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PNM300 TEST 3 QUESTIONS WITH
DETAILED VERIFIED ANSWERS
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?
a. Infections
b. Diabetes mellitus
c. Lupus erythematosus
d. Adrenal insufficiency Ans: D. 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?
a. The synthetic form has a stronger effect than the natural forms.
b. Levothyroxine is less expensive than the natural forms.
c. The oral form has fewer adverse effects on the gastrointestinal tract.
d. Because the half-life of levothyroxine is longer than that of the natural
forms, once-a-day dosing is possible. Ans: D.
-levothyroxine has a long half-life and its effects are more predictable
than natural forms
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?
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a. Edema, anemia, and hepatitis
b. Pruritus, myalgia, leukopenia, and paresthesia
c. Tachycardia, dysrhythmias, weight loss, and fever
d. Skin pigment changes, bleeding, and menstrual irregularities Ans: C.
** too much thyroid = hyperthyroidism symptoms
A patient on antithyroid medication should avoid foods containing iodine?
T/F. Ans: TRUE.
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
a. she will probably require surgery for a cure.
b. levothyroxine does not reach its peak effect for several months.
c. she probably did not take her medication as instructed.
d. her diet may be causing absorption problems. Ans: B.
The therapeutic effects of thyroid drugs may take several months to
occur.
Which drugs should be avoided while taking thyroid replacement
preparations? Ans: Anticoagulants, digoxin, hypoglycemic and
cholestyramine drugs
Which condition may be caused by low levels of thyroid hormone in
youth?
a. Goiter
b. Myxedema
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c. Cretinism
d. Addison's disease Ans: C. cretinism = abnormal physical + mental
development
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?
a. "That would be a great way to save money."
b. "There's no difference in brands of this medication."
c. "Switching the form of medication should never be done; once you
start with a certain brand, you must stay with it."
d. "It's better not to switch brands until we check with your doctor."
Ans: D.
Switching between different brands of levothyroxine during treatment can
destabilize the course of treatment and should be minimized. If a switch
is made, the patient should be closely monitored.
A patient has been diagnosed with primary hypothyroidism.
Which statement accurately describes this condition?
a. The hypothalamus is not secreting thyrotropin-releasing hormone;
therefore, thyroid-stimulating hormone (TSH) is not released from the
pituitary gland.
b. The pituitary gland is dysfunctional and is not secreting TSH.
c. The abnormality is in the thyroid gland itself.
d. The abnormality is caused by an excess intake of iodine. Ans: C.
PNM300 TEST 3 QUESTIONS WITH
DETAILED VERIFIED ANSWERS
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?
a. Infections
b. Diabetes mellitus
c. Lupus erythematosus
d. Adrenal insufficiency Ans: D. 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?
a. The synthetic form has a stronger effect than the natural forms.
b. Levothyroxine is less expensive than the natural forms.
c. The oral form has fewer adverse effects on the gastrointestinal tract.
d. Because the half-life of levothyroxine is longer than that of the natural
forms, once-a-day dosing is possible. Ans: D.
-levothyroxine has a long half-life and its effects are more predictable
than natural forms
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?
, Page | 2
a. Edema, anemia, and hepatitis
b. Pruritus, myalgia, leukopenia, and paresthesia
c. Tachycardia, dysrhythmias, weight loss, and fever
d. Skin pigment changes, bleeding, and menstrual irregularities Ans: C.
** too much thyroid = hyperthyroidism symptoms
A patient on antithyroid medication should avoid foods containing iodine?
T/F. Ans: TRUE.
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
a. she will probably require surgery for a cure.
b. levothyroxine does not reach its peak effect for several months.
c. she probably did not take her medication as instructed.
d. her diet may be causing absorption problems. Ans: B.
The therapeutic effects of thyroid drugs may take several months to
occur.
Which drugs should be avoided while taking thyroid replacement
preparations? Ans: Anticoagulants, digoxin, hypoglycemic and
cholestyramine drugs
Which condition may be caused by low levels of thyroid hormone in
youth?
a. Goiter
b. Myxedema
, Page | 3
c. Cretinism
d. Addison's disease Ans: C. cretinism = abnormal physical + mental
development
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?
a. "That would be a great way to save money."
b. "There's no difference in brands of this medication."
c. "Switching the form of medication should never be done; once you
start with a certain brand, you must stay with it."
d. "It's better not to switch brands until we check with your doctor."
Ans: D.
Switching between different brands of levothyroxine during treatment can
destabilize the course of treatment and should be minimized. If a switch
is made, the patient should be closely monitored.
A patient has been diagnosed with primary hypothyroidism.
Which statement accurately describes this condition?
a. The hypothalamus is not secreting thyrotropin-releasing hormone;
therefore, thyroid-stimulating hormone (TSH) is not released from the
pituitary gland.
b. The pituitary gland is dysfunctional and is not secreting TSH.
c. The abnormality is in the thyroid gland itself.
d. The abnormality is caused by an excess intake of iodine. Ans: C.
