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NR565 FINAL EXAM/NR 565 ADVANCED PHARMACOLOGY CARE OF THE FUNDAMENTALS EXAM ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWER $9.99   Add to cart
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NR565 FINAL EXAM/NR 565 ADVANCED PHARMACOLOGY CARE OF THE FUNDAMENTALS EXAM ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWER
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NR565 FINAL EXAM/NR 565 ADVANCED PHARMACOLOGY CARE OF THE FUNDAMENTALS EXAM ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS What labs are used to diagnose thyroid function? - Answer️️ -1. Serum thyroid- stimulating hormone test (TSH) 2. Serum thyroxine test (Total or Free T4) 3. S...

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  • September 18, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
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  • nr565 final examnr 565 advanced pharmacology care

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TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024


NR565 FINAL EXAM/NR 565 ADVANCED PHARMACOLOGY
CARE OF THE FUNDAMENTALS EXAM 2024-2025 ACTUAL
EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS


What labs are used to diagnose thyroid function? - Answer✔️✔️-1. Serum thyroid-

stimulating hormone test (TSH)

2. Serum thyroxine test (Total or Free T4)

3. Serum triiodothyronine test (Total or Free T3)

s/s hypothyroidism - Answer✔️✔️-Signs and symptoms of hypothyroidism depend on

disease severity. The face is pale, puffy, and expressionless; skin is cold and dry; hair is

brittle; hair loss occurs;Heart rate and temperature are lowered. The patient may

complain of lethargy, fatigue, and intolerance to cold. Mentation may be impaired.

s/s hyperthyroidism - Answer✔️✔️-Exophthalmos; Heartbeat is rapid and strong;

dysrhythmias and angina may develop; nervousness; insomnia, rapid thought flow;

rapid speech; Skeletal muscles may weaken and atrophy; Metabolic rate is raised,

resulting in increased heat production, increased body temperature, intolerance to heat,

and skin that is warm and moist. Appetite is increased, but weight loss may still occur.

When should you re-check labs after initiating Levothyroxine? - Answer✔️✔️-TSH 6-8

weeks after initiation or dose changes.

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

S/S of Thyrotoxic Crisis (Thyroid Storm) - Answer✔️✔️-profound hyperthermia (105°F or

even higher), severe tachycardia, restlessness, agitation, and tremor.

Unconsciousness, coma, hypotension, and heart failure may occur

*Excessive levels of thyroid hormones (occurs after surgery or intercurrent illness (e.g.

sepsis)

Treatment of thyroid storm - Answer✔️✔️-*MEDICAL EMERGENCY*

1.High doses of potassium iodide or strong iodine solution are given to suppress thyroid

hormone release.

2.Methimazole is given to suppress thyroid hormone synthesis. 3.A β-blocker is given to

reduce heart rate.



Additional measures include sedation, cooling, and giving glucocorticoids and IV fluids.

What can result from not treating hypothyroidism during pregnancy? - Answer✔️✔️-

permanent neuropsychological deficits in the child

Treatment of hyperthyroidism - Answer✔️✔️-1. surgical removal of thyroid tissue

2. destruction of thyroid tissue with radioactive iodine (preferred for adults)

3. antithyroid drug (methimazole or propylthiouracil). (preferred for younger patients)



β-Blockers suppress tachycardia by blocking β-receptors on the heart.

Nonradioactive iodine inhibits synthesis and release of thyroid hormones.

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

Drugs that reduce absorption of levothyroxine - Answer✔️✔️-Histamine 2 (H2) receptor

blockers (e.g., cimetidine [Tagamet])

Proton pump inhibitors (e.g., lansoprazole [Prevacid])

Sucralfate (Carafate)

Cholestyramine (Questran)

Colestipol (Colestid)

Aluminum-containing antacids (e.g., Maalox, Mylanta)

Calcium supplements (e.g., Tums, Os-Cal)

Iron supplements (e.g., ferrous sulfate)

Magnesium salts

Orlistat (Xenical)



*administer 4 hours apart from levothyroxine*

Food interactions with levothyroxine - Answer✔️✔️-Food decreases absorption. Should

be taken on an empty stomach 30-60 minutes prior to breakfast

Drugs that accelerate levothyroxine metabolism - Answer✔️✔️-phenytoin (Dilantin)

carbamazepine (Tegretol, Carbatrol)

rifampin (Rifadin)

sertraline (Zoloft)

phenobarbital.

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