summer exam 3

Question 1

what side effects should a nurse watch for with levothyroid for hypothyroidism?

Answer 1

o Anxiety, hyperactivity
o Appetite changes and weight loss
o Heat intolerance, insomnia
o Tachycardia, palpitations, chest pain

Question 2

what is a potential effect of taking too much levothyroxine?

Answer 2

thyroid storm

Question 3

when is the best time to give levothyroxine?

Answer 3

in the am before other meds/food to improve absorption and prevent insomnia

Question 4

how does PTU work?

Answer 4

inhibits formation of new thyroid hormone without affecting existing thyroid hormones (antithyroid)

Question 5

anti thyroid Drugs can suppress _________ _________. A nurse should assess which lab values?

Answer 5

o Bone marrow
o Decreased: RBC, WBC, platelets
o Monitor INR, liver enzymes

Question 6

what side effects should a nurse watch for with radioactive iodine for hyperthyroid or thyroid cancer?

Answer 6

o Neck tenderness/swelling
o n/v
o dry mouth/taste changes

Question 7

what should clients avoid while taking PTU?

Answer 7

foods high in iodine

Question 8

what is an early sign of an adverse effect of Calcitrol (vitamin D)?

Answer 8

anorexia, n/v, GI upset

Question 9

a client complains of GI upset after taking alendronate. What should a nurse teach a client about taking alendronate?

Answer 9

o Administer before breakfast with 6-8oz of water and remain in an upright position for 30 mins
o GI upset is at increased risk when taken with ASA, steroids

Question 10

what early side effects would a nurse educate a client on reporting while taking alendronate

Answer 10

o Nausea, diarrhea
o Dyspepsia
o Hypocalcemia
o Bone pain

Question 11

what side effects of taking a Selective Estrogen Receptor Modulator should a nurse educate a client about?

Answer 11

o Hot flashes
o Flu-like symptoms
o Arthralgias
o thromboembolism

Question 12

which medication (s) are treatment of asthma? (rescue)

Answer 12

albuterol

Question 13

which medication (s) are prevention methods for asthma?

Answer 13

ipratropium bromide (Atrovent), beclomethasone (QVAR)

Question 14

what are the effects of stimulation of the sympathetic nervous system by giving albuterol?

Answer 14

tachycardia, nervousness, tremors

Question 15

what classification of medication is albuterol?

Answer 15

Short-acting bronchodilator (SABA)

Question 16

what side effects should a nurse anticipate to assess after the administration of a bronchodilator?

Answer 16

o Tachycardia, nervousness, tremors
 Heart rate, mood (neuro), grips

Question 17

how would you teach a client to use a bronchodilator and a steroid?

Answer 17

rinse mouth and spit out water after use

Question 18

how would you teach a client to use a spacer device?

Answer 18

o 1-2 minutes between puffs of the same med
o 5 minutes between puffs of different meds
o Bronchodilator before steroid

Question 19

a client is prescribed beclomethasone for COPD. What should the nurse instruct the client to do after the administration? why?

Answer 19

o Rinse mouth and spit out water
* To reduce the risk for oral yeast infection

Question 20

what education should be given to a client taking an anticholinergic inhaler?

Answer 20

o Void prior to administration d/t retention/constipation
o Do not take if you have a soy/peanut allergy
o This is a prevention medication
o Increase fluids to decrease viscosity of secretions
o Combat dry mouth with sugar-free candy after use

Question 21

Leukotriene modifiers are given as a means of ____________ of acute Asthma attacks and COPD exacerbations.

Answer 21

Long-term management

Question 22

to ensure best client care a nurse should explain Leukotriene modifiers are most effective when taken _____________________________.

Answer 22

every night

Question 23

while taking montelukast a nurse should monitor which labs for the client?

Answer 23

LFTs

Question 24

what is the therapeutic level of theophylline?

Answer 24

10-20 mcg/mL

Question 25

what are the adverse effects of theophylline?

Answer 25

increased urination, tachycardia, palpitations or other dysrhythmia