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2024 HESI RN Pharmacology Practice Exam Questions and Answers A 43-year-old female patient is receiving thyroid replacement hormone following a thyroidectomy. What adverse effects associated with thyroid hormone toxicity should the RN instruct the patient$13.49
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2024 HESI RN Pharmacology Practice Exam Questions and Answers A 43-year-old female patient is receiving thyroid replacement hormone following a thyroidectomy. What adverse effects associated with thyroid hormone toxicity should the RN instruct the patient
2024 HESI RN Pharmacology Practice Exam Questions and Answers A 43-year-old female patient is receiving thyroid replacement hormone following a thyroidectomy. What adverse effects associated with thyroid hormone toxicity should the RN instruct the patient to report promptly to the healthcare provid...
A 43-year-old female patient is receiving thyroid replacement hormone
following a thyroidectomy. What adverse effects associated with thyroid
hormone toxicity should the RN instruct the patient to report promptly to the
healthcare provider?
A) Tinnitus and dizziness.
B) Tachycardia and chest pain.
C) Dry skin and intolerance to cold.
D) Weight gain and increased appetite. - The Right ANS: B. Thyroid
replacement hormone increases the metabolic rate of all tissues, so common
signs and symptoms of toxicity include tachycardia and chest pain (B). (A, C,
and D) do not indicate a thyroid hormone toxicity.
A category X drug is prescribed for a young adult female patient. Which
instruction is most important for the RN to teach this patient?
A) Use a reliable form of birth
control. B) Avoid exposure to
ultra violet light.
C) Refuse this medication if planning pregnancy.
D) Abstain from intercourse while on this drug. - The Right ANS: A.
,Drugs classified in the category X place a patient who is in the first trimester
of pregnancy at risk for teratogenesis, so women in the childbearing years
should be counseled to use a reliable form of birth control (A) during drug
therapy. (B) is not a specific precaution with Category X drugs. The patient
should be encouraged to discuss plans for pregnancy with the healthcare
provider, so a safer alternative prescription (C) can be provided if pregnancy
occurs. Although the risk of birth defects during pregnancy explains the
restriction of these drugs during pregnancy, (D) is not indicated.
A patient asks the RN if glipizide (Glucotrol) is an oral insulin. Which
response should the RN provide?
A. Yes it is an oral insulin and has the same actions and properties as
intermediate insulin
B. Yes, it is an oral insulin and is distributed, metabolized, and excreted in
the same manner as insulin
C. No it is not an oral insulin and can be used only when some beta cell
function is present
D. No, it is not an oral insulin, but it is effective for those who are resistant to
injectable insulins - The Right ANS:C
A patient has a continuous IV infusion of dopamine and an IV of normal
saline at 50ml/hour. The RN noes that the patient's urinary output has been
,20ml/hour for the last two hours. Which intervention should the RN initiate?
A. stop the infusion of dopamine
B. change the normal saline to a keep open
rate C. replace the urinary catheter
D. notify the healthcare provider of the urinary output. - The Right ANS:D.
A patient has myxedema, which results from a deficiency of thyroid hormone
synthesis in adults. The RN knows that which medication should be
contraindicated for this patient? A. liothyronine (cytomel) to replace iodine
B. Furosemide (Lasix) for relief of fluid
retentionC. Pentobarbital sodium for
sleep
D. nitroglycerin for angina pain - The Right ANS:C. persons with myxedema
are dangerously hypersensitive to narcotics, barbiturates, and anesthetics.
They do not tolerate liothyronine and usually receive iodine replacement
therapy. These patients are also suceptable to heart problems such as angina
for which nitroglycerine would be indicated and and congestive heart failure
for which furosemide would be indicated
A patient is admitted to the coronary care unit with a medical diagnosis of
acute myocardial infarction. which medication prescription decreases both
preload and afterload
, a.
nitroglycerin
b.
propranolol
c.
propranolol
d. captopril - The Right ANS:A. nitroglycerin is a nitrate that causes
peripheral vasodilation and decreases contractility, thereby decreasing both
preload and afterload
A patient is admitted to the hospital for diagnostic testing for possible
myasthenia gravis. The RN prepares for intravenous administration of
edrophonium chloride (Tensilon). What is the expected outcome for this
patient following administration of this pharmacologic agent?
A) Progressive difficulty with
swallowing. B) Decreased
respiratory effort.
C) Improvement in generalized fatigue.
D) Decreased muscle weakness. - The Right ANS:D.
Administration of edrophonium chloride (Tensilon), a cholinergic agent, will
temporarily reduce muscle weakness (D), the most common complaint of
newly-diagnosed patients with myasthenia gravis. This medication is used to
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