NURS 167 - Exam 3 Review With Actual Questions And
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A nurse is caring for a client who is taking desmopressin acetate (DDAVP) for diabetes
insipidus. The nurse should identify that the following is an adverse effect of this
medication.
1. Insomnia
2. Drowsiness
3. Weight loss
4. Increased urination - Answer 2. Drowsiness Rationale: Water intoxication
(overhydration) or hyponatremia is an adverse effect to desmopressin. Early signs
include drowsiness, listlessness, and headache. Decreased urination, rapid weight
gain, confusion, seizures, and coma also may occur in overhydration.
A patient is taking Vasopressin for diabetes insipidus. He complains of drowsiness,
lightheadedness, and headache. For what does the nurse suspect he is experiencing?
A. An allergic reaction
B. Dehydration
C. Depression
D. Water intoxication - Answer D. Water intoxication
A nurse reinforces information to a client regarding directions about levothyroxine
(Synthroid). The nurse should instruct the client to take the medication:
1. With food
2. At lunchtime
3. On an empty stomach
4. Bedtime with a snack - Answer On an empty stomach Rationale:Oral doses of
levothyroxine (Synthroid) should be taken on an empty stomach to increase absorption.
Dosing should be done in the morning before breakfast. *Note that options 1, 2, and 4
,are similar or alike in that these options address administering the medication with food.
A nurse reinforces medication instructions to a client who is receiving levothyroxine
(Synthroid). The nurse advises the client to notify the HCP if which of the following is
experienced?
1. Fatigue
2. Tremors
3. Cold intolerance
4. Excessively dry skin - Answer Tremors
Rationale: Overdosage of Synthroid levothyroxine results in the signs and symptoms of
hyperthyroidism, including tachycardia, chest pain, tremors, nervousness, insomnia,
hyperthermia, heat intolerance, and diaphoresis. The client should be instructed to
notify the HCP if these symptoms occur. Options 1, 3, and 4 are indicative of
hypothyroidism.
A nurse is caring for a client diagnosed with hyperparathyroidism and the nurse notes
that the client's serum calcium level is 13 mg/dL. The nurse should prepare to
administer which of the following medications as ordered to the client?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D - Answer 3. Calcitonin (Miacalcin)
Rationale: The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is
experiencing hypercalcemia. Calcium gluconate and calcium chloride are medications
that treat tetany, which results from acute hypocalcemia. In hypercalcemia it is
necessary to avoid large doses of vitamin D. Calcitonin, a thyroid hormone, lowers the
plasma calcium level by inhibiting bone resorption and decreasing the serum calcium
concentration.
A nurse is caring for a client who has had a thyroidectomy and notices that calcium
gluconate has been ordered for the client. The nurse should recognize that this
medication has been ordered for this client for the purpose of treating: support
,1. Thyroid storm.
2. Prevent cardiac irritability.
3. Hypocalcemic tetany.
4. Stimulate the release of parathyroid hormone. Answer Treat hypocalcemic tetany.
Rationale: Hypocalcemia may result from a thyroidectomy if the parathyroid glands are
inadvertently removed or bruised during surgery. Symptoms appear in 1 to 7 days after
surgery. The health care professional is notified immediately if the client experiences
numbness and tingling around the mouth, fingers, or toes or muscle cramping and
twitching. Calcium gluconate is kept at the client's bedside.
The nurse who is admitting a patient diagnosed with acromegaly will anticipate
administering the following medication?
The nurse is providing care to a patient who has sustained a non-accidental traumatic
brain injury. Due to the injury, the patient has started to develop symptoms of diabetes
insipidus. Which medication is most commonly used to treat diabetes insipidus?
A patient is receiving vasopressin. For which of the following symptoms should the
patient be notified immediately? Choose all that apply.
1 Diarrhea
2 Pale skin
3 Yellow eyes
4 Hypertension
5 Abdominal cramping - Answer 1 Diarrhea
4 Hypertension
5 Abdominal cramping
What medication is used in the management of pulseless cardiac arrest according to the
ACLS protocol?
1 Somatropin
2 Vasopressin
3 Desmopressin
4 Luteinizing hormone - Answer 2 Vasopressin
What medication, when taken with desmopressin, results in an increase in water
retention?
1 Thioridazine
2 Carbamazepine
3 Acetaminophen
4 Norepinephrine - Answer 2 Carbamazepine
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