, it is probably because the dose needs to be
adjusted to a lower amount
What are the most concerning adverse effects associated
with Levothyroxine? - ...ANSWER...✓✓ Cardiovascular
Half-life of levothyroxine - ...ANSWER...✓✓ 6-10 days
How long does is take levothyroxine to reach steady
state? - ...ANSWER...✓✓ 24-50 days
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A patient with hyperthyroidism will be given what drugs
before thyroidectomy surgery? - ...ANSWER...✓✓ the
patient will receive antithyroid drugs, such as radioactive
iodine, methimazole, or propylthiouracil.
What is a very important aspect to convey to a patient
before they receive radioactive iodine for a thyroid gland
removal procedure? - ...ANSWER...✓✓ Drink the
radioactive iodine with a straw to avoid contact with the
teeth to prevent orangish-reddish staining
What is and what causes Exophthalmos? -
...ANSWER...✓✓ Exophthalmos is bulging of the eyes due
to dry eyes caused by hyperthyroidism
A decrease in HR, BP and T is associated with
(hyper/hypothyroidism)? - ...ANSWER...✓✓
Hypothyroidism
An increase in HR, BP and T is associated with
(hyper/hypothyroidism)? - ...ANSWER...✓✓
Hyperthyroidism
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Administer __________ 30 minutes -1 hour before breakfast
- ...ANSWER...✓✓ Thyroid replacement hormone
T/F: Administer antithyroid drugs on an empty stomach -
...ANSWER...✓✓ False, administer antithyroid drugs with
meals
S&S of a thyroid crisis/storm - ...ANSWER...✓✓
tachycardia, dysrhythmias, fever, heart failure, flushed
skin, confusion, behavioral changes (irritability). Later-
hypotension and vascular collapse
Teach patient that if taking radioactive iodine, need to -
...ANSWER...✓✓ decrease intake of iodine in order to
allow radioactive iodine to be taken into the thyroid gland
(avoid iodized salt and shellfish).
When taking an antithyroid medication, teach the patient
to call their healthcare provider if they develop -
...ANSWER...✓✓ a sore throat and fever- this can be due
to agranulocytosis.